# Survey Report

Select tables 5 and 6 in this MMWR:

(http://wonder.cdc.gov/wonder/prevguid/m0031562/m0031562.asp#Table_6)

1. Provide a detailed account of the findings presented in both tables. Consider which state had the highest teenage birth rate? Which state had the lowest teenage birth rate?
2. What is the distribution of teenage mothers by race/ethnicity by state and by age-group? Highlight only the main findings.
3. If you were in charge of deciding which states needed teenage pregnancy prevention programs and you were allowed to select only three, which states would you select and why? What additional information would be helpful in making your decision?
4. Identify which information would be needed to answer the following questions: (count, rate, both, neither) and explain why: – Where should a teenage pregnancy prevention program be located? – Was a teenage pregnancy prevention program successful? – Which ethnic group has the most teenage births?

Solution

1. From Table 6, we notice that the pregnancy rates for women ages 15-19 years between 1990 and 1980 showed a decline in 23 of the 41 states for which the pregnancy rate is available. In addition, rates in 7 of these 23 areas declined by less than or equal to 10%. Over this decade, pregnancy rates increased in 17 states, and six of these states reported increases greater than 10%.

Like pregnancy rates, abortion rates showedalso declines. Declines in abortion rates for women ages 15-19 years were observed in 30 of the 40 states. In 24 of these 30 areas, the declines were greater than 10%. In fact, 15 states reported declines of greater than 20%. Abortion rates increased in 10 states, with increases of greater than 10% in seven of these states.

Unlike pregnancy rates and abortion rates, Birth rates showed a significant increase in most states (35 states of the 51 states) in 1990 compared to 1980. Thus, birth rates showed a declivity for 16 states among the 51 states in the same decade.

Back to 1980, Massachusetts had the lowest teenage birth rate, which was 28.1 per 1000. The highest teenage birth rate was observed on Mississippi with a value of 83.7 per 1000.

1. From Table 5, we have noticed that birth rates for blacks were generally higher than rates for Hispanics and whites. Pregnancy rates for teenagers ages 15-19 years increased from 104 to 219 per 1,000 for blacks in the 24 states for which rates were available, from 56 to 145 per 1,000 for Hispanics (19 states)and from 46 to 106 per 1,000 for whites (30 states).
1. Based on the birth rates observed on 1990, the highest teenage birth rates were perceived in District of Columbia, Mississippi and Arkansas respectively. In details, birth rates for blacks were generally higher than rates for Hispanics and whites in these three states.Hence, these states need teenage pregnancy prevention programs. Another helpful
information would be birth rates by neighbourhoods in these states, which will permit to focalize the prevention program on the neighbourhoods with the highest registered birth rates.
1. To determine whereshould, a teenage pregnancy prevention program be located, we need both count and birth rate because teenage population may differ from state to state and hence count of teenage pregnancy may be important in some states compared to other states with higher birth rates. To examine if the teenage pregnancy prevention program was successful we need both count and rates before and after program execution and perform a comparison to see if there is a significant effect of the program.