Mario Martinez, Project WORTH Program ManagerMeredith Howe, Project WORTH Health Program Specialist Rhoda Rios, Project WORTH Management Analyst

Jennifer Herriott, Assistant Director, Community HealthRita Espinoza, Chief EpidemiologistJohn Berlanga, Senior Management Analyst

Vincent Nathan, PhD, M.P.H., Interim Director of Metro Health

08-24-2016

2014 Community ReportTeen Pregnancy in San Antonio

Source: The National Campaign to Prevent Teen and Unplanned Pregnancy, Why it Matters.

Teen Pregnancy - Why it Matters?

Nearly all teen pregnancies are UNPLANNED

Teen pregnancy is closely linked to a host of critical SocialIssues such as poverty and income, child well-being, out-of-wedlock births, relationship violence, responsiblefatherhood, health issues, education, child welfareservices, and other risky behavior.

There are also substantial public costs associated withadolescent childbearing.

Consequently, teen pregnancy should be viewed not only as areproductive health issue, but as one that works to improve allof these measures.

93.5

49.6

0

20

40

60

80

100

120

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Preg

nanc

y Ra

te p

er 1

,000

Fem

ales

Age

s 15-

19

Year

Teen Pregnancy Rate: San Antonio, Females Ages 15 to 19, 2000 – 2013

* 2013 is latest data available.•San Antonio Metro Health 2013 Pregnancies – preliminary data

The San Antonio TEEN PREGNANCY RATE DECLINED by 47% from 2000 to 2013*

Source: San Antonio Metro Health 2014 Births – preliminary data

Teen Birth Rates: San Antonio, Texas, U.S. Females Ages 15 to 19, 2000 - 2014

68.9

37.4

68.8

37.847.7

24.2

0

10

20

30

40

50

60

70

80

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Teen

Birt

h R

ates

for F

emal

es a

ges

15 to

19

Texas

San Antonio

U.S.

Year

TEEN BIRTH RATE in San Antonio has DECLINED 26% since 2010*

EXCEEDING the SA2020 goal!

* 2010 SA2020 Baseline Year; birth rate 50.6 births per 1000 females ages 15 to 19

Number of San Antonio Teen Births Females Ages 15 to 19, 2010 - 2014

THERE WERE 840 FEWER BIRTHS

IN 2014 COMPARED TO 2010.

Source: San Antonio Metro Health 2014 Births – preliminary data

101 29

1,467

724

2,250

1688

0

500

1,000

1,500

2,000

2,500

00 01 02 03 04 05 06 07 08 09 10 11 12 13 14

Source: San Antonio Metro Health 2014 Births – preliminary data

2000 – 2014 San Antonio Teen Births by Female Age Groups

Num

ber o

f Tee

n B

irths

18 to19 yrs

15 to 17 yrs

10 to 14 yrs

Year

69% OF TEEN BIRTHS WERE TO FEMALES AGES 18 TO 19

TEEN CHILDBEARING in San Antonio

COST TAXPAYERSat least $54.2 MILLION*

Costs include health care, child welfare, incarceration, lost revenue

* The National Campaign to Prevent Teen and Unplanned Pregnancy. Based on 2010 estimates.

2

Source: San Antonio Metro Health 2014 Births – preliminary data

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782197821978219782197821978219782197821978219

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Fort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam HoustonFort Sam Houston

Alamo HeightsAlamo HeightsAlamo HeightsAlamo HeightsAlamo HeightsAlamo HeightsAlamo HeightsAlamo HeightsAlamo Heights

EdgewoodEdgewoodEdgewoodEdgewoodEdgewoodEdgewoodEdgewoodEdgewoodEdgewood

San AntonioSan AntonioSan AntonioSan AntonioSan AntonioSan AntonioSan AntonioSan AntonioSan Antonio

South San AntonioSouth San AntonioSouth San AntonioSouth San AntonioSouth San AntonioSouth San AntonioSouth San AntonioSouth San AntonioSouth San Antonio

HarlandaleHarlandaleHarlandaleHarlandaleHarlandaleHarlandaleHarlandaleHarlandaleHarlandale

NorthsideNorthsideNorthsideNorthsideNorthsideNorthsideNorthsideNorthsideNorthside North EastNorth EastNorth EastNorth EastNorth EastNorth EastNorth EastNorth EastNorth East

SouthsideSouthsideSouthsideSouthsideSouthsideSouthsideSouthsideSouthsideSouthsideSomersetSomersetSomersetSomersetSomersetSomersetSomersetSomersetSomerset

SouthwestSouthwestSouthwestSouthwestSouthwestSouthwestSouthwestSouthwestSouthwest

BoerneBoerneBoerneBoerneBoerneBoerneBoerneBoerneBoerne ComalComalComalComalComalComalComalComalComal

782017820178201782017820178201782017820178201

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782337823378233782337823378233782337823378233

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782387823878238782387823878238782387823878238

