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NHSR 179
NHSR 179
Abstract Introduction
Objective—This report presents national estimates of selected fertility measures In 2019, the last year of National
for men and women aged 15–49 in the United States in 2015–2019, based on data Survey of Family Growth (NSFG) data
from the National Survey of Family Growth (NSFG). Overall estimates for 2015–2019 presented in this report, vital statistics
are compared with those for 2011–2015. data indicated that 3.7 million births
Methods—Data were collected through in-person interviews with a nationally occurred in the United States; the
representative sample of the household population aged 15–49 in the United States in number of births declined steadily during
2015–2019. The sample was made up of 21,441 respondents aged 15–49, including 2007–2013, increased slightly in 2014,
9,746 men and 11,695 women. The NSFG response rate for the 2015–2019 survey and decreased again from 2015 to 2019
period was 65.9% for women and 62.4% for men. Fertility measures in this report (1). From 2018 to 2019, the birth rate
include ever had a biological child, number of children born alive or fathered, timing (number of births per 1,000 females
and relationship context of the first birth, and birth spacing. in a specific age group) decreased for
Results—Among women and men aged 40–49 in 2015–2019, 84.3% of women teenagers aged 15–19 and women aged
had given birth and 76.5% of men had fathered a child. On average, women aged 20–34 but increased for women aged
15–49 had 1.3 biological children and men aged 15–49 had fathered 0.9 children. The 35–44 (1). Between 1976 and 2018, the
mean age at first birth was 24.1 for women and 27.0 for men. Among women, 29.7% mean number of children ever born per
of first births occurred during their teen years and 52.1% occurred during ages 20–29. woman aged 40–44 declined, from three
Among men, 7.3% of first births occurred at ages younger than 20 and 58.0% occurred children to two (2,3).
during ages 20–29. In 2015–2019, nearly one-third of women aged 15–49 with a birth Early childbearing, particularly
only had one birth at the time of the interview, about one-third had a second birth in the teen years, is associated with
within 36 months of their first birth, and one-third had a second birth more than 36 negative social, economic, and health
months after their first birth. Among women, roughly one-half of first births occurred consequences for the young woman and
before marriage and one-half of all premarital first births occurred within cohabiting her child (4–7). Additionally, based on
unions. NSFG data for 2006–2010, three out of
four teen pregnancies that ended in live
Keywords: parity • number of children • age at first birth • marital or cohabiting status
births were unintended at the time of
at birth • birth spacing
conception (8). Women with unintended
pregnancies that end in live births are
more likely to delay prenatal care, smoke
during pregnancy, and engage in other
behaviors that may place them at higher
risk for premature delivery and low
birthweight infants (9). The teen birth use, marital or cohabiting status at Fertility measures
rate in the United States has declined conception and birth, and pregnancy
since 2007 (except for 2014), and in 2019 outcomes in addition to live births. NSFG Fertility measures are shown for
was at a record low of 16.7 births per also includes information on family women and men. Information on these
1,000 females aged 15–19 (1). background, such as mother’s level of fertility measures as reported by men is
Delayed childbearing, having a education, marital status at birth, and age limited (25). The results presented in this
first child at age 35 or over, increased at first birth. report are described separately for men
ninefold between 1972 and 2012 (10,11). The fertility measures in this report and women because their fertility patterns
By 2019, birth rates generally continued include having ever had a biological differ across the life course. The average
to increase for women aged 35–39 child, number of children born alive age at first birth is younger for women
(since 1990) and women in their 40s to women or fathered by men, timing compared with men, so comparisons
(since 1985) (1). Delayed childbearing of the first child, birth spacing, and between men and women in the same age
has been associated with declines in marital or cohabiting status at first birth. group would show differences solely for
U.S. total fertility rates (12). Reasons These fertility measures are shown by this reason (22). Although some results
for delayed childbearing include access several key demographic characteristics, are presented that indicate whether the
to reliable contraception, pursuit of including age, marital or cohabiting patterns of differences are similar for men
higher education, increased labor force status, education, household income and women, a systematic comparison
participation, changes in familial values, relative to the federal poverty level, and of the fertility of men and women is not
relationship instability, and financial Hispanic origin and race. the focus of this report. The five fertility
considerations (13,14). Having a first measures examined include:
child at older ages has been associated ● Ever had a biological child:
with a positive impact on women’s wages Methods Percentage of women who have
and career paths, in addition to having a had a biological child (Table 1);
positive impact on their children because Data source percentage of men who have fathered
they are more likely to have parents with a biological child (Table 1)
greater family and economic stability This report is based on combined
● Number of biological children:
(15). A potential negative consequence NSFG data releases for 2015–2017
Percent distribution of the number
of delayed childbearing is that women and 2017–2019. The combined 4 years
of children born alive to women
are attempting to have children when of data collected for 2015–2019 come
(Table 2); percent distribution of the
their fecundity (ability to have children) from 21,441 face-to-face interviews
number of children fathered by men
is declining. Pregnancies, particularly conducted from September 2015 to
(Table 3)
first pregnancies, at older ages have been September 2019—with 11,695 women
● Timing of first birth: Percent
associated with greater risks for mother and 9,746 men—representative of the
distribution of age at first birth
and child during gestation and delivery U.S. household population aged 15–49.
