Monthly Vital Statistics

April 1997 VOL. 31 NO. 2

Focus. . . Non-Marital Fertility in Missouri

According to the 1990 US Census, the 1989 median household income, including public assistance, for single Missouri women with children under six years old was $7,038. In the same year, the median income for single Missouri women without children was $11,541, and for married couples with kids under six it was $32,951. Not all families headed by single women include children who were born out-of-wedlock, but many people have identified a reduction in the number of births to unwed mothers as an important means to reduce poverty and the costs of welfare programs. In 1994, more than one half of Missouri infants born out-of-wedlock received Aid to Families with Dependent Children (AFDC) benefits at some time in their first year. Income support and health benefits through AFDC comprised about 4 percent of Missouri's total 1996 operating budget. Reducing out-of-wedlock births could reduce these costs (plus some costs of the federal Food Stamps program), and ease the burden of poverty in the state. Unfortunately, birth data show a trend toward more out-of-wedlock births rather than fewer.

In the course of the past several decades, there has been a consistent increase in the percent of Missouri births to unmarried mothers. In retrospect, the trend becomes apparent with the early stages of the baby boom, as shown in Figure 1. In 1950 the percentage of Missouri's new mothers who were unmarried was 3.6, a figure which increased to 32.1 in 1995. This change accompanied an increase in the percentage of all women of childbearing age who were not married. In the 1950 US Census, 64 percent of Missouri women aged 10 to 49 were currently married. In 1990, only 51 percent were married. This change is related to two trends: an increase in the age of women at their first marriage and an increase in the number of divorces.

Although the decision to marry and the decision to have a child are not always made independently of each other, examining trends in the non-marital fertility rate - the number of out-of-wedlock births per 1,000 unmarried women of childbearing age - is useful because it measures the average risk that an unmarried woman will have an out-of-wedlock birth. This is important in targeting programs intended to prevent non-marital childbearing. Using this statistic, the trend toward increased out-of-wedlock childbearing is evident beginning in the 1940s. Furthermore, since 1940, the increase in non-marital fertility has been essentially uniform. The increasing numbers of unmarried women of childbearing age and the climbing non-marital fertility rate have combined to cause the alarming growth of unwed births. Between 1960 and 1995, the number of out-of-wedlock births to Missouri residents increased by 17,767 (more than 3-fold.) Of that increase, 40.3 percent is explained by the increase in non-marital fertility, 22.3 percent is due solely to the higher number of unmarried women, with the remainder explained by the interaction of the two factors.

Disaggregating recent non-marital fertility by age and race shows some details about women who are at particular risk to have out-of-wedlock births (Table 1). First, unmarried women aged 18 to 24 are more likely to give birth than unmarried women in any other age category, and fertility of unmarried 18- and 19-year-olds is very similar to that of unwed 20- to 24-year-olds. By contrast, overall fertility (the fertility rate without consideration of marital status) among 18- and 19-year-olds is lower than that of 20- to 24-year-olds and 25- to 29-year-olds. Second, unwed fertility increased in all age groups except 40- to 49-year-olds between 1980 and 1990. From 1990 to 1995, 18 to 19 was the only age range that showed a substantial increase in non-marital fertility. The fertility of unwed 15- to 17-year olds declined between 1990 and 1995, and all other age groups showed little or no change. Third, in each year for which reliable population estimates by race are available, non-marital fertility for African-American women was higher than that for white women in all age categories. Fourth, 1994 saw a decline in non-marital fertility in all of the prime child-bearing age categories (15 - 39) of African-Americans.

Because of the large variations in non-marital fertility rates among different age groups, adjusting fertility rates for the age of the population at risk presents a clearer picture than crude rates when comparing groups, areas or time periods. Table 1 includes non-marital total fertility rates (TFR), which adjust for age by applying age-specific rates to a hypothetical cohort of women, giving the lifetime number of births expected per 1,000 women. The TFR's show that the small decline in the crude rate of non-marital fertility between 1990 and 1995 (from 43.4 to 41.1) was a product of a change in the age distribution of unmarried females rather than a decline in non-marital fertility, since the TFR actually increased slightly (from 1060.0 to 1063.6). The TFR's also indicate that, although non-marital fertility among African-American women is higher than among white women, the rate for white women is rising faster - the ratio of the races' TFR's dropped from almost 6:1 in 1980 to 3:1 in 1994.

In summary, high non-marital fertility is not a new development, but the result of a trend that has existed through the last half century. The age distribution of non-marital fertility indicates that prevention efforts might be best targetted at the 18 to 24 age range, but unwed fertility is increasing at nearly all ages. Non-marital fertility is much higher among African-American women than among whites, but the gap has narrowed, largely as a result of declines since 1990 in the rates for African-American women.

Since a large majority of out-of-wedlock births are unplanned (77 percent, according to the 1990 Missouri Maternal and Infant Health Survey), family planning services are a tool which has promise as a stable and equitable solution to the problem of non-marital fertility and its effect on welfare costs.

