<?xml version="1.0" encoding="ISO-8859-1"?>

<INDICATOR name="AdoBrth">
	<NAME>AdoBrth</NAME>
	<DESCRIPTION>teen births, teen pregnancy, adolescent births, adolescent pregnancy, pregnancy, contraception, family planning</DESCRIPTION>
	<DEFAULT_INDICATOR_VIEW_NAME>AdoBrth.Ut_USByAge</DEFAULT_INDICATOR_VIEW_NAME>
	<TITLE>Adolescent Births</TITLE>
	<DEFINITION>The adolescent birth rate is reported as the number of live births per 1,000 adolescent females aged 15-19.</DEFINITION>
	<NUMERATOR>The number of live births to adolescent mothers aged 15-19.</NUMERATOR>
	<DENOMINATOR>The number of adolescent females in the population.</DENOMINATOR>
	<DATA_ISSUES>The adolescent birth rate does not include abortions or miscarriages, and is an underestimate of the adolescent pregnancy rate.</DATA_ISSUES>
	<DATA_SOURCE_DATE>11/04/2020</DATA_SOURCE_DATE>
	<WHY_IMPORTANT>Research indicates that bearing a child during adolescence is associated with long-term difficulties for the mother, her child, and society. These consequences are often attributable to poverty and other adverse socioeconomic circumstances that frequently accompany early childbearing.

Compared to babies born to older mothers, babies born to adolescent mothers, particularly young adolescent mothers, are at higher risk of low birth weight and infant mortality. These babies are more likely to grow up in homes that offer lower levels of emotional support and cognitive stimulation, and they are less likely to earn a high school diploma. For the mothers, giving birth during adolescence is associated with limited educational attainment, which in turn can reduce future employment prospects and earning potential.</WHY_IMPORTANT>
	<OTHER_OBJECTIVE_DESCRIPTION>Utah's 42 Community Health Indicators[[br]]
Similar to HP2020 Objective FP-8: Reduce PREGNANCIES among adolescent females.</OTHER_OBJECTIVE_DESCRIPTION>
	<HOW_DOING>The teen birth rates per 1,000 females aged 15-19 in Utah, for the past five years were: 

2015:  17.9[[br]]
2016:  15.7[[br]]
2017:  15.1[[br]]
2018:  13.1[[br]]
2019:  12.0 

According to the 2018 Pregnancy Risk Assessment Monitoring Survey (PRAMS) data, 43% of Utah teen mothers (age 15-19) reported their pregnancies as mistimed or unwanted. Another 22% reported that they were unsure whether or not they wanted to be pregnant.</HOW_DOING>
	<STATE_VS_US>The adolescent birth rate in Utah has been lower than the U.S. overall rate over the past decade, but is higher than several other states. Utah and U.S. adolescent birth rates per 1,000 females aged 15-19 for the past five years were:
	
2015: Utah 17.9/U.S. 22.3[[br]]
2016: Utah 15.7/U.S. 20.3[[br]]
2017: Utah 15.1/U.S. 18.8[[br]]
2018: Utah 13.1/U.S. 17.4[[br]]
2019: Utah 12.0/U.S. 16.6</STATE_VS_US>
	<WHAT_DOING>__Teen Pregnancy Prevention Programs:__

The Utah Department of Health receives federal funding from the U.S. Department of Health and Human Services, Administration for Children and Families, Family &amp; Youth Services Bureau to provide two programs addressing teen pregnancy prevention in Utah.  

The first program is Sexual Risk Avoidance Education (SRAE). Funds for this program must be used to implement evidence-based programs that teach participants to voluntarily refrain from sexual activity; normalize the optimal health behavior of avoiding non-marital sexual activity; and address the social, psychological, and health gains to be realized by refraining from sexual activity and engaging in healthy relationships. 

SRAE targets youth ages 10-19 and/or their parents, with a specific focus on youth in the Utah juvenile justice and foster care systems; youth of Hispanic, Black/African American, Pacific Islander, or American Indian origin; and youth residing in rural areas or other disadvantaged geographical areas with teen birth rates higher than the Utah average.

The second program is the Personal Responsibility Education Program (PREP). These funds must be used for evidence-based interventions designed to educate adolescents on both abstinence and contraception to prevent pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects (healthy relationships, education and career success, healthy life skills, adolescent development, financial literacy, and parent-child communication). 

The target population for PREP in Utah is youth ages 14-19, and their parents, with a specific focus on youth in the Utah Juvenile Justice and foster care systems; pregnant and parenting teens; youth of Hispanic, Black/African American, Pacific Islander, or American Indian origin; and youth residing in rural areas or other disadvantaged geographical areas with teen birth rates higher than the Utah average.

The Utah Department of Health (UDOH) sub-contracts these federal funds to local health departments, community agencies, and tribal entities or governments. 

For more information or questions regarding the two programs mentioned above, contact Elizabeth Gerke at 801-273-2870 or egerke@utah.gov.</WHAT_DOING>
	<EVIDENCE_BASED_PRACTICES>The Utah teen pregnancy prevention programs utilize the following evidence-based interventions: 
*All4You[[br]]
*Be Proud, Be Responsible[[br]]
*Choosing the Best[[br]]
*Families Talking Together[[br]]
*Get Real[[br]]
*Love Notes[[br]]
*Making A Difference[[br]]
*Making Proud Choices[[br]]
*Teen Outreach Program (TOP)</EVIDENCE_BASED_PRACTICES>
	<SERVICES_AVAILABLE_TO_PUBLIC>Youth development programs, support groups for teen parents, resources for health teachers, and/or classes for youth and parents are available in local areas across the state. 