for men and women (Table 4);
(15,16). The National Center for Health Statistics
probability of a first birth by selected
Spacing of births can have a (NCHS) has been conducting NSFG
ages for men and women (Table 5)
significant, adverse impact on the health since 1973 to collect data on fertility
● Birth spacing (for women with at
of the baby and the mother. Short birth and the proximate determinants (23) that
least one child): Percent distribution
spacing, defined as having a pregnancy explain fertility in the United States.
of number of months from first birth
less than 18 months after a previous NSFG is jointly planned and funded by
to second birth (including percentage
birth, has been associated with preterm NCHS and other U.S. Department of
with no second birth at the time of
delivery, low birth weight, congenital Health and Human Services programs
the interview) (Table 6)
disorders, and health consequences for (see Acknowledgments). In 2015, NSFG
● Marital or cohabiting status at
the mother, including folate depletion and expanded the age range from 15–44 to
first birth: Percent distribution of
incomplete recovery from the previous 15–49 in part to better understand the
marital or cohabiting status at first
birth, especially following cesarean fertility experiences and reproductive
birth to women (Table 7); percent
deliveries (17–21). health of women at the upper end of
distribution of marital or cohabiting
This report presents data on the their reproductive years. The response
status at first child fathered by men
fertility experiences of men and women rate for the 2015–2019 NSFG was
(Table 8)
aged 15–49 in the United States using 65.9% for women and 62.4% for men
4 years of NSFG data collected during aged 15–49. More details on the sample
2015–2019, and it updates previously design, fieldwork procedures, and
published estimates based on 2011–2015 variance estimations for the 2015–2017
data (22). NSFG data complements birth and 2017–2019 NSFG were published
certificate data and provides additional previously (24).
information on behavioral, social, and
economic factors that affect fertility, such
as timing of sexual activity, contraceptive
National Health Statistics Reports Number 179 January 10, 2023 Page 3
groups by other characteristics, such as ● A higher percentage of Hispanic women aged 40–49 who ever had a
age or household income relative to the women, regardless of nativity biological child (92.4%) was higher
federal poverty level, is beyond the scope status (62.4%), and non-Hispanic than non-Hispanic White (81.8%),
of this report. Black women (61.0%), had ever non-Hispanic Black (86.7%), and
had a biological child, followed by non-Hispanic women from other race
non-Hispanic White (54.6%) and groups (80.7%).
Results non-Hispanic Asian (47.9%) women.
● The percentage of Hispanic men,
Number of children ever born
Ever had a biological child regardless of nativity status, who
had ever fathered a child (50.1%) Table 2 shows the percent
Table 1 shows the percentage
was higher than non-Hispanic White distribution and mean number of
of men and women who ever had a
(43.9%) and non-Hispanic Asian children born alive to women aged
biological child by selected demographic
(35.0%) men, and was similar to 15–49 by selected demographic
characteristics. In 2015–2019, 56.7% of
the percentage for non-Hispanic characteristics. Among women aged
women and 44.8% of men aged 15–49
Black men (46.0%). The percentages 15–49 in 2015–2019, 43.3% had not had
had ever had a child.
of non-Hispanic Black and a biological child, 16.2% had one child,
● In 2015–2019, 13.2% of women non-Hispanic White men who had 21.7% had two children, 12.6% had three
aged 15–24 and 84.3% of those aged ever had a child also were similar. children, and 6.2% had four or more
40–49 had ever had a biological The percentage who ever had a children at the time of the interview. The
child. Among men, 6.2% of those biological child was lowest among mean number of children ever born to
aged 15–24 and 76.5% of those aged non-Hispanic Asian men. women aged 15–49 in 2015–2019
40–49 had ever had a child. was 1.3.
Table 1 also compares overall
● Among currently married women ●
estimates for women and men aged Across marital or cohabiting status,
aged 15–49, 81.2% had ever had
15–44 in 2015–2019 with estimates the highest mean number of children
a child, higher than the percentage
for women and men aged 15–44 in ever born was seen among formerly
for currently cohabiting women,
2011–2015 because only people aged married, not cohabiting women
at 59.9%; both were higher than
15–44 were interviewed in 2011–2015. (2.0), followed by currently married
the 22.1% of never married, not (1.8) and currently cohabiting (1.3)
cohabiting women who had ever had ● A lower percentage of women
women.
a child. A similar pattern by marital or aged 15–44 in 2015–2019 had ever
● Women with no high school diploma
cohabiting status was seen for men. had a biological child (52.1%)
or GED had a higher average
● Among men and women aged 22–49, compared with women aged 15–44
number of children (2.6) compared
the percentage who ever had a in 2011–2015 (54.9%). Similarly,
with women with higher levels of
biological child was higher for people a lower percentage of men aged
education (1.1–1.8). In addition,
with lower levels of education. For 15–44 in 2015–2019 had ever had a
one in four women with no high
example, 79.2% of women with a biological child (39.7%) than men
school diploma or GED had four
high school diploma or GED had ever aged 15–44 in 2011–2015 (43.8%).
