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Reproductive and Sexual Health

Latest Data

Explore the latest data and disparities for each indicator.

View data for FP-7.1 in DATA2020.

Download the latest HIV-13 data in spreadsheet format [XLSX - 14KB].

Where We’ve Been and Where We’re Going

Between 2006–2010 and 2011–2015, there was no statistically significant change in the percentage of sexually active females aged 15–44 years who received reproductive health services in the past 12 months (78.6% in 2006–2010 and 77.8% in 2011–2015). In 2011–2015, several groups of women had the highest rate of receipt of reproductive health services in their specific demographic categories, including non-Hispanic black females, those aged 18–24 years, those with family incomes 500% or more of the poverty threshold, those aged 20–44 years with a bachelor’s degree, and those with private health insurance.

From 2010 to 2015, the estimated number of persons aged 13 years and over living with diagnosed or undiagnosed HIV increased approximately 11.6%, from 1,006,300 to 1,122,900. During the same period, the proportion of people living with HIV who were aware of their HIV infection increased 2.9%, from 83.1% to 85.5%. In 2015, several population groups in specific demographic categories had the highest rate of awareness of their HIV infection, including women, the white population, older adults, and female injection drug users.

Sexually active females who received reproductive health services (FP-7.1)

  • Healthy People 2020 objective FP-7.1 tracks the proportion of sexually active females aged 15–44 years who received reproductive health services in the past 12 months.
    • HP2020 Baseline: 78.6% of sexually active females aged 15–44 years received reproductive health services in the past 12 months in 2006–2010.
    • HP2020 Target: 86.5%, a 10% improvement over the baseline.
  • Among racial/ethnic groups, sexually active non-Hispanic black women aged 15–44 years had the best (highest) rate of receipt of reproductive health services in the past 12 months, 85.7% as reported in 2011–2015. Rates for women in other racial/ethnic groups were:
    • 76.2% among Hispanic or Latino women; the best group rate was 12.5% higher
    • 77.2% among non-Hispanic white women; the best group rate was 11.1% higher
  • Females (sexually active) aged 18–24 years had the highest (best) level of receipt of reproductive health services in the past 12 months among age groups, 84.9% as reported in 2011–2015. Rates for women in other age groups were:
    • 71.6% among females aged 15–17 years; the best group rate was 18.7% higher
    • 76.0% among females aged 25–44 years; the best group rate was 11.8% higher
  • Females (sexually active) aged 15–44 years whose family income was at or above 500% of the poverty threshold had the highest (best) rate of receipt of reproductive health services in the past 12 months, 82.5% as reported in 2011–2015. Rates for women in other income groups were:
    • 74.5% for those with incomes under the poverty threshold; the best group rate was 10.7% higher
    • 78.3% for those with incomes 100% to 199% of the poverty threshold; the best group rate was 5.2% higher
    • 76.5% for those with incomes 200% to 399% of the poverty threshold; the best group rate was 7.7% higher
    • 82.4% for those with incomes 400% to 499% of the poverty threshold; not significantly different than the best group rate
  • Females (sexually active) aged 20–44 years with a 4-year college degree had the highest (best) rate of receipt of reproductive health services in the past 12 months, 83.1% as reported in 2011–2015. Rates for women in other education groups were:
    • 68.3% for those with less than a high school education; the best group rate was 21.7% higher
    • 68.9% for those with a high school education or GED; the best group rate was 20.6% higher
    • 75.8% for those with some college education; the best group rate was 9.6% higher
    • 79.5% for those with an associate’s degree; not significantly different than the best group rate
    • 79.9% for those with an advanced degree; not significantly different than the best group rate

Sexually Active Females Receiving Reproductive Health Services by Educational Attainment, 2011–15

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

  • Females (sexually active) aged 15–44 years with private health insurance had the highest (best) rate of receipt of reproductive health services in the past 12 months, 81.7% as reported in 2011–2015. Rates for women in other health insurance groups were:
    • 60.9% for those with no health insurance; the best group rate was 34.0% higher
    • 81.4% for those with public health insurance; not significantly different than the best group rate

Endnotes:

  • Unrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Unless otherwise stated, all differences described are statistically significant at the 0.05 level of significance using a 1-sided test for disparities and a 2-sided test for trends.
  • 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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Awareness of HIV infection status (HIV-13)

  • Healthy People 2020 objective HIV-13 tracks the proportion of persons aged 13 years and over living with HIV who are aware of their HIV infection.
    • HP2020 Baseline: 83.1% of persons aged 13 years and over living with HIV were aware of their HIV infection in 2010.
    • HP2020 Target: 90.0%, consistent with the National HIV/AIDS Strategy.
  • Females aged 13 years and over had a higher rate of awareness of their HIV infection than males in 2015 (88.5% versus 84.6%).
  • Among racial/ethnic groups, white persons aged 13 years and over with HIV had the highest (best) rate of awareness of HIV infection (88.1%) in 2015. This rate was 9.6% higher than the lowest rate, which was among Asian persons with HIV (80.4%). The rates for other race/ethnic groups were:
    • 81.3% among American Indian and Alaska Native persons; the best group rate was 8.4% higher
    • 82.2% among Native Hawaiian or Other Pacific Islander persons; the best group rate was 7.2% higher
    • 83.5% among Hispanic or Latino persons; the best group rate was 5.5% higher
    • 84.9% among black persons
    • 85.6% among persons of 2 or more races
  • Persons aged 55 years and over with HIV had the highest (best) rate of HIV infection awareness (95.1%) in 2015. This rate was twice the lowest rate, which was among persons aged 13–24 years (48.6%). The rates for other age groups were:
    • 71.4% among persons aged 25–34 years; the best group rate was 33.2% higher
    • 85.2% among persons aged 35–44 years; the best group rate was 11.6% higher
    • 91.9% among persons aged 45–54 years

Awareness of HIV Infection by Age, 2015

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Data source: National HIV Surveillance System, CDC/NCHHSTP.

  • Among transmission categories, female injection drug users aged 13 years and over had the highest (best) rate of awareness of their HIV infection in 2015 (94.5%). This rate was 16.2% higher than the lowest rate (81.3%), which was among men having heterosexual contact with a person known to have, or to be at high risk for, HIV infection. The rates for other transmission groups were:
    • 83.3% among the transmission group identified as male-to-male sexual contact; the best group rate was 13.4% higher
    • 86.9% among women having heterosexual contact with a person known to have, or to be at high risk for, HIV infection; the best group rate was 8.7% higher
    • 92.6% among the combined group male-to-male sexual contact and injection drug users
    • 93.3% among male injection drug users

Endnotes:

  • Standard errors were not available so percent differences and trends could not be tested for statistical significance.
  • Data for this measure are available annually and come from the National HIV Surveillance System, CDC/NCHHSTP. Data in the National HIV Surveillance System, formerly the National 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 previous years of data may also be updated annually.

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