Reduced disparities in birth rates among teens aged 15–19 years — United States, 2006–2007 and 2013–2014

What is already known about this topic? Despite record declines in the rate of births among teens, racial/ ethnic and geographic disparities persist. What is added by this report? From 2006 to 2014, the birth rate for teens aged 15–19 years declined 41% overall (from 41.1 to 24.2 per 1,000 females). The greatest decline was for Hispanics (51%), followed by non- Hispanic blacks (blacks) (44%), and non-Hispanic whites (whites) (35%). From 2006–2007 to 2013–2014, the overall birth rate for teens declined significantly in every state, with declines ranging from 13% in North Dakota to 48% in Arizona; the birth rate ratio also declined for black teens compared with white teens in 28 states and for Hispanic teens compared with white teens in 37 states. County-level teen birth rates for 2013–2014 ranged from 3.1 to 119.0 per 1,000 females aged 15–19 years; unemployment was higher, and education attainment and family income were lower in counties with higher teen birth rates. What are the implications for public health practices? Community-level interventions that address the social condi­tions associated with high teen birth rates might further reduce racial/ethnic and geographic teen birth disparities in the United States. State and county-level data can be used to identify populations with the greatest need.