or more children (25.7%), higher
had a child compared with 56.3% of
Figure 1 describes the percentages of than the percentage of women in
women with a bachelor’s degree or
women aged 40–49 who have ever had a other education groups (9.3% of
higher.
child by selected characteristics, because women with a high school diploma
● For household income relative to
women in this age group have completed or GED, 6.3% of women with some
the federal poverty level, shown
their fertility or are near completion. college, and 3.1% of women with a
for women aged 20–49, a higher bachelor’s degree or higher).
percentage of women with household ● Among women aged 40–49, 84.3%
● Women aged 20–49 living in
incomes below 150% of the federal had ever had a biological child. The
households with incomes at 300% of
poverty level had ever had a percentage of women aged 40–49
the federal poverty level or higher at
biological child (73.2%) compared who had ever had a biological child
the time of the interview were more
with women whose household was lower among never married,
likely to not have had a birth (43.0%)
incomes were 300% or higher than not cohabiting women (54.8%)
compared with women living in
the federal poverty level (57.0%). compared with women of other
households in the two lower income
● For Hispanic men and women aged marital or cohabiting statuses. The
groups shown (26.8% and 33.9%).
15–49, a higher percentage of those percentage of women aged 40–49
● When comparing differences by
born outside of the United States had who ever had a biological child
nativity status for Hispanic women,
ever had a biological child (66.7% decreased with additional education,
a higher percentage of U.S.-born
of men and 80.0% of women) from 95.3% of women with no high
Hispanic women had not had a
compared with those born in the school diploma or GED to 78.2% of
child (49.7%) than Hispanic women
United States (38.7% of men and women with a bachelor’s degree or
born outside of the United States
50.3% of women). higher. The percentage of Hispanic
National Health Statistics Reports Number 179 January 10, 2023 Page 5
Figure 1. Percentage of women aged 40–49 who have ever had a biological child, by selected characteristics: United States, 2015–2019
Total 84.3
Marital status
Currently married 89.4
Currently cohabiting 85.0
Formerly married 86.3
Never married, not cohabiting 54.8
Education
No high school diploma or GED 95.3
High school diploma or GED 88.5
Some college, no bachelor's degree 84.7
Bachelor's degree or higher 78.2
0 20 40 60 80 100
Percent
1Categoriesare single race.
2Includes
people of other or multiple-race and origin groups.
NOTE: Differences across marital status, Hispanic origin and race, and education were significantly different (p < 0.05).
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
(20.0%). Regardless of nativity had fathered two children, 8.2% had households with incomes at 300%
status, a lower percentage of fathered three children, and 4.4% had of the federal poverty level or higher
Hispanic (37.6%) and non-Hispanic fathered four or more children. on average fathered 1.0 child, lower
Black (39.0%) women had not had than the average of 1.3 children
● Currently married men reported the
a child compared with non-Hispanic for men living in households with
highest mean number of children
White (45.4%) and non-Hispanic incomes at 0%–149% of the federal
(1.7), higher than the mean for
Asian (52.1%) women. poverty level and 1.2 children for
formerly married, not cohabiting
● The mean number of children ever men living in households with
(1.5); currently cohabiting (1.1); and
born for women aged 15–44 in incomes at 150%–299% of the
never married, not cohabiting (0.2)
2015–2019 (1.1) was lower than the federal poverty level.
men. Similar percentages of formerly
mean for women in 2011–2015 (1.2). ● Higher percentages of U.S.-born
married (8.0%), currently married
A similar percentage of women aged Hispanic men had not fathered a
(7.3%), and currently cohabiting
15–44 in 2015–2019 (5.6%) and child (61.3%) than Hispanic men
(6.8%) men fathered four or more
2011–2015 (6.2%) had four or more who were born outside of the
biological children, all higher than
children. United States (33.3%). A higher
the percentage for never married
percentage of non-Hispanic White
Table 3 shows the percent men (0.6%).
(56.1%) and non-Hispanic Asian
distribution and mean number of children ● Men aged 22–49 with no high school
(65.0%) men had not fathered a
fathered by men aged 15–49 by selected diploma or GED had fathered a
child compared with Hispanic men,
demographic characteristics. The mean higher mean number of children
regardless of nativity status (49.9%).
number of children fathered by men aged (1.7) than men who had a high
The percentage for Hispanic men
15–49 in 2015–2019 was 0.9. Among school diploma or GED (1.3) or
was similar to the percentage for
men aged 15–49 in 2015–2019, 55.2% those with some college (1.0) or a
non-Hispanic Black men (54.0%).
had not fathered a biological child, 14.8% bachelor’s degree or higher (1.0).
had fathered one biological child, 17.4% ● Men aged 20–49 currently living in
Page 6 National Health Statistics Reports Number 179 January 10, 2023
● The mean number of children Figure 2. Age at first birth for women aged 22–49, by education: United States, 2015–2019
ever born for men aged 15–44 in
2015–2019 (0.8) was lower than the 100 3.3
8.5 10.5
mean for men in 2011–2015 (0.9). 7.3
A similar percentage of men aged 13.5
15–44 in 2015–2019 (3.4%) had four 80 42.9 30–49
24.7
or more children compared with men 32.0
in 2011–2015 (3.9%).
