2004, 2005 U.S. Abortion Statistics (CDC, 11/07; AGI, 1/08)
According to the CDC, in 2004, there were 839,226 legal abortions in the U.S., excluding the states of AK, CA, NH, OK, WV, which did not report to the CDC for that year. CDC data indicate that Black women obtained 38.2% of all U.S. abortions for 2004 (in the states reporting). According to the CDC, inconsistent method use
of the oral contraceptives (75.9%) or condoms (49.3%) was the most
common reason that women became pregnant and obtained abortions.
The AGI reports that, for 2005, there were 1.21 Million legal U.S. abortions.
This does not indicate that abortion numbers are on the rise. AGI statistics are usually considerably higher than those from the CDC because AGI actively collects data from states and abortion facilities nationwide, and because several states do not report to the CDC...
Alan
Guttmacher Institute (AGI): Some Statistics
"Abortion is a common experience: At current rates, about one in three American women will have had an abortion by the time she reaches age 45. Moreover, a broad cross section of U.S. women have abortions. 57% of women having abortions are in their 20s; 60% have one or more children; 86% are unmarried; 57% are economically disadvantaged; 88% live in a metropolitan area; and 78% report a religious affiliation. No racial or ethnic group makes up a majority: 41% of women obtaining abortions are white non-Hispanic, 32% are black non-Hispanic, 20% are Hispanic and 7% are of other racial backgrounds.
"Contraceptive use is a key predictor of women's recourse to abortion. [Fifty-four percent] of abortions occur among the much larger group of women who were using contraceptives in the month they became pregnant. Many of these women report difficulty using contraceptives consistently..." [http://www.guttmacher.org/pubs/sfaa/alabama.html]
• Fifty-four percent of women who have abortions had used a contraceptive method (usually the condom or the pill) during the month they became pregnant. Among those women, 76% of pill users and 49% of condom users report having used their method inconsistently, while 13% of pill users and 14% of condom users report correct use. [Jones RK, Darroch JE and Henshaw SK, Contraceptive use among U.S. women having abortions in 2000–2001, Perspectives on Sexual and Reproductive Health, 2002, 34(6):294–303.] [http://www.guttmacher.org/pubs/fb_induced_abortion.html#7]
• In 2005, there were 1,787 abortion providers in the United States. This represents a 2% decrease from 2000, when there were 1,819 abortion providers. 34% of these providers were hospitals, 21% were abortion clinics (clinics where more than half of all patient visits were for abortion), 24% were clinics where fewer than half of all visits were for abortion, and 21% were private physicians' offices. 69% of all abortions were provided at abortion clinics, 25% at other clinics, 5% at hospitals and 2% at private physicians' offices. [http://www.guttmacher.org/pubs/sfaa/alabama.html]
• Black women are 4.8 times as likely as non-Hispanic white women to have an abortion, and Hispanic women are 2.7 times as likely. [http://www.guttmacher.org/pubs/fb_induced_abortion.html#9]
Alan Guttmacher Institute: U.S. ABORTION RATE (2005) FALLS TO LOWEST
LEVEL IN THREE DECADES - New report does find medication abortions on
the increase. "We don't know why," said study author Rachel Jones
[senior research associate, Guttmacher Institute, nonprofit group that
focuses on reproductive issues]. The findings will be published in the
March issue of the institute's journal, Perspectives on Sexual and
Reproductive Health.Related News
The actual number of abortions dropped to a new low, the lowest level
since 1976 (1.179 million), with 1.2 million abortions in 2005,
compared to a high of 1.6 million abortions in 1990. The numbers have
dropped 25% from 1990 to 2005. According to the Guttmacher data, the
number of abortions declined by 8 percent between 2000 and 2005, from
1.31 million to 1.21 million.
The institute's president, Sharon Camp, noted that despite the decline,
more than one in five pregnancies ended in abortion in 2005.
The report does not include an analysis of why the levels have
continued to decline. "We don't regard [the findings] as good or bad,"
Jones said. "It's a descriptive study."
The abortion rate for 2005 was 19.4 abortions per 1,000 women aged 15
to 44 (down 9 percent from 2000; lowest rate since 1974). In
comparison, the rate was 29.3 abortions per 1,000 women in 1981, 21.3
abortions per 1,000 women in 2000, and 19.7 abortions per 1,000 women
in 2004.
Abortion rates were highest in Washington, D.C., New York, New Jersey,
Delaware, Florida, Maryland and California. Rates were lowest in
largely rural states: Wyoming, Kentucky, Mississippi, South Dakota,
Idaho and Utah.
However, the report noted that the rates reflected the state in which
the abortion occurred, thus including nonresident women who crossed
state lines to get an abortion.
By region, the Northeast had the highest abortion rate, followed by the West, the South and the Midwest.
To arrive at their findings, Jones and her team contacted all known
abortion providers in the United States and also used U.S. Census
Bureau data to look at national and state trends.
Among the trends they uncovered was an increase in medical abortions
between 2000 and 2005. "A majority of providers offer both RU-486
[medical abortion] as well as surgical," Jones said. "The number
offering just RU-486 went up."
