trends in abortion in the united states, 1973–2008 guttmacher institute © january 2011

22
Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

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Page 1: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Trends in Abortion in the United States, 1973–2008

Guttmacher Institute

© January 2011

Page 2: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The annual number of legal abortions increased through the 1970s, leveled off in

the 1980s, fell in the 1990s and is now stable

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

Number of abortions (in 000s)

1970: Abortion laws liberalized in 15 states*

Roe v. Wade, Jan. 22, 1973

Page 3: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Deaths associated with abortion declined dramatically after legalization

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

0

20

40

60

80

100

120

140

160

180

200

Number of abortion-related deaths

1970: Abortion laws liberalized in 15 states*

Roe v. Wade, Jan. 22, 1973

Page 4: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The abortion rate rose following nationwide legalization, began to decline in the 1980s

and is now stable

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

0

5

10

15

20

25

30

35

Abortions per 1,000 women aged 15–44

Page 5: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The abortion rate among teenagers declined in the late 1980s and 1990s, and is now stable

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

0

5

10

15

20

25

30

35

40

45

50

Abortions per 1,000 women aged 15–19

Page 6: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

White women account for the majority of abortions, but the proportion of abortions that are provided to

white women has declined steadily

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

0

20

40

60

80

100

% of abortions

White Nonwhite Black Other

Page 7: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The proportion of abortions obtained by Hispanic women increased

between 1991 and 2004

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 20040

20

40

60

80

100

% of abortions

Non-Hispanic Hispanic

Page 8: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Abortion rates are highest among black and Hispanic women

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

0

10

20

30

40

50

60

70

Abortions per 1,000 women aged 15–44

Nonwhite Hispanic Black non-Hispanic WhiteWhite non-Hispanic Other non-Hispanic

Page 9: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Poor and low-income women account for an increasing share of U.S. abortions

1987 1994 2000 20080

20

40

60

80

100

% of abortions

<100% 100–199% 200–299% >300%

% of poverty

Page 10: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

More than 80% of women having abortions are unmarried

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

0

20

40

60

80

100

% of abortions obtained by unmarried women

Page 11: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Since 1990, a majority of women having abortions have been mothers

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

0

20

40

60

80

100

% of abortions obtained by women who were mothers

Page 12: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Many women obtaining abortions have had a previous abortion, but the proportion has

stabilized over time

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

0

20

40

60

80

100

% of abortions obtained by women who had a previous abortion

Page 13: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Nearly 90% of abortions occur in the first three months of pregnancy

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

0

20

40

60

80

100% of abortions

<9 9–10 11–12 13–15 16–20 >21

Weeks since last menstrual period

Page 14: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Incidence of early medication abortion, 2008

• Early medication abortion accounted for 17% (199,000) of all abortions performed in nonhospital facilities, an increase from 6% in 2001

• An estimated one-quarter of eligible abortions (those performed up to nine weeks) were early medication abortions

• 59% of all known providers offered this service, compared with 33% in early 2001

Page 15: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The number of U.S. abortion providers  declined steadily between 1982 and 2000, but appears to have been stable in recent years

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

0

500

1,000

1,500

2,000

2,500

3,000

No. of providers

Hospital providers Small nonhospital providers* Large nonhospital providers†

0% de-cline

11% decline 2%

decline

Page 16: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

Facilities providing only medication abortion had a significant impact

• A minimum of 9% of all providers (164) offered only early medication abortion; most were nonspecialized clinics or physicians’ offices with small caseloads.

Page 17: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The percentage of U.S. counties with no

abortion provider remains high

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

0

20

40

60

80

100

% of counties with no provider

Page 18: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

About one-third of women live in a county with no abortion provider

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

0

20

40

60

80

100

% of women aged 15–44 with no provider in their county

Page 19: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The inflation-adjusted cost of an abortion has remained relatively stable over time, despite

increased restrictions and a decline in demand

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

0

50

100

150

200

250

300

350

400

450

500

Average amount paid for abortion at 10 weeks ($)

Current dollars 2009 dollars

Page 20: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

The number of states covering medically necessary abortions for women on Medicaid has

changed little over the past 20 years

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998*

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

0

5

10

15

20

25

30

35

40

45

50No. of states

Fiscal year

Page 21: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

36 states mandate parental involvement in a

minor’s decision to have an abortion

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2003

2004

2005

2006

2007

2008

2009

2010

0

5

10

15

20

25

30

35

40

45

50No. of states

Enforced Not in effect

Page 22: Trends in Abortion in the United States, 1973–2008 Guttmacher Institute © January 2011

For more information, visit www.guttmacher.org