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Reproductive and Sexual Health

Latest Data

Explore the latest data for the LHI topic Reproductive and Sexual Health.
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Where We’ve Been and Where We’re Going

From 2006–2010, 78.6% of sexually experienced females aged 15 to 44 reported receiving reproductive health services in the last 12 months. During the same period, 83.3% of females aged 15–44 years at risk of unintended pregnancy or their partners used contraception at their most recent intercourse. Several groups reported higher levels of use of contraception at most recent intercourse compared to their counterparts, including females with higher family incomes, white non-Hispanic females, and females with private health insurance.

From 2006 to 2010, the proportion of persons aged 13 and older living with HIV who were aware of their HIV infection status increased from 80.9% to 84.2%, a statistically significant increase. During the same period, the estimated number of persons living with HIV increased 9.4% from 1,045,800 to 1,144,500.

Leading Health Indicators

Explore the trends and disparities for each indicator.
Awareness of HIV infection status (HIV-13)
Increase the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the past 12 months (FP-7.1)

Awareness of HIV infection status (HIV-13)

  • Healthy People 2020 objective HIV-13 tracks the proportion of persons aged 13 years and older living with HIV who are aware of their HIV infection.
    • Baseline: 80.9 percent of persons aged 13 years and older living with HIV were aware of their HIV infection in 2006
    • Target: 90.0 percent
  • Among persons with HIV infection, 87.8% of females were aware of their HIV infection, compared to 83.0% of males in 2010.

Awareness of HIV Infection Status by Sex, 2010

In 2010, a higher percentage of women were aware of their HIV infection then men.

Data source: HIV Surveillance System, CDC/NCHHSTP.

  • White persons with HIV had the highest rate of awareness of HIV infection (86.8%) in 2010. In comparison, Native Hawaiian or Other Pacific Islander (NHOPI) persons with HIV had the lowest rate of awareness of their HIV infection (73.3%). The proportions for other race/ethnic groups were:
    • 78.6% among American Indian and Alaska Native
    • 77.3% among Asian
    • 83.3% among black or African American
    • 81.7% among 2 or more races
    • 82.6% among Hispanic or Latino
    • When expressed as the proportion of persons unaware of their HIV infection, NHOPI persons had about twice the rate of white persons.
  • Persons aged 45–54 years had the highest rate of HIV infection awareness (90.9%) in 2010. In contrast, persons 13–24 years of age had the lowest rate. The proportions for other age groups were:
    • 41.7% among persons 13–24 years of age
    • 74.1% among persons 25–34 years of age
    • 85.7% among persons 35–44 years of age
    • When expressed as the proportion of persons unaware of their HIV infection, persons 13–24 years of age had nearly 6.5 times and persons 25–34 years of age nearly 3 times the rate of the best group (persons 45–54 years of age).
  • Persons who had hemophilia, blood transfusion, or perinatal exposure had the highest rate of awareness of their HIV infection (93.6%) in 2010. The proportions for other transmission groups were:
    • 81.0% among men having sex with men
    • 92.0% among male intravenous drug users
    • 92.4% among female intravenous drug users
    • 92.2% among men having sex with men who use intravenous drugs
    • 81.5% among men having heterosexual contact with a person known to have, or to be at high risk for, HIV infection
    • 85.1% among women having heterosexual contact with a person known to have, or to be at high risk for, HIV infection
    • When expressed as persons who were unaware of their HIV infection, men having sex with men and men who have heterosexual contact with a person known to have, or to be at high risk for, HIV infection had about 3 times the rate as those who have hemophilia, blood transfusion, or perinatal exposure.

Endnotes:

  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this measure are available annually and come from the HIV Surveillance System, CDC/NCHHSTP. Data in the HIV Surveillance System, formerly HIV/AIDS Surveillance System, are continually updated, and new records are added as they are reported. For this reason, data for any given year may be revised, and data points are updated annually.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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Increase the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the past 12 months (FP-7.1)