60 40.0
Percent
Timing of first birth
35.0
Table 4 focuses on men and women 40 35.1 25–29
who have had at least one biological child
and shows their mean age at first birth, as 57.5
well as the percent distribution by age at 20 38.1
first birth. In 2015–2019, the mean age 29.9 15.6 20–24
at first birth among women aged 15–49
was 24.1, and among men aged 15–49 6.4 Under 20
0
was 27.0. No high school High school Some college, Bachelor's
diploma or GED diploma or GED no bachelor's degree
● Among women aged 15–49 in degree or higher
2015–2019, about one-half had their NOTES: Distribution of age at first birth by education was statistically significant (p < 0.05). Education level was limited to
first births in their 20s (30.1% were people aged 22–49 at the time of the interview. Percentages may not add to 100 because of rounding.
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
aged 20–24 and 22.0% were aged
25–29), and nearly one-third of first
births occurred at ages younger than
20 (29.7%). Among men, more than ● Women currently living in Another way to examine the timing
one-half fathered their first child in households with incomes at 300% of first births in the U.S. population is to
their 20s: 28.8% were aged 20–24 and of the federal poverty level or higher use life table methodology to calculate
29.2% were aged 25–29; 7.3% were had a higher average age at first the cumulative probability of having
under age 20. Over one-third of men, birth (27.0) than women living in had a birth by selected ages (Table 5 and
34.6%, and 18.2% of women had a first households with lower incomes Figure 3). For women aged 15–49 in
child between the ages of 30 and 49. (21.9–23.5). The same pattern 2015–2019, the probability of having had
● A higher percentage of currently existed for men. Men currently living a birth was 11% by age 18, 64% by age
married women had a first birth in households with incomes at 300% 30, and 82% by age 40 (Figure 3). For
at ages 30 and over (24.9%) than of the federal poverty level or higher men, the probability of having fathered a
those who were not married (6.7%– had a higher average age at the birth child was 3% by age 18, 47% by age 30,
15.4%). This pattern also held for of their first child (28.8) than those and 72% by age 40.
men; a higher percentage of currently living in households with lower
● Among women aged 15–44, the
married men had fathered their first incomes (24.7–25.6).
probability of having a first birth
child at ages 30 and over (43.2%) ● The mean age at first birth was
by age 40 decreased from 83% in
than those who were not married highest for non-Hispanic Asian
2011–2015 to 81% in 2015–2019.
(13.0%–21.7%). women (28.4), followed by
Among men aged 15–44, the
● Women with a bachelor’s degree non-Hispanic White (25.1), Hispanic
probability of fathering a child
or higher were more likely to have (22.7), and non-Hispanic Black
by age 40 decreased from 78% in
had a first birth at age 30 and over (22.0) women. A similar pattern
2011–2015 to 72% in 2015–2019.
(42.9%) compared with women with existed for men, except the average
● Women and men with lower levels
lower levels of education (3.3%– age at the birth of their first child
of education were more likely to
10.5%) (Figure 2). For women was similar for non-Hispanic Black
have had a child by age 20 than those
aged 22–49, the higher the level of and Hispanic men.
with higher levels of education. For
education, the lower the percentage ● The mean age at first birth for
example, the probability of having
who had a first birth before age men and women aged 15–44
a birth by age 20 was 59% among
20. For example, 57.5% of women in 2015–2019 (26.4 and 23.7,
women aged 15–49 with no high
who had no high school diploma or respectively) was higher than the
school diploma or GED compared
GED had a first birth before age 20 mean age at first birth for men and
with 4% of those with a bachelor’s
compared with 6.4% of women with women in 2011–2015 (25.5 and 23.1,
degree or higher. A similar pattern
a bachelor’s degree or higher. The respectively).
was seen for men aged 15–49: The
same pattern held for men. probability of having fathered a child
National Health Statistics Reports Number 179 January 10, 2023 Page 7
Figure 3. Probability of a first birth, by selected ages for men and women aged 15–49: first birth (10.7% within 37–48 months
United States, 2015–2019 and 23.9% at 49 months or more).
The percentage of women who did
0.90 not have a second birth increased with
Women older age at first birth. For example,
0.75
47.5% of women aged 30–49 at the time
of their first birth did not have a second
birth compared with 26.6% of women
Men
0.60 aged 20–24 at their first birth.