Jones and her team found that 57 percent of all known abortion
providers now offer such abortion services, compared with 33 percent in
early 2001. Medical abortions accounted for 13 percent, or 161,000, of
all abortions done in 2005, more than double the level in 2001.
More than six of 10 abortions were performed within the first eight
weeks, the researchers reported. And almost three of 10 were done at
six weeks or before.
Jones' team also found that the average cost of an abortion at 10 weeks
was $413, about $11 less than in 2001 when inflation is taken into
account.
The number of providers in 2005 was 1,787, two percent (2%) fewer than in 2000...
While the study didn't include an analysis of why the rate is
declining, Janice Crouse [director, Beverly LaHaye Institute,
Concerned Women for America, conservative public policy organization]
said one reason could be a decline in abortions among teen girls.
That drop, she added, is partially explained by the success of
abstinence programs. "Abortion definitely has gone down, particularly
among young people," Crouse said.
"We'd like to take a look at the dynamics [behind the statistics],"
said Jones, adding that Guttmacher plans to look more closely at the
use of RU-486 in future research.
[17January2008, Kathleen Doheny, U.S. News & World Report,
HealthDay News, ScoutNews,
http://health.usnews.com/usnews/health/healthday/080117/us-abortion-rate-falls-to-lowest-level-in-decades.htm;
Guttmacher Institute, http://www.guttmacher.org/ ; 18Jan08,
LifeNews.com;
http://ap.google.com/article/ALeqM5hKEE0dpB9sBkDB225XZQGKkzyJ8wD8U7QHVG3]
CDC 2004 U.S. Abortion Surveillance Statistics (released 11/07)
Nationally, in 2004:
Women 19 and under obtained 17.4% of the abortions
Women 20-24 obtained 32.8% of the abortions in 2004
54.1% of the women were White, and 38.2% of the women were Black
Unmarried women obtained 82.8% of the abortions
Women having no previous live births composed 41.0% of all abortions
Abortions performed at or over 21 weeks (5 months, 1 week -- late term) gestation occurred in 1.4% of the abortions in 2004...
2004 U.S. ABORTION QUICK STATS [CDC]
Total 839,226 [excluding AK, CA, NH, OK, WV]
19 & Under 17.4%
20-24 32.8%
White 54.1%
Black 38.2%
Unmarried 82.8%
No Previous Live Births 41.0%
Equal to/Greater than 21 Weeks (5 months, 1 week) Gestation 1.4% (11,749 late term abortions)
Abortion Surveillance --- United States, 2004
CDC began abortion
surveillance in 1969 to document the number and characteristics of
women obtaining legal induced abortions. This report summarizes and
describes data voluntarily reported to CDC regarding legal induced
abortions obtained in the United States in 2004.
Description of System:
For each year since 1969, CDC has compiled abortion data by state or
area of occurrence. During 1973--1997, data were received from or
estimated for 52 reporting areas in the United States: 50 states, the
District of Columbia, and New York City. In 1998 and 1999, CDC compiled
abortion data from 48 reporting areas. Alaska, California, New
Hampshire, and Oklahoma did not report, and data for these states were
not estimated. During 2000--2002, Oklahoma again reported these data,
increasing the number of reporting areas to 49; for 2003 and 2004,
Alaska again reported and West Virginia did not, maintaining the number
of reporting areas at 49.
Results: A total of 839,226 legal induced abortions were reported to CDC for 2004 from 49 reporting areas (see above - CA, NH, and WV do not report so those abortion numbers are not included), representing a 1.1% decline from the 848,163 legal induced abortions reported by 49 reporting areas for 2003.
The abortion ratio, defined as the number of abortions per 1,000 live births, was 238 in 2004, a decrease from the 241 in 2003.
The abortion rate was 16
per 1,000 women aged 15--44 years for 2004, the same since 2000. For
the same 47 reporting areas, the abortion rate remained relatively
constant during 1998--2004.
In 2003 (the most recent
years for which data are available), 10 women died as a result of
complications from known legal induced abortion. No death was
associated with known illegal abortion.
The highest percentages
of reported abortions were for women who were known to be unmarried
(80%), white (53%), and aged <25 years (50%).
Of all abortions for
which gestational age was reported, 61% were performed at <8 weeks'
gestation and 88% at <13 weeks. From 1992 (when detailed data
regarding early abortions were first collected) through 2004, steady
increases have occurred in the percentage of abortions performed at
<6 weeks' gestation, except for a slight decline in 2003. A limited
number of abortions were obtained at >15 weeks' gestation, including
4.0% at 16--20 weeks and 1.4% at >21 weeks.
A total of 35 reporting
areas submitted data stating that they performed and enumerated medical
(nonsurgical) procedures, making up 9.7% of all known reported
procedures from the 45 areas with adequate reporting on type of
procedure.
Public Health Action:
Abortion surveillance in the United States continues to provide the
data necessary for examining trends in numbers and characteristics of
women who obtain legal induced abortions and to increase understanding
of this pregnancy outcome. Policymakers and program planners use these
data to improve the health and well-being of women and infants.