782397823978239782397823978239782397823978239782407824078240782407824078240782407824078240

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782457824578245782457824578245782457824578245

782477824778247782477824778247782477824778247

782507825078250782507825078250782507825078250

782517825178251782517825178251782517825178251

782537825378253782537825378253782537825378253

782547825478254782547825478254782547825478254

782647826478264782647826478264782647826478264

East CentralEast CentralEast CentralEast CentralEast CentralEast CentralEast CentralEast CentralEast Central

JudsonJudsonJudsonJudsonJudsonJudsonJudsonJudsonJudson

LacklandLacklandLacklandLacklandLacklandLacklandLacklandLacklandLacklandMedina ValleyMedina ValleyMedina ValleyMedina ValleyMedina ValleyMedina ValleyMedina ValleyMedina ValleyMedina Valley

Randolph FieldRandolph FieldRandolph FieldRandolph FieldRandolph FieldRandolph FieldRandolph FieldRandolph FieldRandolph Field

Schertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal CitySchertz-Cibolo-Universal City

4 times the U.S. Teen Birth rate: 96.8 and above

3 to 4 times the U.S. Teen Birth rate: 72.6 to 96.7

2 to 3 times the U.S. Teen Birth rate: 48.4 to 72.5

1 to 2 times the U.S. Teen Birth rate: 24.2 to 48.3

Less than U.S. teen birth rate: < 24.2

Fewer than 20 births

2014Bexar County

Teen Birth Rates Females ages 15 to 19

by Zip Code and School District Boundaries

-2014 U.S. Teen Birth Rate 24.2 births per 1,000-No zip codes were 4 Times the U.S. Teen Birth Rate

-Population Source: 2009-2013 American Community Survey 5-Year Estimates -Birth Source: TX Dept of State Health Services, Center for Health Statistics; Preliminary Birth data-Birth certificate address for teen mother was used to determine number of births within the school district boundaries

SCHOOL DISTRICTS2014 Births to

Mothers 15 to 19

East Central 49

Edgewood 174

Harlandale 129

Judson 139

North East 334

Northside 511

San Antonio 687

South San Antonio 122

Southside 50

Southwest 116

School Districts2014 Number of Teen Births and Teen Birth Rates

SCHOOL DISTRICTS

2014 Teen Birth Rate per 1,000

Females, 15 to 19 yrs.

East Central 28.1

Edgewood 69.4

Harlandale 56.2

Judson 33.4

North East 25.1

Northside 26.3

San Antonio 59.2

South San Antonio 63.3

Southside 41.0

Southwest 52.1

2014 U.S. Teen Birth Rate 24.2 births per 1,000

In 2014, 62% of Fathers were 18 and Older

10%

Source: San Antonio Metro Health 2014 Births – preliminary data

Under 18 18 to 20

Unknown

36%

21 & older

26% 29%

Sources: -San Antonio Metro Health 2014 Births– preliminary data.-Why it Matters, 2012. Teen Childbearing, Single Parenthood, and Father Involvement. The National Campaign to Prevent Teen and Unplanned Pregnancy.

Married Teen Mothers

11% OF TEEN MOTHERS WERE

MARRIED

National Estimate:15% OF TEEN MOTHERS WERE MARRIED

San Antonio:

San Antonio 2014: Repeat Teen BirthsFemales Ages 15 to19

539 TEEN MOTHERS WHO GAVE BIRTH IN 2014

ALREADY HAD AT LEAST ONE CHILD.

Source: San Antonio Metro Health 2014 Births – preliminary data

22% 21% 22%20%

22%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2010 2011 2012 2013 2014

% o

f Rep

eat T

een

Birt

hs

San Antonio2010 - 2014 Percent of Repeat Teen Births

Sources: San Antonio Metro Health 2014 Births – preliminary data; Teen mothers ages 15 to 19.Hamilton, B.E., Martin, J.A., Osterman, M.J.K., & Curtin, S. C. (2015). Births: Final Data for 2014. Hyattsville, MD: National Center for Health Statistics. Retrieved August 24, 2016, fromhttp://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_12.pdf.

The PERCENT of REPEAT BIRTHS has remained almost unchanged since 2010

2014 U.S. = 17%

* The San Antonio Teen Pregnancy Prevention Collaborative will establish a new 2020 goal by October 2016.

The collaborative follows the Collective Impact Model.

2020 Goal: Reduce the Teen Birth Rate among females ages 15 to 19 in San Antonio by 25%.*

In FY 2015-2016, The collaborative reached over 10,000 teens with evidence-basedteen pregnancy prevention programs.

Common Agenda

Shared Measurements

Mutually-Reinforcing

Activities

Continuous Communication

The collaborative consists of several organizations collaborating in Five areas:

Stakeholder Education

Evidence-Based Programs

Community Mobilization

Quality Adolescent Health Care

Youth Support & Development

1

23

4

5

www.satppc.com