● Across all age groups shown in
Probability
incomes relative to the federal status at first birth for three categories: household incomes at 300% or more
poverty level did not have a second currently or formerly married, within a of the federal poverty level.
birth compared with women cohabiting union, and never married, not ● A higher percentage of Hispanic
with lower household incomes. cohabiting. A subtotal for all premarital women born outside of the
For example, 35.5% of women first births is also shown, combining United States had their first births
with household incomes at 300% those within a cohabiting union and within marriage (51.4%) than did
or higher of the federal poverty those who were never married and not women born in the United States
level did not have a second birth cohabiting. The category “currently (41.7%). Similar percentages of
compared with 25.2% of women or formerly married” is described in women by nativity status had their
with household incomes at less than the text as currently married given the first births within cohabiting unions,
150% of the federal poverty level small percentage of first births in this roughly 30.0%.
and 26.2% of women with household group that occurred to women who were ● The percentage of women whose
incomes at 150%–299% of the formerly married. The Technical Notes first births occurred within marriage
federal poverty level. describe this in more detail. was highest among non-Hispanic
● A higher percentage of women with Asian women (87.8%) compared
● Overall, about one-half of first births
household incomes less than 150% with the other Hispanic-origin and
to women aged 15–49 in 2015–2019
of the federal poverty level had a race groups shown (18.7%–62.9%).
occurred to women who were
second birth within 24 months of The percentages of women
currently married (52.8%), and about
their first birth (22.7%) compared whose first births occurred within
one-half occurred to women who had
with women with household incomes cohabiting unions were similar for
never been married (47.2%). One-
at 150%–299% of the federal poverty non-Hispanic White (22.2%) and
half of these premarital first births
level (18.1%) and women with non-Hispanic Black (22.4%) women.
occurred to women who were in a
household incomes 300% or higher
cohabiting union. Figure 4 also presents marital and
of the federal poverty level (15.0%).
● Older age at first birth was cohabiting status at time of first birth
● The percentage of Hispanic women,
associated with a higher percentage for Hispanic, non-Hispanic White,
regardless of nativity status, who
of women having the birth occur and non-Hispanic Black women. The
did not have a second birth (23.5%)
within marriage. For example, 19.1% estimates for non-Hispanic Asian
was lower than the percentage of
of women under age 20 at the time women are not shown in Figure 4
non-Hispanic White (31.8%) and
of their first birth were married because the percentages of first births to
non-Hispanic Black (28.4%) women.
compared with 85.8% of women non-Hispanic Asian women who were
● The percentage of Hispanic women
aged 30–49. never married and not cohabiting did not
born in the United States who had
● Among women who lived with meet NCHS standards for presentation.
a second birth within 24 months of
both parents at age 14, 36.5% had a
their first birth (20.7%) was similar ● The percentages of first births
premarital first birth, compared with
to the percentage of Hispanic women occurring within each marital
65.7% of women who experienced
born outside of the United States or cohabiting status category in
other types of parental living
(16.4%). The percentage of Hispanic 2015–2019 were similar to the
arrangements at age 14.
women (regardless of nativity status) respective totals from 2011–2015.
● Women whose mothers had higher
who had a second birth within 24
levels of education were less likely Table 8 shows marital or cohabiting
months (18.6%) was similar to
to have had premarital first births. status at the time of their first child’s birth
the percentage for non-Hispanic
For example, the percentage of for men aged 15–49 who ever fathered a
White (18.8%), non-Hispanic Black
premarital first births among women biological child. The measure of marital
(18.3%), and non-Hispanic Asian
whose mothers had a high school or cohabiting status represents whether
(14.8%) women.
diploma was 48.7% compared with he was married to or cohabiting with the
● The percentages of women who did
31.9% among women whose mothers child’s mother at the time of birth (see
not have a second birth, as well as
had a bachelor’s degree or higher. Technical Notes for more detail).
for each interval between first and
● An increasing linear trend was
second birth in 2015–2019, were ● Among men aged 15–49 in
observed in the percentage of women
similar to estimates in 2011–2015. 2015–2019, 60.4% of first births
whose first births occurred within
occurred to men who were married
marriage by current household
to the child’s mother, and 39.6% of
Marital or cohabiting status income: from 34.4% of first births
births occurred premaritally (26.3%
at first birth to women with current household
within a cohabiting union and 13.3%
incomes at 0%–149% of the federal
Table 7 shows the percent not cohabiting with the child’s
poverty level, to 49.0% of women
distribution of marital or cohabiting mother).
with household incomes at 150%–
status at time of first birth among women ● As seen for women, men who
299% of the federal poverty level,
aged 15–49 who ever had a birth. The were older at their first child’s
and 76.3% of births to women with
table describes marital or cohabiting birth had higher percentages of
National Health Statistics Reports Number 179 January 10, 2023 Page 9
Figure 4. Marital or cohabiting status at first birth for women aged 15–49, by Hispanic origin
and race: United States, 2015–2019
Summary
This report presents selected fertility
100 indicators for men and women aged
14.9 15–49 in the United States based on
22.9
2015–2019 NSFG data. Measures of
80 fertility include having had any biological
22.2
58.9
Never married, children, the number of biological
not cohabiting1 children, age at first child’s birth, birth
30.3
60 intervals for women with at least one
Percent
Looking at differences by education United States. NSFG is a rich source 8. Mosher WD, Jones J, Abma JC.
level, men and women with lower levels of data on proximate determinants of Intended and unintended births in the
of education were more likely to have fertility such as sexual activity, union United States: 1982–2010. National
had a biological child, to have had more status, and contraceptive use, which can Health Statistics Reports; no 55.
children, and to have had their first child be used to help explain patterns described Hyattsville, MD: National Center for
at younger ages than men and women in this report and variations in birth Health Statistics. 2012.
with higher levels of education. Men and rates obtained from the National Vital 9. Finer LB, Zolna MR. Declines
women whose mothers had higher levels Statistics System. in unintended pregnancy in the
of education were less likely to have a United States, 2008–2011. N
premarital first birth than those whose Engl J Med 374(9):843–52. 2016.
mothers had lower levels of education. References DOI: https://dx.doi.org/10.1056/
In addition, differences were found by NEJMsa1506575.
