Teenage pregnancy in the United States occurs mostly unintentionally[1] and out of wedlock[2][3] but has been declining almost continuously since the 1990s.[1][4][5] In 2022, the teenage birth rate fell to 13.5 per 1,000 girls aged 15 to 19, the lowest on record.[6] According to the Centers for Disease Control and Prevention (CDC), this decline is due to abstinence and the use of contraception.[7][3]
The averages conceal significant ethnic or geographic differences within the US.[8] The birth rates for Hispanic and African-American teens were more than double those of European-American teens,[9] while Asian-American adolescents have the lowest pregnancy and birth rates of all.[3] As of 2015, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, and Mississippi had the highest adolescent birth rates in the Union. (See map.)
Since 2012, the birth rate of American girls aged 15 to 19 has fallen below the OECD average, though it still remains above that of many other industrialized nations.[10] As of 2024, the rate of decline has faltered.[11]