Abstract

Predicting US state teenage birth rates using search engine query data on pregnancy termination and prevention

Highlights

  • To determine whether aggregated searches for pregnancy prevention or pregnancy termination predicts US State teenage birth rates

  • High state-levels of searches for abortion were associated with higher teenage birth rates, whereas high state-levels of searches for condom were associated with lower teenage birth rates

  • Search engine query data (SEQD) include the information collected by search engine companies about search terms used, geographical location, and the date of the search

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Summary

Methods

US birth rate data for the 50 states, and search engine query data (Google Trends) for “condom” and “abortion” were used in an ecological analysis. Given the broad nature of sexual and reproductive health, and the volume and range of results using more general terms like contraception, sex and sexually transmissible infections (STIs), we restricted the search to as narrow a range as possible that would still reflect the question of interest. In imposing this narrow focus, we acknowledge that instances of other searches that relate to termination of pregnancy and contraception would be lost. The birth rates were reported per 1000 estimated women in the age range 15–19 in each state The birth rates were reported per 1000 estimated women in the age range 15–19 in each state (p. 42)

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