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Abortion Surveillance - United States, 2014
Tara C Jatlaoui1, Jill Shah1,2, Michele G Mandel1
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, CDC.
Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C. : 2002)
|November 22, 2018
Summary
Legal abortion numbers, rates, and ratios in the U.S. reached historic lows in 2014. The Centers for Disease Control and Prevention (CDC) surveillance data shows continued declines in abortion trends.
Area of Science:
- Public Health Surveillance
- Reproductive Health Statistics
Background:
- The Centers for Disease Control and Prevention (CDC) has monitored legal induced abortions in the U.S. since 1969.
- Abortion surveillance is crucial for understanding reproductive health trends and informing public health strategies.
Purpose of the Study:
- To document the number and characteristics of women obtaining legal induced abortions in the United States for 2014.
- To analyze trends in abortion rates and ratios from 2005 to 2014.
Main Methods:
- Data collected voluntarily from 49 reporting areas for 2014, with 48 areas providing consistent data from 2005-2014.
- Abortion rates calculated per 1,000 women aged 15-44; abortion ratios calculated per 1,000 live births.
- Demographic and gestational age data analyzed to identify trends and characteristics.
Main Results:
- In 2014, 652,639 abortions were reported, with rates and ratios reaching historic lows for the 2005-2014 period.
- Abortion rates decreased across most age groups, with the largest declines seen in adolescents (15-19 years).
- The majority of abortions (64.9%) occurred at ≤8 weeks' gestation, with a trend towards earlier gestational ages.
Conclusions:
- The U.S. experienced significant declines in legal induced abortions, reaching historic lows in 2014.
- Understanding demographic trends and contraceptive use is key to further reducing unintended pregnancies and abortions.
- Public health initiatives focusing on contraception access can further decrease abortion rates.
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