NOTE: For 2004, CDC compiled data that were voluntarily
provided from 49 reporting areas in the United States: 47 states
(excluding California, New Hampshire, and West Virginia), the District
of Columbia (DC), and New York City (NYC)...four states (Alaska,
California, New Hampshire, and Oklahoma) did not report abortion data
for 1998--1999, three states (Alaska, California, and New Hampshire)
did not report data for 2000--2002, and three states (California, New
Hampshire, and West Virginia) did not report data for 2003--2004.
Data for California and
Oklahoma were estimated before 1998; however, data for nonreporting
states have not been estimated since then.
Thus, 839,226 abortions
are recorded by CDC for 2004; excluding all the occasional states - AK,
CA, NH, OK, and WV- 830,577 abortions are recorded by CDC for 2004.
...In addition, the abortion total for 2000 provided to CDC by central health agencies are 20% lower than
that reported for 2000 (the most recent year for which data are
available) for the same reporting areas by The Alan Guttmacher
Institute, a private organization that contacts abortion providers
directly (64).
Overall, the annual number of legal induced abortions in the United
States increased gradually from 1973 until it peaked in 1990, and it
generally declined thereafter (Figure 1). In 2004, a total of 839,226
legal induced abortions were reported to CDC by 49 reporting areas.
This change represents a 1.1% decline from 2003, for which 49 areas
reported 848,163 legal induced abortions (Tables 1 and 2).
Nationally, in 2004:
Women 19 and under obtained 17.4% of the abortions
Women 20-24 obtained 32.8% of the abortions in 2004
54.1% of the women were White, and 38.2% of the women were Black
Unmarried women obtained 82.8% of the abortions
Women having no previous live births composed 41.0% of all abortions
Abortions performed at or over 21 weeks (5 months, 1 week -- late term) gestation occurred in 1.4% of the abortions in 2004.
In 2004, for women from
areas where weeks of gestation at the time of abortion were adequately
reported (44 reporting areas), 61% of reported legal induced abortions
were known to have been obtained at <8 weeks' gestation and 87% at
<12 weeks (Table 6). Overall (41 reporting areas), 28% of abortions
were known to have been performed at <6 weeks' gestation, 18% at 7
weeks, and 15% at 8 weeks (Table 7).
Few reported abortions were known to have occurred after 15 weeks' gestation: 3.7% at 16--20 weeks and 1.3% at >21 weeks...
For the 35 areas that
reported medical abortions separately, 66,033 medical abortion
procedures were performed in 2004. Eight states reported that no
medical abortions were performed in 2004 but did not specify whether
such abortions were available. For the 32 reporting areas that reported
one or more medical abortion for both 2003 and 2004, the data reflect
an increase of 17%, from 54,703 in 2003 to 63,975 in 2004 (8)...
For women who obtained an
abortion and whose number of previous abortions were adequately
reported (41 reporting areas), 54% (53.7%)were reported to have
obtained an abortion for the first time, 25.2% were reported to have
obtained one previous abortion, and 19% were reported to have had at
least two previous abortions (Table 13).
In 1972, a total of 24
women died from causes known to be associated with legal abortions, and
39 died as a result of known illegal abortions. At most, two illegal
abortion deaths have occurred in any year since 1979. In 2003, 10 women
died from causes known to be associated with legal induced abortions,
and none died as a result of known illegal induced abortion. Of the 10
legal induced abortion-related deaths identified in 2003, four occurred
following a medical (nonsurgical) abortion procedure. Two of these
cases have been described previously (62).
This is the first year
for which maternal deaths related to medical abortion procedures have
been identified. Approximately one in five U.S. pregnancies have ended
in abortion according to a national sample survey conducted by AGI
during 2001--2002 among women having abortions (64).
Inconsistent method use
of the oral contraceptives (75.9%) or condoms (49.3%) was the most
common reason that women became pregnant and obtained abortions (22 -
Jones RK, Darroch JE, Henshaw SK. Contraceptive use among U.S. women
having abortions in 2000--2001. Perspect Sex Reprod Health
2002;34:294--303).
T. Strauss, MA, Sonya B.
Gamble, MS, Wilda Y. Parker,Douglas A. Cook, MBIS, Suzanne B. Zane,
DVM, Saeed Hamdan, MD, PhDDivision of Reproductive HealthNational
Center for Chronic Disease Prevention and Health PromotionThe material
in this report originated in the National Center for Chronic Disease
Prevention and Health Promotion, Janet Collins, PhD, Director; and the
Division of Reproductive Health, John Lehnherr, Acting
Director.Corresponding address: CDC/National Center for Chronic Disease
Prevention and Health Promotion/Division of Reproductive Health, 1600
Clifton Rd., NE, MS K-21, Atlanta, GA 30333. E-mail:
[CDC, MMWR Surveillance Summaries, November 23, 2007 / 56(SS09);1-33
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5609a1.htm?s_cid=ss5609a1_eLilo