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Highlights

  • Reproductive Health Impact Study
  • Adding It Up
  • Abortion Worldwide
  • Guttmacher-Lancet Commission
  • Monthly Abortion Provision Study
  • US policy resources
  • State policy resources
  • State legislation tracker

Reports

  • Global
  • United States

Articles

  • Global research
  • US research
  • Policy analysis
  • Guttmacher Policy Review
  • Opinion

Fact Sheets

  • Global
  • United States
  • US State Laws and Policies

Data, Videos & Visualizations

  • Data center
  • Videos
  • Infographics
  • Public-use data sets

Peer-reviewed Journals

  • International Perspectives on Sexual and Reproductive Health (1975–2020)
  • Perspectives on Sexual and Reproductive Health (1969–2020)

Global

  • Abortion
  • Contraception
  • Pregnancy
  • Teens

US

  • Abortion
  • Contraception
  • Pregnancy
  • Teens

Our Work by Geography

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  • Africa
  • Asia
  • Europe
  • Latin America & the Caribbean
  • Northern America
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Country Profile

United States

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  • Unintended pregnancy and abortion

Unintended pregnancy and abortion

The graphics below are based on estimates from an ongoing global study of unintended pregnancy and abortion. These estimates highlight the importance of investments in comprehensive sexual and reproductive health services, including contraceptive and abortion care.

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See regional and subregional data for Northern America

Notes: These are model-based estimates, which allow us to assess how certain we are of these trends. For example, there is a more than 99% probability that the unintended pregnancy rate decreased since 1990–1994 and a more than 99% probability that the abortion rate decreased over this period. For information on how to interpret and use these country-specific model-based estimates, see our fact sheet, Unintended Pregnancy and Abortion Worldwide: Country-level Estimates Explained.

Guttmacher has a separate, extensive body of work around unintended pregnancy and abortion in the United States. The findings in this profile are broadly aligned with those from our US-specific work, but they rely on a different methodology and are not directly comparable. There are contexts in which it may be more appropriate to use one body of work over the other: Comparisons of the United States with other countries should rely on the data included here, which were generated using the same methodology across all other countries and regions. In contrast, our US work should be used when focusing solely on the United States; it includes year-specific trends and information on how unintended pregnancy and abortion vary between population groups.

Subregions used in comparisons follow United Nations Statistics Division groupings.

The related data set, technical resources and associated materials are available in the project's OSF repository.

Source: Bearak J et al., Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019, BMJ Global Health, 2022, 7(3).

Suggested citation: Guttmacher Institute, United States country profile, 2022, https://www.guttmacher.org/regions/northern-america/united-states?page=76&type=All.

  • Unintended pregnancy and abortion

Resources

  1. The 2024 State Legislative Sessions So Far: Attacks on Abortion, Youth Access, IVF and more
    July 2018 Policy Analysis

    Laws Affecting Reproductive Health and Rights: State Policy Trends at Midyear, 2018

    Elizabeth Nash, Rachel Benson Gold, Lizamarie Mohammed, Zohra Ansari-Thomas and Olivia Cappello
  2. July 2018 Policy Analysis

    Proposed Changes to the Title X National Family Planning Program: Guttmacher Institute Comments to the U.S. Department of Health and Human Services

  3. July 2018 Research Article

    Effect of ACASI on Reporting of Abortion and Other Pregnancy Outcomes in the US National Survey of Family Growth

    Laura D. Lindberg and Rachel H. Scott Studies in Family Planning
  4. June 2018 Opinion

    Trump Administration Looks to Impose “Domestic Gag Rule,” Continuing Its Assault on Reproductive Health and Rights

    Kinsey Hasstedt BMJ Opinion
  5. June 2018 Opinion

    A Domestic Gag Rule and More: The Administration’s Proposed Changes to Title X

    Kinsey Hasstedt Health Affairs Blog
  6. June 2018 News Release

    Most Contraceptive Patients at Title X–Funded Health Centers in 2016 Had Insurance Coverage and Planned to Use It to Pay for Services

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