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Men and women who lived with both MJK, Driscoll AK. Births: Final data childbearing as a growing, previously
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by other factors included or not included Children ever born and percent Health Statistics. 2014.
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who may go on to have the same number the gap: Fertility timing in the women in transition. New York, NY:
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these fertility measures may be less Social Policy 12(2):92–100. 2015. te Velde E. Why do people postpone
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National Health Statistics Reports Number 179 January 10, 2023 Page 11
Table 1. Percentage of women and men aged 15–49 who ever had a biological child: United States, 2015–2019
Women Men
Total
2015–2019, ages 15–491 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,420 56.7 (0.91) 71,930 44.8 (1.16)
2015–2019, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,935 52.1 (0.98) 61,882 39.7 (1.21)
2011–2015, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,263 54.9 (0.90) 60,875 43.8 (0.92)
Age group
15–24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,468 13.2 (0.82) 20,105 6.2 (0.85)
25–29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,348 45.3 (2.14) 11,412 29.7 (2.09)
30–34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,792 71.8 (1.72) 10,686 51.7 (2.20)
35–39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,530 81.2 (1.60) 10,269 70.0 (1.82)
40–49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,282 84.3 (1.01) 19,459 76.5 (1.24)
Education2
No high school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,197 91.0 (1.31) 5,401 73.8 (2.19)
High school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,999 79.2 (1.38) 16,171 62.3 (1.59)
Some college, no bachelor’s degree . . . . . . . . . . . . . . . . . . . . . . . 18,187 67.6 (1.54) 16,200 50.9 (1.79)
Bachelor’s degree or higher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,746 56.3 (1.60) 19,627 49.2 (2.02)
1Includes
people of other or multiple race and origin groups, not shown separately.
2Limited
to people aged 22–49 at the time of the interview.
3Limited
to people aged 20–49 at the time of the interview.
4Includes Hispanic people with missing information on nativity status.
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
Table 2. Number of children born alive to women aged 15–49: United States, 2015–2019
Age group
15–24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,468 0.2 (0.00) 100.0 86.8 (0.63) 8.9 (0.96) 3.2 (0.16) 0.7 (0.10) 0.5 (0.11)
25–29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,348 0.9 (0.02) 100.0 54.7 (1.29) 17.9 (0.56) 17.1 (1.27) 7.0 (0.48) 3.3 (0.58)
30–34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,792 1.5 (0.04) 100.0 28.2 (1.83) 24.4 (1.47) 26.5 (1.88) 13.9 (1.01) 7.0 (0.29)
35–39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,530 1.9 (0.11) 100.0 18.8 (2.39) 17.2 (1.93) 33.3 (1.69) 20.5 (0.77) 10.3 (2.01)
40–49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,282 2.0 (0.06) 100.0 15.7 (0.66) 17.5 (0.86) 33.6 (0.97) 2.4 (0.82) 10.7 (1.96)
Education2
No high school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,197 2.6 (0.11) 100.0 9.0 (1.50) 11.8 (1.34) 25.9 (1.74) 27.6 (3.48) 25.7 (2.71)
High school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,999 1.8 (0.05) 100.0 20.8 (1.14) 20.2 (0.82) 30.5 (0.53) 19.2 (0.51) 9.3 (1.12)
Some college, no bachelor’s degree . . . . . . . . . . . . . . . . . . . . . . . . 18,187 1.5 (0.06) 100.0 32.4 (1.36) 20.8 (1.31) 25.1 (1.29) 15.3 (0.82) 6.3 (1.07)
Bachelor’s degree or higher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,746 1.1 (0.06) 100.0 43.7 (2.01) 18.0 (0.60) 25.0 (0.81) 10.2 (0.99) 3.1 (0.79)
Page 13
Table 3. Number of biological children fathered by men aged 15–49: United States, 2015–2019
Page 14
Number of biological children
Number Mean
Characteristic (thousands) (standard error) Total None One Two Three Four or more
Age group
15–24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,105 0.1 (0.02) 100.0 93.8 (1.32) 4.3 (0.80) 1.4 (0.56) 0.3 (0.12) 0.2 (0.09)
25–29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,412 0.5 (0.05) 100.0 70.3 (2.39) 15.9 (0.51) 10.0 (1.54) 3.1 (0.49) 0.7 (0.08)
30–34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,686 1.0 (0.08) 100.0 48.3 (2.90) 21.3 (0.40) 17.6 (0.52) 8.4 (1.78) 4.3 (0.50)
35–39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,269 1.5 (0.05) 100.0 30.0 (1.69) 21.4 (0.86) 27.7 (2.30) 14.4 (1.70) 6.5 (1.20)
40–49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,459 1.8 (0.01) 100.0 23.5 (1.34) 18.0 (0.87) 32.6 (1.67) 16.0 (1.15) 9.9 (1.22)
* Estimate does not meet National Center for Health Statistics standards of reliability.
