Determinants Of Fertility Behavior And Contraceptive Usage Among Married Women In The Productive Age: A Case Study Of Shiraz County, Iran

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Date
2016-08
Authors
Asadisarvestani, Khadijeh
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Abstract
Iran like other countries has experienced a lot of demographic changes. The success of the Iranian family planning program as well as socioeconomic changes has contributed towards a dramatic decline in fertility rate. As a result, Iranian policy makers are revising population policies to improve the fertility rate. On the other hand, although a family planning program of Iran is one of the most successful family planning programs in the world, but it still has many unsolved problems such as a high rate of unmet need, unwanted pregnancies and illegal abortions. Hence, the main purpose of this research was to investigate factors that affect both fertility behavior and contraceptive usage in Shiraz County, Iran. A theoretical framework has been designed based on demographic transition theory, demand-supply theory and diffusion theory. The study is a quantitative research and its technique is survey. The sample of this study was all married women in productive age (15-49) who were living in the Shiraz County (include Shiraz City and rural areas). Data has been collected by questionnaire from 626 women who were selected by multi cluster sampling and purposive sampling. Data were analyzed using SPSS (version 20). The results of this study revealed that both fertility behavior and contraceptive usage were affected by a set of socioeconomic and cultural factors. In terms of fertility behavior, results showed that the main predictors are the respondent’s age, respondent’s educational level, age at the first marriage, desired number of children, the spousal age difference, husband’s education level and contraceptive usage. With regards to contraceptive usage, the main predictors are couple agreement on contraception method, the number of actual birth children, women’s authority, the knowledge and positive attitude about contraceptives and the number of desired children. In addition, the findings confirmed that both demographic transition theory and demand-supply theory are necessary to explain fertility behavior and contraceptive usage but these theories are not sufficient. Diffusion of new ideas can play an important role in change of fertility behavior and contraceptive usage in the absence of socioeconomic and economic factors. To fill up this theoretical gap, diffusion theory can play an important role in explaining fertility and contraceptive usage.
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Factors that affect both fertility behavior , and contraceptive usage in Shiraz County, Iran.
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