Abortion Surveillance - United States, 2016

Abortion Surveillance - United States, 2016
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DOI:
10.15585/mmwr.ss6811a1
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发表时间:
2019-11-29
影响因子:
24.9
通讯作者:
Whiteman, Maura K.
Whiteman, Maura K.
中科院分区:
医学1区
文献类型:
--
作者:
Jatlaoui, Tara C.;Eckhaus, Lindsay;Whiteman, Maura K.

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问题/状况:自1969年以来,疾控中心一直在进行堕胎监测,以记录在美国获得合法人工流产的妇女的数量和特征。涵盖时间:2016年。系统描述:疾控中心每年要求52个报告地区(50个州、哥伦比亚特区和纽约市)的中央卫生机构提供堕胎数据。报告区自愿提供这方面的信息。2016年,从48个报告地区收到了数据。在趋势分析中使用了这48个报告区在2007-2016年间每年提供的堕胎数据。使用人口普查和出生数据分别计算堕胎率(每1000名15-44岁妇女堕胎人数)和比率(每1000名活产堕胎人数)。结果:在48个报告地区中,2016年共向疾控中心报告了623471起堕胎事件。在这48个报告地区中,2016年的堕胎率为每1,000名15-44岁妇女中有11.6人堕胎,堕胎率为每1,000名活产中有186人堕胎。从2015年到2016年,报告的堕胎总数下降了2%(从636,902例),堕胎率下降了2%(从每1000名15-44岁妇女中的11.8例堕胎),堕胎率下降了1%(从每1000名活产儿中188例堕胎)。从2007年到2016年,报告的堕胎总数下降了24%(从825,240起),堕胎率下降了26%(从每1,000名15-44岁妇女中有15.6例堕胎),堕胎率下降了18%(从每1,000名活产中226例堕胎)。2016年,所有这三项指标都达到了整个分析期(2007-2016年)的最低水平。在2016年和整个分析期间,20多岁的女性占堕胎的大多数,堕胎率最高。2016年,20-24岁和25-29岁的女性分别占所有报告堕胎人数的30.0%和28.5%,每1000名20-24岁和25-29岁的女性的堕胎率分别为19.1和17.8。相比之下,30-34岁、35-39岁和40岁的女性分别占所有报告堕胎人数的18.0%、10.3%和3.5%,每1000名30-34岁、35-39岁和40岁的女性的堕胎率分别为11.6、6.9和2.5。从2007年到2016年,所有年龄段的妇女堕胎率都有所下降。2016年,怀孕8周的青少年;所有其他方法都不常见(0.1%)。在根据胎龄有资格进行早期药物流产的人中(即
Problem/Condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.Period Covered: 2016.Description of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City). The reporting areas provide this information voluntarily. For 2016, data were received from 48 reporting areas. Abortion data provided by these 48 reporting areas for each year during 2007-2016 were used in trend analyses. Census and natality data were used to calculate abortion rates (number of abortions per 1,000 women aged 15-44 years) and ratios (number of abortions per 1,000 live births), respectively.Results: A total of 623,471 abortions for 2016 were reported to CDC from 48 reporting areas. Among these 48 reporting areas, the abortion rate for 2016 was 11.6 abortions per 1,000 women aged 15-44 years, and the abortion ratio was 186 abortions per 1,000 live births. From 2015 to 2016, the total number of reported abortions decreased 2% (from 636,902), the abortion rate decreased 2% (from 11.8 abortions per 1,000 women aged 15-44 years), and the abortion ratio decreased 1% (from 188 abortions per 1,000 live births). From 2007 to 2016, the total number of reported abortions decreased 24% (from 825,240), the abortion rate decreased 26% (from 15.6 abortions per 1,000 women aged 15-44 years), and the abortion ratio decreased 18% (from 226 abortions per 1,000 live births). In 2016, all three measures reached their lowest level for the entire period of analysis (2007-2016). In 2016 and throughout the period of analysis, women in their 20s accounted for the majority of abortions and had the highest abortion rates. In 2016, women aged 20-24 and 25-29 years accounted for 30.0% and 28.5% of all reported abortions, respectively, and had abortion rates of 19.1 and 17.8 abortions per 1,000 women aged 20-24 and 25-29 years, respectively. By contrast, women aged 30-34, 35-39, and >= 40 years accounted for 18.0%, 10.3%, and 3.5% of all reported abortions, respectively, and had abortion rates of 11.6, 6.9, and 2.5 abortions per 1,000 women aged 30-34, 35-39, and >= 40 years, respectively. From 2007 to 2016, the abortion rate decreased among women in all age groups.In 2016, adolescents aged 8 weeks' gestation; all other methods were uncommon (0.1%). Among those that were eligible for early medical abortion on the basis of gestational age (i.e., performed at