For more information, contact Elizabeth Gerke at egerke@utah.gov or 801-273-2870.</SERVICES_AVAILABLE_TO_PUBLIC>
	<RESOURCES_REFERENCES_LINKS>Utah Department of Health[[br]]
Maternal and Infant Health Program[[br]]
[http://health.utah.gov/mihp/]

Power to Decide: The Campaign to Prevent Unplanned Pregnancy[[br]]
[https://powertodecide.org/news/we-are-power-decide]

Center for Disease Control and Prevention, Division of Adolescent and School Health (DASH)[[br]]
[http://www.cdc.gov/healthyyouth/]

U.S. Department of Health &amp; Human Services, Administration for Children &amp; Families, Family and Youth Services Bureau (FYSB)[[br]]
[https://www.acf.hhs.gov/fysb]</RESOURCES_REFERENCES_LINKS>
	<ORG_UNIT_NAME>DFP_FYOP</ORG_UNIT_NAME>
	<OWNER_USER_ID>nicolebissonette@utah.gov</OWNER_USER_ID>
	<STATUS_CODE>A</STATUS_CODE>
	<STATUS_DATE>11/23/2020</STATUS_DATE>
	<NOTE>Updated by the Family &amp; Youth Outreach Program.</NOTE>
	<SORT_ORDER>3</SORT_ORDER>
	<ACTIVE_FLAG>x</ACTIVE_FLAG>
	<MODIFIED_DATE>11/23/2020</MODIFIED_DATE>
	<MODIFIED_DESCRIPTION>Status changed by: vlund@utah.gov</MODIFIED_DESCRIPTION>
	<PUBLISHED_DATE>11/23/2020</PUBLISHED_DATE>
	<HEALTHY_PEOPLE_OBJECTIVE>
		<MODIFIED_DATE></MODIFIED_DATE>
	</HEALTHY_PEOPLE_OBJECTIVE>
	<DATA_SOURCES/>
	<RELATIONS>
		<RELATION name="PopChar">
			<NAME>PopChar</NAME>
			<TITLE>Relevant Population Characteristics</TITLE>
			<TEXT></TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AgeDistPop</NAME>
					<TITLE>Utah Population Characteristics: Age Distribution of the Population</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AgeDistPop.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>UniPreg</NAME>
					<TITLE>Births from Unintended Pregnancies</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>UniPreg.UT</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="SystemFactors">
			<NAME>SystemFactors</NAME>
			<TITLE>Health Care System Factors</TITLE>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>PNC</NAME>
					<TITLE>Prenatal Care</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PNC.LHD</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="RiskFactors">
			<NAME>RiskFactors</NAME>
			<TITLE>Risk Factors</TITLE>
			<TEXT>Experiencing birth during adolescence can increase a teen's risk of acquiring a sexually-transmitted infection as well as seriously hinder future financial stability due to limited educational attainment.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>ChlamCas</NAME>
					<TITLE>Chlamydia Cases</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>ChlamCas.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>EduLevPop</NAME>
					<TITLE>Utah Population Characteristics: Education Level in the Population</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>EduLevPop.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>GonCas</NAME>
					<TITLE>Gonorrhea Cases</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>GonCas.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>SyphCas</NAME>
					<TITLE>Syphilis Cases - Primary and Secondary</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>SyphCas.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="HealthStatus">
			<NAME>HealthStatus</NAME>
			<TITLE>Health Status Outcomes</TITLE>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>InfMort</NAME>
					<TITLE>Infant Mortality</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>InfMort.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>LBW</NAME>
					<TITLE>Low Birth Weight</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>LBW.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
	</RELATIONS>
	<INDICATOR_VIEWS>
		<INDICATOR_VIEW>
			<NAME>AdoBrth.Race</NAME>
			<TITLE>Birth Rate for Females Aged 15-19</TITLE>
			<SUB_TITLE>by Race, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Rate per 1,000 Adolescent Females</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AdoBrth.Eth</NAME>
			<TITLE>Birth Rate for Females Aged 15-19</TITLE>
			<SUB_TITLE>by Ethnicity, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Rate per 1,000 Adolescent Females</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AdoBrth.LHD</NAME>
			<TITLE>Birth Rate for Females Aged 15-19</TITLE>
			<SUB_TITLE>by Local Health District, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Rate per 1,000 Adolescent Females</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AdoBrth.SA</NAME>
			<TITLE>Birth Rate for Females Aged 15-19</TITLE>
			<SUB_TITLE>by Utah Small Area,</SUB_TITLE>
			<PERIOD_TITLE>2017-2019</PERIOD_TITLE>
			<Y_TITLE>Rate per 1,000 Adolescent Females</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AdoBrth.Ut_USByAge</NAME>
			<TITLE>Adolescent Birth Rate by Age of Mother,</TITLE>
			<SUB_TITLE>Utah and U.S.,</SUB_TITLE>
			<PERIOD_TITLE>2004-2019</PERIOD_TITLE>
			<Y_TITLE>Rate per 1,000 Adolescent Females</Y_TITLE>
		</INDICATOR_VIEW>
	</INDICATOR_VIEWS>
</INDICATOR>
