Recent trends and patterns in US abortion-to-live birth ratios based on publicly available state websites Open Access

Chinthakanan, Orawee (2012)

Permanent URL: https://etd.library.emory.edu/concern/etds/dv13zt594?locale=en
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Abstract

Background: State and national policy development on abortion requires current information. Abortion data on a few state websites may be more current and useful in monitoring recent trends and patterns of abortion than national reports by state of occurrence by CDC or Guttmacher Institute.

Objective: To determine the overall trends and variations in abortion-to-live birth ratios by age, race, ethnicity and marital status by state of residence for 2004-2009 for states that have published data

Methods: We searched all state health department websites for data on characteristics of women having abortions and live births by state of residence. We used 16 reporting areas (AZ, DE, DC, GA, ID, IN, MN, MO, NM, NYC, NYS, PA, TX, WA, WI) that had available data for abortion categorized by ethnicity. We calculated overall ratios for states with data. We did not conduct statistical analysis on trends because abortion ratios vary greatly by geographic area, and the temporal changes are not in the same direction for different reporting areas.

Results: The abortion ratio for overall, Hispanic and non-Hispanic are 278.2, 248.9, and 282.7 per 1,000 live births respectively. For non-Hispanics, Blacks have the highest ratio compared to other, Alaska/American Indian/ Hawaiian, Asian/ Pacific Islander, and White (654.3, 365.8, 276.0, 263.0, 173.0 per 1,000 live births). For women under age 20, Asians have the highest abortion ratio; for older women, Blacks have the highest ratio. The highest abortion ratio occurred among women aged less than 15 years, followed by aged 15-19 for most groups. The abortion ratio trend is steady in women aged 25-35 years, then rising among those aged 40 years or older. The abortion ratio among Hispanic women who are married is lower than unmarried women (61.9 vs. 224.1 per 1,000 live births)

Conclusion: Overall, trends by race, ethnicity, age, marital status are stable for 2004 through 2009.

Public Health Implication: With technical support from NAPHSIS and CDC, many states would benefit from developing standard reporting and web-based publication of abortion statistics; improving the timely use of this data for informing program and policy decision making.

Table of Contents

Table of Contents




CHAPTER1: INTRODUCTION ......................................................................2



CHAPTER 2: COMPREHENSIVE REVIEW OF THE LITERATURE ......................... 5



CHAPTER 3: MANUSCRIPT ........................................................................13



CHAPTER 4: DISCUSSION, CONCLUSION AND RECOMMENDATIONS ...............35



REFERENCES .......................................................................................... 38



APPENDIX ...............................................................................................42



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