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Doctors, service providers, and advocates say they’re worried full CDC data released later this year — which will include state-by-state numbers — could show a rise in teen births in many states. They say several factors — including the Supreme Court’s decision to strike down federal protections for abortion rights, intensifying political pushback against sex education, and the impact of the COVID-19 pandemic on youth mental health — could start to unravel decades of progress.

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