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Abortion Surveillance - United States, 2015
Tara C Jatlaoui1, Maegan E Boutot1,2, 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 induced abortion numbers, rates, and ratios in the U.S. reached historic lows in 2015. These trends highlight the need for increased access to effective contraception to reduce unintended pregnancies.
Area of Science:
- Reproductive Health
- Public Health Surveillance
- Epidemiology
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 2015.
- To analyze trends in abortion rates and ratios from 2006 to 2015.
Main Methods:
- Data were collected from 49 reporting areas voluntarily providing information to the CDC.
- Abortion rates were calculated per 1,000 women aged 15-44, and abortion ratios per 1,000 live births.
- Trend analyses were conducted using data from 2006-2015, incorporating census and natality data.
Main Results:
- In 2015, 638,169 abortions were reported, with rates and ratios reaching historic lows for the 2006-2015 period.
- Abortion rates decreased across all age groups, with the most significant decline among adolescents aged 15-19.
- The majority of abortions in 2015 occurred at ≤13 weeks' gestation, with a notable increase in early medical abortions.
Conclusions:
- Decreases in abortion numbers, rates, and ratios indicate a significant public health trend.
- Findings underscore the importance of unintended pregnancy prevention through enhanced contraceptive access and use.
- Data can inform policymakers and program planners in targeting interventions for women with the highest abortion rates.
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