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Reproductive and Sexual Health

Latest Data

Explore the latest data and disparities for each indicator.
 

Where We’ve Been and Where We’re Going

Between 2006–2010 and 2015–2017, 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 78.0% in 2015–2017). In 2015–2017, 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 2016, the estimated number of persons aged 13 years and over living with diagnosed or undiagnosed HIV increased 14.0%, from an estimated 1,000,200 to 1,140,400. During the same period, the proportion of people living with HIV who were aware of their HIV infection increased 3.6%, from 82.8% to 85.8%. In 2016, several population groups in specific demographic categories had the highest rate of awareness of their HIV infection, including women, the white population, and older adults. 
 

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.
    • Most Recent: In 2015-2017, 78.0% of sexually active females aged 15–44 years received reproductive health services in the past 12 months.
  • Among racial/ethnic groups, sexually active non-Hispanic black women aged 15–44 years had the highest (best) rate of receipt of reproductive health services in the past 12 months: 84.9% as reported in 2015–2017. Rates for women in other racial/ethnic groups were:
    • 72.5% among Hispanic or Latino women; the best group rate was 17.2% higher  
    • 78.8% among non-Hispanics white women; the best group rate was 7.8% higher
  • Females (sexually active) aged 15–17 years had the highest (best) level of receipt of reproductive health services in the past 12 months among age groups: 84.2% as reported in 2015–2017. Rates for other age groups were:
    • 80.6% among females aged 18–24 years; not significantly different than the best group rate
    • 77.1% among females aged 25–44 years; not significantly different than the best group rate 
  • 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: 80.3% as reported in 2015–2017. Rates for women in other income groups were:
    • 76.8% for those with incomes under the poverty threshold; not significantly different than the best group rate
    • 75.8% for those with incomes 100% to 199% of the poverty threshold; not significantly different than the best group rate
    • 79.7% for those with incomes 200% to 399% of the poverty threshold; not significantly different than the best group rate
    • 76.8% 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: 84.2% as reported in 2015–2017. Rates for women in other educational attainment groups were:
    • 68.3% for those with less than a high school education; the best group rate was 23.2% higher 
    • 70.5% for those with a high school education or GED; the best group rate was 19.3% higher
    • 77.9% for those with some college education; the best group rate was 8.1% higher
    • 75.1% for those with an associates degree; the best group rate was 12.1% higher
    • 80.7% for those with an advanced degree; not significantly different than the best group rate
  • Females (sexually active) aged 15–44 years with public health insurance had the highest (best) rate of receipt of reproductive health services in the past 12 months: 80.4% as reported in 2015–2017. Rates for women in other health insurance groups were:
    • 69.1% for those with no health insurance; the best group rate was 16.4% higher
    • 79.1% for those with private health insurance; not significantly different than the best group rate
  • Females (sexually active) aged 15–44 years born in the U.S. had a 12.9% higher rate of receipt of reproductive health services in the past 12 months compared to those born outside the U.S. (79.5% versus 70.4%).  
  • Females (sexually active) aged 15–44 years who were single parents with children had the highest (best) rate of receipt of reproductive health services in the past 12 months: 86.2% as reported in 2015–2017. Rates for women with other family types were:
    • 75.1% for women in a two-parent family with children; the best group rate was 14.7% higher
    • 77.5% for women in a married couple or partners; the best group rate was 11.2% higher
    • 80.5% for single women; the best group rate was 7.1% higher
Sexually Active Females Receiving Reproductive Health Services by Educational Attainment, 2015–17
In 2015-2017 the proportion of sexually active females aged 20-44 years who received reproductive health services in the past 12 months generally increased as education level increased.
Data source: National Survey of Family Growth (NSFG), CDC/NCHS.
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.
  • Sexually active is defined as having had sex in the past 3 months.
  • Reproductive health services are defined as receiving a birth control method; birth control counseling; birth control checkup or test; sterilization counseling; emergency contraception counseling; pelvic exam; pap smear; pregnancy test; and STD counseling, testing, or treatment.

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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: 82.8% 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 had a higher rate of awareness of their HIV infection than males in 2016 (88.8% versus 84.8%).
  • Among racial/ethnic groups, white persons aged 13 years and over with HIV had the highest (best) rate of awareness of HIV infection (88.5%) in 2016. This rate was 9.5% higher than the lowest rate, which was among Asian persons aged 13 years and over with HIV (80.9%). The rates for other race/ethnic groups were:
    • 81.6% among American Indian and Alaska Native persons (AI/AN); the best group rate was 8.5% higher
    • 83.3% among Hispanic or Latino persons; the best group rate was 6.3% higher
    • 85.2% among Black persons
    • 86.4% among persons of 2 or more races
  • Persons aged 55 years and over with HIV had the highest (best) rate of HIV infection awareness (94.2%) in 2016. This rate was 68.2% higher than the lowest rate, which was among persons aged 13–24 years (56.0%). The rates for other age groups were:
    • 70.9% among persons aged 25–34 years; the best group rate was 32.9% higher 
    • 84.6% among persons aged 35–44 years; the best group rate was 11.3% higher
    • 91.8% among persons aged 45–54 years
 
Awareness of HIV Infection by Age, 2016
In 2015 the percentage of persons living with HIV who were aware of their HIV serostatus increased with age
Data source: National HIV Surveillance System, CDC/NCHHSTP.
 
  • Among transmission categories, female injection drug users had the highest (best) rate of awareness of their HIV infection in 2016 (94.7%). This rate was 16.1% higher than the lowest rate (81.6%), 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:
    • 83.6% among the transmission group identified as male-to-male sexual contact; the best group rate was 13.3% higher
    • 87.3% 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 8.5% higher
    • 92.3% among the combined group male-to-male sexual contact and injection drug users
    • 93.5% 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 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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