Unmet needs for family planning among married women aged 15-49 years living in two settlements with different socioeconomic and cultural characteristics: a cross-sectional study from Karabuk Province in Turkey

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dc.authoridCevik, Celalettin/0000-0002-1123-6196
dc.contributor.authorOzdemir, Raziye
dc.contributor.authorCevik, Celalettin
dc.contributor.authorCiceklioglu, Meltem
dc.date.accessioned2024-09-29T16:06:44Z
dc.date.available2024-09-29T16:06:44Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractAim: The aim of the study was to investigate levels and related factors of the unmet needs for family planning among married women aged 15-49 years living in two settlements (rural and urban) having different economic, social and cultural structures in Karabuk, a province in north-western Turkey. Method: This cross-sectional study was conducted in the rural Cumayani village and the urban Emek neighbourhood between October 2016 and June 2017. The sample size was determined to be 289 married women aged 15-49 years from each settlement according to the effect size of 0.3, alpha error probability of 0.05 and power of 0.95. In the study, 594 currently married women (298 from Cumayani and 296 from Emek) were contacted. The dependent variable was the level of unmet need for family planning. The independent variables included the sociodemographic and reproductive characteristics of the women. The data were collected through face-to-face interviews. The characteristics of the two settlements were compared using the chi(2) test. Bivariate and multivariate logistic regression analyses were carried out to examine the factors associated with the dependent variable. Results: The comparison of the participants demonstrated that the education, employment and income levels of the rural women were lower than those of the urban women (p<0.001). The rural women had more pregnancies, miscarriages and stillbirths, and the mortality among their children was higher compared to the urban women (p<0.001). The level of unmet need for family planning in Cumayani village was about twice that of Emek neighbourhood (9.7% v 5.4%). The multivariate analysis was conducted separately for each settlement. Marrying by way of only a religious ceremony increased the level of unmet need for family planning by 4.61 times (95% confidence interval (CI) 1.3-16.1) (p=0.016) in Cumayani. The multivariate analysis of all the women participating in the study revealed that marriage by way of only a religious ceremony increased the level of unmet need by 4.96 times (95%CI 1.4-17.1) (p=0.011). Conclusion: The study showed the effects of socioeconomic and cultural factors on women's fertility behaviours and unmet needs for family planning to favour urban women. Not being married by civil marriage was a significant predictor of unmet need. These findings highlight a need for intervention, particularly for the empowerment of rural women, in order to improve reproductive health outcomes.en_US
dc.identifier.doi10.22605/RRH5125
dc.identifier.issn1445-6354
dc.identifier.issue3en_US
dc.identifier.pmid31454487en_US
dc.identifier.scopus2-s2.0-85071651492en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.22605/RRH5125
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7015
dc.identifier.volume19en_US
dc.identifier.wosWOS:000482789500007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherColl Medicine & Dentistry James Cook Univ Townsvilleen_US
dc.relation.ispartofRural and Remote Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcross-sectional studyen_US
dc.subjectfamily planningen_US
dc.subjectTurkeyen_US
dc.subjectunmet needen_US
dc.subjecturbanen_US
dc.titleUnmet needs for family planning among married women aged 15-49 years living in two settlements with different socioeconomic and cultural characteristics: a cross-sectional study from Karabuk Province in Turkeyen_US
dc.typeArticleen_US

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