1Includes men of other or multiple race and origin groups, not shown separately.
2Limited to men aged 22–49 at the time of the interview.
3Limited to men aged 20–49 at the time of the interview.
4Includes Hispanic men with missing information on nativity status.
2015–2019, ages 15–491 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,851 24.1 (0.14) 100.0 29.7 (1.16) 30.1 (1.09) 22.0 (0.96) 18.2 (0.86)
2015–2019, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,545 23.7 (0.13) 100.0 31.0 (1.22) 31.8 (1.12) 21.6 (1.00) 2
15.5 (0.82)
2011–2015, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,645 23.1 (0.16) 100.0 31.2 (1.20) 33.0 (0.92) 21.5 (0.97) 2
14.2 (0.76)
Age group
15–24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,554 19.6 (0.11) 100.0 56.4 (3.68) 43.6 (3.68) … …
25–29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,777 21.8 (0.16) 100.0 35.9 (2.29) 42.7 (2.20) 21.4 (2.13) …
30–34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,932 23.6 (0.19) 100.0 30.1 (1.95) 31.1 (1.80) 27.7 (1.77) 11.1 (1.12)
35–39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,764 24.8 (0.25) 100.0 26.1 (2.48) 27.7 (2.02) 23.0 (1.75) 23.3 (1.81)
40–49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,813 25.4 (0.23) 100.0 25.2 (1.50) 24.8 (1.65) 23.0 (1.66) 27.2 (1.68)
Education3
No high school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,523 20.4 (0.19) 100.0 57.5 (2.26) 32.0 (2.18) 7.3 (1.47) 3.3 (0.89)
High school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,452 22.2 (0.16) 100.0 38.1 (1.82) 40.0 (2.01) 13.5 (1.18) 8.5 (1.07)
Some college, no bachelor’s degree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,244 23.4 (0.15) 100.0 29.9 (1.75) 35.0 (1.70) 24.7 (1.75) 10.5 (0.90)
Bachelor’s degree or higher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,891 28.4 (0.19) 100.0 6.4 (0.87) 15.6 (1.89) 35.1 (1.80) 42.9 (1.93)
Page 15
See footnotes at end of table.
Table 4. Age at first child’s birth for women and men aged 15–49: United States, 2015–2019—Con.
Page 16
Men
2015–2019, ages 15–491 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,560 27.0 (0.16) 100.0 7.3 (0.59) 28.8 (1.35) 29.2 (1.29) 34.6 (1.41)
2015–2019, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,986 26.4 (0.17) 100.0 8.5 (0.73) 29.8 (1.43) 31.2 (1.44) 2
30.4 (1.48)
2011–2015, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,661 25.5 (0.16) 100.0 13.8 (0.87) 32.4 (1.30) 30.7 (1.20) 2
23.1 (1.30)
Age group
15–24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,093 20.3 (0.18) 100.0 33.2 (3.88) 66.8 (3.88) … …
25–29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,843 23.2 (0.24) 100.0 11.1 (2.28) 52.9 (3.70) 36.1 (3.73) …
30–34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,540 25.8 (0.25) 100.0 7.8 (1.32) 28.7 (2.85) 40.2 (2.82) 23.3 (2.80)
35–39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,268 27.5 (0.28) 100.0 5.9 (1.00) 22.7 (2.24) 31.9 (2.71) 39.6 (2.60)
40–49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,724 28.5 (0.23) 100.0 4.9 (0.71) 23.3 (1.70) 24.9 (1.68) 46.9 (2.11)
Education3
No high school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,314 24.0 (0.37) 100.0 18.6 (2.61) 43.6 (3.54) 19.6 (2.92) 18.2 (2.66)
High school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,370 25.2 (0.21) 100.0 10.3 (1.09) 40.4 (2.40) 29.3 (1.92) 20.0 (2.02)
Some college, no bachelor’s degree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,106 26.8 (0.26) 100.0 4.9 (0.85) 29.1 (2.47) 37.1 (2.72) 28.9 (2.21)
Bachelor’s degree or higher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,538 30.3 (0.23) 100.0 0.9 (0.46) 10.9 (1.55) 27.1 (2.09) 61.1 (2.40)
Characteristic Age 18 Age 20 Age 25 Age 30 Age 35 Age 40 Age 18 Age 20 Age 25 Age 30 Age 35 Age 40
Total
2015–2019, ages 15–491 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.11 0.22 0.43 0.64 0.77 0.82 0.03 0.08 0.26 0.47 0.64 0.72
2015–2019, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.11 0.21 0.43 0.64 0.77 0.81 0.03 0.08 0.25 0.47 0.63 0.72
2011–2015, ages 15–44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.08 0.19 0.43 0.63 0.78 0.83 0.02 0.07 0.26 0.49 0.67 0.78
Education2
No high school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.39 0.59 0.84 0.91 0.93 0.94 0.11 0.24 0.55 0.68 0.77 0.81
High school diploma or GED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.18 0.39 0.65 0.79 0.86 0.87 0.05 0.14 0.38 0.60 0.70 0.76
Some college, no bachelor’s degree . . . . . . . . . . . . . . . . . . . . . . . . 0.12 0.24 0.51 0.71 0.79 0.83 0.02 0.06 0.26 0.47 0.60 0.69
Bachelor’s degree or higher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.02 0.04 0.17 0.46 0.68 0.75 0.00 0.01 0.10 0.32 0.58 0.68
– Quantity zero. No probability produced using Proc Kaplan–Meier procedure for this age.