  • Healthy People 2020 objective FP-7.1 tracks the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the last 12 months.
    • HP2020 Baseline: In 2006–2010, 78.6% of sexually experienced females aged 15 to 44 years received reproductive health services in the past 12 months.
    • HP2020 Target: 86.5%, a 10 percent improvement over the baseline.
  • Among racial/ethnic groups for sexually experienced females aged 15–44 years, black non-Hispanic women had the best (highest) rate of receipt of reproductive health services in the last 12 months, 83.8% in 2006–2010, whereas white non-Hispanic and Hispanic women had rates of 79.8% and 72.1%, respectively.
  • Females (sexually experienced) aged 18–24 years reported a higher level of receipt of reproductive health services than females aged 15–17 years or females aged 25–44 years (87.1% versus 71.9% and 76.5%, respectively, in 2006–2010).
    • When expressed as females who did not receive reproductive health services in the last 12 months, the rate for females aged 15–17 years was more than twice the best group rate; the rate for females aged 25–44 years was nearly twice the best group rate.
  • Among income groups for sexually experienced females aged 15–44 years, females whose family income was 400–499% of the poverty threshold had the highest rate of receipt of reproductive health services, 89.4%, in 2006–2010, whereas females whose family income was 100–199% of the poverty threshold had the lowest rate of receipt of services, 72.8%, in 2006–2010.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females whose family income was 100–199% of the poverty threshold was more than 2.5 times the best group rate.
  • In 2006–2010, 85.2% of sexually experienced females aged 20–44 years with an advanced degree received reproductive health services in the last 12 months compared to 66.5% with less than a high school education. Rates for women in other education groups were:
    • 66.5% for those with less than a high school education.
    • 72.0% for those with a high school education or GED.
    • 79.2% for those with some college education.
    • 81.2% for those with a bachelor's degree.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females with less than a high school education was almost two and a half times the best group rate; the rate for females with a high school education or a GED was almost twice the best group rate; and the rate for females with some college education was about one and a half times the best group rate.

Females Receiving Reproductive Health Services by Educational Attainment, 2006–2010

In 2006-10, a higher percentage of females aged 20-44 years with an advanced degree received reproductive health services in the past 12 months compared to females with less than a high school education.

Data source: National Survey of Family Growth (NSFG), CDC/NCHS.

  • Among health insurance groups for sexually experienced females aged 15–44 years, those with public health insurance had the highest rate of receipt of reproductive health services (84.2%) in 2006–2010. Rates for women in other health insurance groups were:
    • 82.3% for those with private or public health insurance.
    • 81.8% for those with private health insurance.
    • 64.6% for those with no health insurance.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females without insurance was more than twice the best group rate.

Endnotes:

  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this objective are available periodically and come from the National Survey of Family Growth (NSFG), CDC/NCHS.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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Reference Objective

A reference objective is a Healthy People 2020 objective that is closely tied to one or more of the LHI objectives.

Increase the proportion of females at risk of unintended pregnancy or their partners who used contraception at most recent sexual intercourse (FP-6)

  • Healthy People 2020 objective FP-6 tracks the proportion of females aged 15–44 years at risk of unintended pregnancy or their partners who used contraception at most recent intercourse.
    • HP2020 Baseline: 83.3% of females aged 15–44 years at risk of unintended pregnancy or their partners used contraception at most recent sexual intercourse, as reported in 2006–2010.
    • HP2020 Target: 91.6%, a 10% improvement over the baseline
  • Among racial/ethnic groups, for females at risk of unintended pregnancy, white non-Hispanic women reported the best rate of use of contraception at most recent intercourse by either themselves or their partner, 85.5%, in 2006–2010, whereas black non-Hispanic and Hispanic women had rates of 77.2% and 80.5%, respectively.
  • Females at risk of unintended pregnancy whose family income was 400–499% of the poverty threshold reported the highest rate of use of contraception at most recent intercourse by either themselves or their partner, 87.2%, as reported in 2006–2010, whereas females with incomes below the poverty threshold reported the lowest rate of usage, 79.3%, as reported in 2006–2010.
    • When expressed as females or their partners who did not use contraception at the most recent intercourse, the rate for females with incomes below the poverty threshold was more than 1.5 times the best group rate.
    • Rates for females in other income groups were as follows:
      • 82.2% for those with incomes 100–199% of the poverty threshold
      • 85.3% for those with incomes 200–399% of the poverty threshold
      • 80.0% for those with incomes 500+% of the poverty threshold
  • Among insurance status groups, females aged 15–44 years at risk of unintended pregnancy with private health insurance reported the highest rate of contraception use at most recent intercourse by either themselves or their partner, 85.6%, in 2006–2010. Rates for women in other health insurance groups were:
    • 79.6% for those with public health insurance
    • 78.7% for those with no health insurance
    • When expressed as females at risk of unintended pregnancy who did not report contraception use at most recent intercourse by either themselves or their partner, the rate for females without insurance was about 1.5 times the best group rate.

Endnotes:

  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this objective are available periodically and come from the National Survey of Family Growth (NSFG), CDC/NCHS. An unintended pregnancy is one that was not wanted at the time of conception or not wanted at all.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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