Table 1
Fertility of Unmarried Women, by Age and Race: Missouri Resident Data 1980-1995

1980 1990 1994 1995
All Races


Age
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
10 - 14199 1.1205 1.2222 1.1209 1.1
15 - 172,773 21.63,227 32.83,356 31.23,238 28.9
18 - 193,068 40.54,598 66.04,657 72.24,569 69.0
20 - 244,891 42.07,900 67.88,691 70.98,431 68.7
25 - 291,959 34.64,062 52.23,790 52.73,793 51.8
30 - 34710 18.41,844 29.62,138 31.12,073 29.9
35 - 39206 7.7650 12.9834 13.4894 13.7
40 - 4453 2.4100 2.2149 2.7148 2.5
45 - 494 0.23 0.15 0.15 0.1
General13,863 29.922,589 43.423,842 43.123,360 41.1
Total Fertility Rate 677.7 1060.0 1097.8 1063.6
White


Age
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
10 - 1471 0.477 0.574 0.5
15 - 171,348 12.31,681 20.41,931 21.2
18 - 191,543 23.92,700 46.43,036 56.1
20 - 242,144 22.64,176 44.25,280 53.2
25 - 29873 19.72,115 35.42,139 39.1
30 - 34280 9.4940 20.01,172 22.5
35 - 3994 4.5335 8.6501 10.4
40 - 4421 1.253 1.581 1.9
45 - 493 0.22 0.13 0.1
General6,377 16.712,079 29.014,217 32.1
Total Fertility Rate 375.3 705.3 814.0
African-American


Age
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
Out-of-
Wedlock
Births
Non-
Marital
Fertility
10 - 14128 5.0125 5.2146 5.6
15 - 171,419 82.01,522 109.91,380 93.4
18 - 191,524 147.71,847 184.91,564 167.1
20 - 242,732 135.03,649 188.03,246 155.9
25 - 291,082 93.61,917 114.71,585 97.1
30 - 34426 51.9882 61.0931 59.9
35 - 39109 19.3301 27.2320 23.2
40 - 4432 7.045 5.063 5.4
45 - 491 0.21 0.22 0.2
General7,453 95.710,289 109.09,237
Total Fertility Rate 2101.2 2706.190.3 2351.6
Non-marital fertility = age-specific out-of-wedlock births per 1,000 age-specific unmarried females.
General non-marital fertility = total out-of-wedlock births per 1,000 unmarried females 15-44.
Race-specific data are not presented for 1995 because reliable population estimates by race are not available.




Provisional Vital Statistics for February 1997
Live births increased slightly in February as 5,867 Missouri infants were born compared with 5,843 one year earlier.

Cumulative births show a decrease for the 12 months ending with February from 73,508 in 1996 to 72,746 in 1997.

Deaths increased in February as 4,73 Missourians died compared with 4,518 one year earlier. For the 12 months ending with February, there was a slight decrease in mortlality.

The Natural increase in Missouri in February was 1,124 (5,867 births minus 4,743 deaths) compared with 1,325 one year earlier.

Marriages and dissolutions of marriage both increased slightly in February, but decreased for the 12 months ending with February. The marriage to divorce ratio for this latter period was 1.74.

Infant deaths increased for all three time periods shown below. For the 12 months ending with February, the infant death rate was 8.1 per 1,000 live births compared with a rate of 7.2 in 1996.

PROVISIONAL RESIDENT VITAL STATISTICS FOR THE STATE OF MISSOURI

February
Jan.-Feb. cumulative
12 months ending with February
Item
Number
Rate*
Number
Rate*
Number
Rate*
1996
1997
1996
1997
1996
1997
1996
1997
1996
1997
19951996 1997
Live Births5,843 5,86713.8 14.212,806 13,00914.6 15.273,508 72,74614.1 13.813.6
Deaths4,518 4,74310.6 11.510,247 10,46711.7 12.254,377 54,3139.9 10.210.1
Natural increase 1,3251,124 3.12.7 2,5592,542 2.93.0 19,13118,433 4.13.6 3.4
Marriages2,677 2,8796.3 7.05,512 5,5366.3 6.546,099 44,9308.5 8.78.4
Dissolutions 2,0762,080 4.95.0 4,7053,854 5.44.5 26,68925,857 4.95.0 4.8
Infant deaths 4861 7.710.5 87112 6.58.7 532591 8.27.2 8.1
Population base (in thousands) ...... 5,3595,395 ...... 5,3595,395 ...... 5,2825,326 5,365

*Rates for live births, deaths, natural increase, marriages and dissolutions are computed on the number per 1000 estimated population. The infant death rate is based on the number of infant deaths per 1000 live births. Rates are adjusted to account for varying lengths of monthly reporting periods.

AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Services provided on a nondiscriminatory basis.

Alternate forms of this publication for persons with disabilities may be obtained by contacting the Missouri Department of Health, Center for Health Information Management & Epidemiology/Bureau of Health Data Analysis, P.O. Box 570, Jefferson City, MO 65102; phone (573) 751-6278. Hearing impaired citizens telephone 1-800-735-2966.