Women in their 20s have nearly 60% of abortions in the United States
Analysis

Women in their 20s have nearly 60% of abortions in the United States

abortions

Characteristics of women who obtain abortions are regularly detailed by two reporting agencies: the Centers for Disease Control and Planned Parenthood’s former “special affiliate” and research arm, the Guttmacher Institute. There are a number of differences in the two reporting agencies, including numbers of overall abortions reported as well as when the data is released. The most current reports are from the CDC (2016) and Guttmacher (2017). However, as Guttmacher has not yet analyzed patient characteristics for 2017, the group’s data still reflects 2014 numbers. Live Action News has summarized these reports below, and some of the numbers are surprising.

Women in their 20s have the majority of abortions

The CDC (2016) reports that women in their 20s had the majority of abortions — 58.5% — and the highest abortion rates.

Age 20-24 – 30%

Age 25-29 – 28.5%

Age 30–34 – 18%

Age 35-39 – 10.3%

Age ≥40 – 3.5%

From 2007 to 2016, the abortion rate decreased among women in all age groups.

The Guttmacher Institute (2014) reports:

  • Patients aged 20–24 obtained 34% of all abortions.
  • Patients aged 25–29 obtained 27% of all abortions.
  • In 2014, more than half of all U.S. abortion patients: (60%) were in their 20s while 25% was in their 30s.

Adolescents /Teens

CDC (2016):

  • Adolescents <15 and 15–19 years accounted for 0.3% of reported abortions (abortion rate 0.4%) and 9.4% (6.2% rate) of all reported abortions, respectively.
  • 2007 to 2016: Percentage of abortions accounted for by adolescents aged 15–19 years decreased 43%, and the abortion rate decreased 56%. This decrease in abortion rate was greater than the decreases for women in any older age group.
  • Abortion ratios (number of abortions per 1,000 live births) were highest among adolescents and lowest among women aged 25–39 years.

Guttmacher’s 2014 numbers note that 12% of abortion patients were adolescents. Those aged 18–19 are counted among adolescents instead of among adults, and they accounted for 8%, those 15–17: 3%, and those under 15: 0.2%. Adolescent abortion patients declined 32% between 2008 and 2014.

Image: Character of abortion patients (Image: Guttmacher/ 2016)

Character of abortion patients (Image: Guttmacher/ 2016)

Abortion percentage by race/ethnicity

In 2016, 623,471 abortions were reported to the CDC from 48 reporting areas. However, due to limited state requirements, abortions for race/ethnicity were recorded in just 32 reporting areas. According to the CDC, the percentage (below) is based on a total of 383,485 abortions reported among the 32 areas that met reporting standards for race/ethnicity.

  • Non-Hispanic white women: 35% of reported abortions.
  • Non-Hispanic black: 38% of reported abortions.
  • Hispanic women: 18.8% of reported abortions.
  • Other: 8.2% of reported abortions.

According to Guttmacher’s 2014 numbers, by race, the numbers were…

  • White patients: 39%
  • Black patients: 28%
  • Hispanic patients: 25%
  • Patients of other races and ethnicities: 9%

Read a complete analysis from Live Action News on race/ethnicity abortions here.

Previous Live Births

According to the CDC in 2016:

  • Women with one or more previous live births accounted for 59% of abortions.
  • Women with no previous live births accounted for 41%.

Guttmacher’s 2014* numbers show:

  • 40.7% had no previous live birth.
  • 26.2% had one.
  • 33.1% (one-third) had two or greater.
  • 59% percent of abortions obtained by patients who had had at least one birth.
  • 60% of patients aged 35 and older reported having a prior abortion, compared with 38% of those aged 20–24.
  • Patients who had at least one birth were more likely to have already had an abortion than those who had never given birth, even after taking age and other characteristics into consideration.

Previous Induced Abortions

The CDC’s 2016 report showed that women with one or more previous induced abortion accounted for 43.1% of abortions. Those with no previous abortions accounted for 56.9%.

Guttmacher (2014)* notes that:

  • Almost half (45%) of U.S. abortion patients had at least one previous abortion.
  • Patients who had been exposed to two or more disruptive life events (such as losing a job or breaking up with a romantic partner) in the previous year were more likely to have had a prior abortion than those who had not experienced such events.
  • Patients who paid for their abortion procedures with their own funds were less likely to have had a prior abortion than those who used health insurance or received financial assistance.
  • Likelihood of having had a prior abortion decreased as the patient’s distance from an abortion facility increased.
  • Compared with patients who are white and college educated, black patients and those lacking a college degree were more likely to obtain at least a second abortion or more.
  • In 2014, more than half (51%) of abortion patients were using a contraceptive method in the month they became pregnant.

Religious affiliation

According to Guttmacher (2014), most (38%) of women getting abortions reported no religious affiliation. 24% were Roman Catholic, 17% were mainline Protestant, 13% were evangelical Protestant, and 8% were another affiliation.

Relationship status

Guttmacher (2014) reported about 14% of abortion patients were married, 31% were cohabiting, and a slight majority were not living with a partner in month they became pregnant (46% had never married and 9% were previously married).

Self-Managed Abortion (outside FDA approved requirements)

Guttmacher’s 2014 survey notes 1.3% of abortion patients reported that they had at some point taken misoprostol to self-induce an abortion, up from 1.2% in 2008. Patients who reported using substances other than misoprostol declined from 1.4% in 2008 to 0.9% in 2014.

Late-Term Abortions

The following were more likely than others to have had an abortion at or beyond 13 weeks’ gestation, according to Guttmacher (2014):

  • Women with less education
  • Black women
  • Women who had experienced multiple disruptive life events in past year.

Live Action News analyzed additional demographics here.

Income, Nativity, Education

From Guttmacher (2014):

  • In 2014, three-fourths of abortion patients were low income—49% living at less than the federal poverty level, 26% living at 100–199% of the poverty level.
  • 16% were born outside U.S. — about half were Hispanic, 20% Asian, 16% black and 12% white.
  • 84% were born in the U.S.
  • 9% of abortion patients aged 20 or older had less than a high school degree, 91%—had graduated from high school; more than one in five had a college degree.
  • The proportion of patients aged 20 or older who had not graduated from high school declined significantly over the six-year period (from 12% to 9%).
  • 24% of all abortion patients were currently attending school, including 72% of minors and 53% of 18–19-year-olds.
  • Only 14% of those currently in school had not graduated from high school
  • 66% of abortion patients had some college or a college degree.

Payments/Medicaid patients 

Image: Abortion by payment and Medicaid national 2014 (Graph: Guttmacher)

Abortion by payment and Medicaid national 2014 (Graph: Guttmacher)

From Guttmacher (2014):

  • Average cost paid of an abortion with local anesthesia in a nonhospital setting at 10 weeks’ gestation was $508.
  • Average paid for early medication abortion (up to nine weeks’ gestation) was $535.
  • Abortion patients were less likely to have no health insurance coverage in 2014 than 2008 (28% vs. 34%).
  • 35% percent had Medicaid coverage, however, despite the Hyde Amendment barring federal dollars from paying for abortions, in 2014, Guttmacher reported, “Medicaid was the second-most-common method of payment and was reported by 24% of abortion patients.
  • 31% had private insurance, but some policies did not cover abortion.
  • 15% paid for abortion using private insurance.
  • 14% paid for abortion using financial assistance.
  • 24% paid for abortion using taxpayer dollars such as Medicaid.
  • 53% paid out of pocket.

Live Action News will attempt to update this data when 2017 numbers become available.

*Additional sources may also be linked.

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