Health and Family

Teen Pregnancy

Health Header

Teen Pregnancy

Teen pregnancy is closely linked to a host of problems for both the parents and the child. Virginia is addressing the full spectrum of social issues that contribute to teen pregnancy.

Why is This Important?

Teen pregnancy is a critical public health issue that affects the health and educational, social, and economic future of the mother and child. Teen pregnancy is also a significant factor in numerous other important social issues: Welfare dependency, out-of-wedlock births, responsible fatherhood, and workforce development are all of particular concern.

Adolescents are less likely to seek out prenatal care because they are afraid, embarrassed, or unaware of the resources available to them. This lack of prenatal care, coupled with the mother's usually immature physical development, result in higher rates of low-birth weight babies than in other age groups. As the offspring of adolescent mothers grow, they are more apt than other children to have health and cognitive problems and to be the victims of neglect or abuse.

How is Virginia Doing?

Birth Rate among Teens, by State.  See text for explanation.Over the past decade, the rate for teen births has generally declined in Virginia and across the nation. The birth rate for Virginia teens was 36.1 per 1,000 females aged 15 to 19 years old in 2003, but by 2012 this rate had dropped to 22.9 births, giving Virginia the 12th lowest incidence of teen births among the 50 states. Relative to its peers, Virginia had a lower rate than North Carolina (31.8) and Tennessee (38.5), but a slightly higher rate than Maryland (22.1). New Hampshire led the nation in 2012 with only 13.8 teen births per 1,000 females.

Teen Pregnancy Rate, by State. See text for explanation.According to the Guttmacher Institute, the latest available data shows that Virginia's teen pregnancy rate improved to be among the top third of states in 2008; at 56 pregnancies per 1,000 female teens, Virginia's rank improved to the 14th lowest rate in the nation (from 20th in 2005). The national average in 2008 was 68 pregnancies per 1,000 female teens. North Carolina's rate was 72, Tennessee's rate was 76, and Maryland's rate was 63. The leading state was again New Hampshire, with a teen pregnancy rate of just 33.

Within Virginia, teen pregnancy has generally been decreasing, with every region except Southside having a lower rate in 2012 than it did the previous year -- and markedly lower rates in nearly all regions when compared to a decade ago.

Teen Pregnancy Rate by Virginia Region. See text for explanation.According to data from the Virginia Department of Health, the Southwest (48.8) and Hampton Roads (41.8) regions had the highest teen pregnancy rates, while the Northern (22.3) and Valley (27.1) regions had the lowest. Overall, there were 8,509 reported teen pregnancies in Virginia in 2012 -- or an average of 32.1 per 1,000 females aged 15 to 19.

What Influences Teen Pregnancy?

Several factors influence teen pregnancy rates. Young women may be at higher risk for teen pregnancy if they:

  • Use alcohol and/or other drugs, including tobacco products
  • Drop out of school
  • Lack a support group or have few friends
  • Lack involvement in school, family, or community activities
  • Perceive little or no opportunity for success
  • Live in a community or attend a school where early childbearing is common and viewed as the norm rather than as a cause for concern
  • Grow up under impoverished conditions
  • Have been victims of sexual abuse or assault
  • Have a mother who was aged 19 or younger when she first gave birth
  • Begin dating early. Dating at age 12 is associated with a 91 percent chance of being sexually involved before age 19, and dating at age 13 is associated with a 56 percent probability of sexual involvement during adolescence

Adolescents become sexually mature (and fertile) approximately four to five years before they reach emotional maturity. Adolescents today are growing up in a culture in which peers, TV and motion pictures, music, and magazines often transmit either covert or overt messages indicating that unmarried sexual relationships (specifically those involving teenagers) are common, accepted, and at times expected behaviors.

What is the State's Role?

Virginia works to deliver access to and availability of:

  • Family-planning services
  • Children's access to primary care providers
  • Mental health and substance abuse services
  • Adolescent well-care visits
  • Pediatric mental health services
  • Chemical dependency services
  • Check-ups after delivery

Virginia's efforts are based on the core idea that preventing teen pregnancy should be approached not only as a reproductive health issue, but one that incorporates all of the social ramifications involved. If more children in Virginia were born to parents who are ready and able to care for them, we would see a significant reduction in a host of social problems, from school failure and crime to child abuse and neglect.

Page last modified March 31, 2014
Teen Pregnancy Birth Rates by State.Teen Pregnancy Rate by State.Teen Pregnancy Rate by Virginia Region.

State rankings are ordered so that #1 is understood to be the best.

Data and Definitions

State-level Data: Centers for Disease Control and Prevention, National Vital Statistics Reports, www.cdc.gov/nchs/births.htm
(updated annually in January)

Guttmacher Institute, U.S. Teenage Pregnancies, Births and Abortions: National and State Trends and Trends by Race and Ethnicity,
www.guttmacher.org/pubs/USTPtrendsState08.pdf

Virginia Pregnancy Rate: Virginia Department of Health (VDH), Center for Health Statistics,
www.vdh.virginia.gov/healthstats/stats.htm  (updated annually in October)
www.vdh.virginia.gov/ofhs/childandfamily/reproductivehealth/

See the Data Sources and Updates Calendar for a detailed list of the data resources used for indicator measures on Virginia Performs.

At a Glance:
Teen Pregnancy in Virginia

Performance Trend: Trend is improving.
State Influence:
limited

National Ranking: Virginia ranked 12th nationally for teenage birth rates (2012) and 14th for teenage pregnancy rates (2008). 

Virginia by region: The teen pregnancy rate has been generally decreasing throughout Virginia since 2003 (and earlier); that trend is expected to continue.

Related Agency Measures
State Programs & Initiatives

Plan First is a Medicaid program that covers the costs of family planning and birth control for eligible women and men in Virginia. Family planning is more than just birth control; it includes regular check-ups and screening services that help to protect reproductive health.

The Resource Mothers program provides community outreach support for teen mothers, encouraging them to complete their education and generally make healthier choices, with a goal of preventing a second unplanned pregnancy.

Family planning services are provided in all local health departments across the state, and serve women of all ages.