1Includes people of other or multiple race and origin groups, not shown separately.
2Limited to people aged 22–49 at the time of the interview.
3Limited to people aged 20–49 at the time of the interview.
4Includes Hispanic people with missing information on nativity status.
NOTES: The probabilities in this table are produced using the Proc Kaplan–Meier procedure in SUDAAN. All standard errors, not shown in this table, are less than 0.05.
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
Page 17
Table 6. Number of months from first birth to second birth for women aged 15–49 who had at least one birth: United States, 2015–2019
Page 18
Interval between first and second birth (months)1
Number
Characteristic (thousands) Total No second birth 24 or less 25–36 37–48 49 or more
Education3
* Estimate does not meet National Center for Health Statistics standards of reliability.
1Refers to intervals between deliveries, not intervals between first and second babies born as a multiple birth. Pregnancies resulting in multiple births (for example, twins) are considered one delivery.
2Includes women of other or multiple race and origin groups, not shown separately.
3Limited to women aged 22–49 at the time of the interview.
4Limited to women aged 20–49 at the time of the interview.
5Includes Hispanic women with missing information on nativity status.
NOTES: Percentages may not add to 100 because of rounding. Women included in this table were aged 15–49 at the time of interviewing in 2015–2019; first and subsequent births may have occurred at any time in the woman’s life and are not limited to specific
years.
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
Table 7. Marital or cohabiting status at first live birth for women aged 15–49: United States, 2015–2019
* Estimate does not meet National Center for Health Statistics standards of reliability.
1Includes both women of other or multiple race and origin groups, and women who reported having no mother figure so were not asked about mother’s education level, not shown separately.
2Limited to women aged 20–49 at the time of the interview.
3Includes Hispanic women with missing information on nativity status.
Page 19
Table 8. Marital or cohabiting status at their first biological child’s birth for men aged 15–49: United States, 2015–2019
Page 20
Premarital first birth
1Includes both men of other or multiple race and origin groups, and men who reported having no mother figure so were not asked about mother’s education level, not shown separately.
2Limited to men aged 20–49 at the time of the interview.
3Includes Hispanic men with missing information on nativity status.
NOTE: Percentages may not add to 100 because of rounding.
SOURCE: National Center for Health Statistics, National Survey of Family Growth, 2015–2019.
National Health Statistics Reports Number 179 January 10, 2023 Page 21
Technical Notes
Marital or cohabiting status
at first birth
This variable is based on the
RMAROUT6 recode for women and
a combination of questions directly
asked of men. Because of how the
female variable is created, it can only
be determined that she was married or
cohabiting at the time of delivery, and
not whether she was specifically married
to or cohabiting with the child’s father.
However, based on cross-checks of the
pregnancy dates against relationship
dates, very few women in the married or
cohabiting categories had other partners
in the timeframe of the child’s birth.
For men, the questions are organized
differently, and men are asked directly
whether they were married to or living
with the child’s mother at time of the
birth. Also, due to the relatively small
sample sizes of women who were
formerly married at time of delivery, and
the focus on premarital compared with
all nonmarital births, births to formerly
married women were grouped with
currently married women.
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Acknowledgments
The National Survey of Family Growth (NSFG) was conducted by the National Center for Health Statistics (NCHS) at the Centers for Disease
Control and Prevention (CDC) with the support and assistance of several organizations and people. Interviewing and other tasks for the
2015–2019 survey period were conducted under a contract with the Survey Research Center at the University of Michigan’s Institute for Social
Research. During the 2015–2019 survey period, NSFG was jointly planned and funded by the following U.S. Department of Health and Human
Services programs and agencies:
• National Center for Health Statistics (CDC) • Division of Reproductive Health (CDC)
• Eunice Kennedy Shriver National Institute of Child Health and • National Center on Birth Defects and Developmental Disabilities
Human Development (National Institutes of Health) (CDC)
• Office of Population Affairs • Division of Cancer Prevention and Control (CDC)
• Division of HIV/AIDS Prevention (CDC) • Children’s Bureau
• Division of STD Prevention (CDC) • The Office of the Assistant Secretary for Planning and Evaluation
NCHS gratefully acknowledges the contributions of these programs and agencies and all others who assisted in designing and implementing
NSFG.
This report was prepared in the Division of Vital Statistics (DVS) under the general direction of Steven Schwartz, DVS Director; Isabelle Horon,
Chief, Reproductive Statistics Branch (RSB); and Anjani Chandra, Team Lead, RSB NSFG Team. The authors are grateful for the valuable
comments provided by Andrés Berruti, DVS Associate Director for Science, and Amy Branum, NCHS Associate Director for Science.
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