The Texas Abortion Facility Reporting and Licensing Act, Health and Safety Code, Chapter 245, mandates that each abortion facility in the state must submit an annual report to the Texas Department of Health (TDH) on each abortion that is performed at the facility. Neither patient nor physician performing the abortion may be identified in this report. These reports are confidential and are not considered open records.
Data provided to TDH as part of this Act include:
1) patient's year of birth, race, marital status, and state and county of residence;
2) type of abortion procedure;
3) date the abortion was performed;
4) period of gestation at the time of the procedure;
5) date of the patient's last menstrual cycle;
6) number of previous live births;
7) number of previous induced abortions;
8) whether the patient survived the procedure and, if not, the cause of death.
The report is submitted on a form provided by the Bureau of Vital Statistics. The Bureau of Vital Statistics has been involved in the collection of these data since 1990.
Requests for more specific information than that contained in this report should be directed to the Center for Health Statistics, TDH.
(Figure 21 Data) Number of Induced Abortions
In 2003, a total of 79,166 induced abortions were reported to DSHS. This number includes all induced abortions performed in Texas plus those obtained in other states by Texas residents. There were 763 less induced terminations of pregnancy (abortions) reported to DSHS in 2003 than in 2002. Texas residents obtained 76,019 (96 percent) of the total abortions reported. This year, the total number of induced abortions reported to DSHS decreased by 1.0 percent (there were 79,929 in 2002).
Induced Abortion Rate and Ratio & Percent of Pregnancies Resulting in Induced Abortions
The abortion rate, the abortion ratio and the percent of pregnancies resulting in induced abortion have changed slightly in 2003. The abortion rate, the total number of induced abortions among Texas residents of all ages per 1,000 women aged 15-44 years, was 15.4 in 2003 compared to 15.6 in 2002. The abortion ratio, the total number of induced abortions among Texas residents per 1,000 live births, was 201.4 in 2003 down from 204.8 in 2002. In 2003, 16.7 percent of all reported pregnancies among Texas residents resulted in induced abortions compared to 16.9 percent in 2002. (Reported pregnancies equals the sum of reported live births, fetal deaths and induced abortions.)
Map of Induced Abortion Rates by County of Residence Texas, 1999-2003
Map of Induced Abortion Ratios by County of Residence Texas, 1999-2003
Age, Race/Ethnicity & Marital Status
Of Texas resident women with a reported age who obtained an abortion in 2003, 59.3 percent were 20-29 years. Approximately 13.1 percent of abortions were obtained by women 16-19 years of age, while only 1.0 percent of abortions were obtained by teens 15 years of age or younger. The mean age of Texas residents who obtained abortions in 2003 was approximately 26 years, and the age at which the greatest number of abortions were performed was 22 years.
Among Texas residents with reported race information, 36.1 percent of abortions were obtained by white women, 21.9 percent by black women, 37.0 percent by Hispanic women, 4.9 percent by women of other racial/ethnic groups. In comparison, the 2003 Texas female population 15 to 44 years of age was 46.6 percent white, 12.5 percent black, 36.7 percent Hispanic, and 4.1 percent other racial/ethnic groups.
Approximately 20.5 percent of Texas resident abortions were obtained by married women. Black women obtaining abortions were the least likely to be married. Hispanic women were slightly more likely to be married than white women, and Asian women were the most likely to be married of all racial/ethnic groups.
Gestation, Facility & Procedure
Of those for whom information was available, more than half (62.8 percent) of all abortions among Texas residents occurred at 8 or fewer weeks gestation, and more than three-fourths (79.6 percent) were performed at 10 weeks gestation or earlier. Only 3.8 percent of Texas resident abortions were performed at 17 weeks gestation or later, and only 1.1 percent were performed at 21 or more weeks gestation. The vast majority, 98.8 percent of resident abortions, were performed in abortion clinics. The remainder were performed in physicians' offices, hospitals, ambulatory surgery centers and out-of-state facilities. Suction Curettage was the most common abortion procedure (77.7 percent of Texas resident abortions) followed by dilation and evacuation (11.2 percent), and medical-non surgical (11.0 percent).
In 2003, 57.9 percent of Texas residents who obtained abortions underwent their first abortion, 26.9 percent had one prior abortion, 9.9 percent had two prior abortions and 5.3 percent had three or more previous abortions.
Almost 38.1 percent of Texas resident abortions occurred among women who had not had any live births, 28.0 percent had one live birth, 21.3 percent had two live births and 12.7 percent had three or more live births.
Percentages reported in this narration do not include unknowns in the denominator. See 2003 Selected Characteristics of Induced Terminations of Pregnancy for counts on data reported as "Not Stated."