Thursday, June 20, 2013

U.S. Women’s Use of Sexual and Reproductive Health Services; Recent Trends in Births and Fertility Rates

From Guttmacher Institute:

Seven in 10 U.S. women of reproductive age, some 43–45 million women, make at least one medical visit to obtain se
xual and reproductive health (SRH) services each year. Uninsured women are significantly less likely than either privately or Medicaid-insured women to receive SRH services. Approximately 25 million women receive contraceptive services annually.

The number of women having either a Pap test or pelvic exam each year fell from 41 million in 2002 to 39 million in 20
06–2010, consistent with recent changes in cervical cancer screening recommendations.

The number of women receiving STD testing, treatment or counseling each year doubled from 4.6 million in 1995 to 9.8 million in 2006–2010, reflecting both an increase in routine chlamydia screening now recommended for all sexually active women younger than age 25, as well as an increase in the reported incidence of chlamydia.

The number of women receiving any SRH service who went to a publicly funded clinic for that care rose from 7.3 million (17% of those receiving care) in 1995 to 10.2 million (23%) in 2006–2010, mirroring concurrent increases in the number of women in poverty and in need of publicly funded contraceptive services. Compared with women receiving services from private doctors, women going to publicly funded clinics received a wider range of SRH services and were more likely to have conversations about contraception during annual gynecologic visits.

From National Center for Health Statistics:

The provisional count of births in the United States for the 12-month period ending December 2012 was 3,958,000, essentially unchanged from the 3,953,593 births (preliminary total) for 2011. The trend in the number of births was down, having declined steadily from the historic high of 4,316,233 in 2007 through 2011 but slowing from 2010 to 2011, and is essentially flat from 2011 to 2012. The provisional fertility rate in the United States for 2012 was 63.2 births per 1,000 women aged 15–44, unchanged from the rate in 2011. Like the number of births, the trend in the fertility rate
was down, having declined steadily from the recent high of 69.3 in 2007 through 2010 but slowing from 2010 to 2011, and is unchanged from 2011 to 2012.

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