Adolescent Births

Childbirth during adolescence often is associated with long-term difficulties for both mother and child. Babies born to adolescent mothers—especially younger adolescent mothers—are at higher risk for low birthweight and infant mortality than are babies born to older mothers.1, 2, 3 These babies are also more likely to grow up in homes that offer lower than average levels of emotional support and cognitive stimulation, and they are less likely to earn high school diplomas.4, 5 For the mothers, giving birth during adolescence is associated with limited educational attainment, which in turn can reduce employment prospects and earning potential.4, 5 Although adolescent birth rates for all racial and ethnic groups have been on a long-term decline since the late 1950s, birth rates historically have been higher for Hispanic and Black, non-Hispanic adolescents than for White, non-Hispanic adolescents.1, 6

Indicator FAM2 Birth rates for females ages 15–17 by race and Hispanic origin, 2016–2023
Indicator FAM2: Birth rates for females ages 15–17 by race and Hispanic origin, 2016–2023

NOTE: NH = non-Hispanic origin; AIAN = American Indian or Alaska Native; NHOPI = Native Hawaiian or Other Pacific Islander. Race and Hispanic origin refer to the mother's race and Hispanic origin. The 1997 U.S. Office of Management and Budget standards for data on race and ethnicity were used to classify people into one of the following five racial groups: White, Black or African American, Asian, American Indian or Alaska Native, or Native Hawaiian or Other Pacific Islander. All categories are single race. Data on race and Hispanic origin are collected and reported separately. People of Hispanic origin may be of any race.

SOURCE: National Center for Health Statistics, National Vital Statistics System—Natality.

  • The birth rate for female adolescents (i.e., those ages 15–17) declined from 9 per 1,000 in 2016 to 6 per 1,000 in 2021 and then remained stable through 2023. In 2023, the birth rate for adolescents was 5 per 1,000, a record low for the United States.
  • From 2016 to 2023, birth rates decreased throughout the period for adolescents who were White, non-Hispanic (from 5 per 1,000 to 3 per 1,000); Black, non-Hispanic (from 14 per 1,000 to 9 per 1,000); American Indian or Alaska Native, non-Hispanic (from 17 per 1,000 to 9 per 1,000); and Asian, non-Hispanic (from 1.4 per 1,000 to 0.6 per 1,000).
  • For Native Hawaiian or Other Pacific Islander, non-Hispanic adolescents, the birth rate decreased from 11 per 1,000 in 2016 to 8 per 1,000 in 2018 and then remained stable through 2023 (7 per 1,000).
  • For Hispanic adolescents, the birth rate decreased from 16 per 1,000 in 2016 to 9 per 1,000 in 2021 and then remained stable through 2023.
  • Despite the declines for each race and Hispanic origin group, substantial racial and ethnic disparities persisted. In 2023, adolescents who were American Indian or Alaska Native, non-Hispanic; Black, non-Hispanic; and Hispanic had the highest birth rates (9 per 1,000 each), followed by those who were Native Hawaiian or Other Pacific Islander, non-Hispanic (7 per 1,000); White, non-Hispanic (3 per 1,000); and Asian, non-Hispanic (0.6 per 1,000).

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1 Osterman, M. J. K., Hamilton, B. E., Martin, J. A., Driscoll, A. K., & Valenzuela, C. P. (2024). Births: Final data for 2022. National Vital Statistics Reports, 73(2). National Center for Health Statistics. https://dx.doi.org/10.15620/cdc:145588

2 Ely, D. M., & Driscoll, A. K. (2023). Infant mortality in the United States, 2021: Data from the period linked birth/infant death file. National Vital Statistics Reports, 72(11). National Center for Health Statistics. https://dx.doi.org/10.15620/cdc:131356

3 Woodall, A. M., & Driscoll, A. K. (2020). Racial and ethnic differences in mortality rate of infants born to teen mothers: United States, 2017–2018 (NCHS Data Brief No. 371). National Center for Health Statistics. https://www.cdc.gov/nchs/products/databriefs/db371.htm

4 Maynard, R. A. (Ed.). (2008). Kids having kids: Economic costs and social consequences of teen pregnancy. Urban Institute Press.

5 Driscoll, A. K. (2014). Adult outcomes of teen mothers across birth cohorts. Demographic Research, 30(44), 1277–1292. https://doi.org/10.4054/DemRes.2014.30.44

6 Ventura, S. J., Mathews, T. J., & Hamilton, B. E. (2001). Births to teenagers in the United States, 1940–2000. National Vital Statistics Reports, 49(10). National Center for Health Statistics. https://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_10.pdf