Türkiye’de Riskli Doğurganlık Davranışı Gösteren Kadınların Gebelikten Korunma Yöntemi Kullanım Eğilimleri: 2003–2018 Türkiye Nüfus ve Sağlık Araştırması Verilerinin Analizi

Ayşe Rumeysa Doğruyol

doi:10.5281/zenodo.15539023

Özgün Makale

No. 14 (2025)

Contraceptive Use Patterns Among Women with High-Risk Fertility Behavior in Turkey: An Analysis of the 2003–2018 Turkey Demographic and Health Survey Data

Ayse Rumeysa Doğruyol^▸^▾

PDF (Turkish)

Submitted: May 11, 2025
Published: 2025-05-28

Abstract

This study aims to determine the trend in the prevalence of contraceptive method use among women in Turkey who had at least one high-risk fertility behavior (under the age of 18, aged 35 and above, birth interval shorter than 24 months, or more than three total births) between 2003 and 2018. Utilizing secondary data from the 2003, 2008, 2013, and 2018 waves of the Turkey Demographic and Health Survey (TDHS), this cross-sectional study examines the usage rates of modern and traditional contraceptive methods, as well as temporal trends over the years. Findings reveal an increase in the use of modern methods during the study period; however, a substantial proportion of women in high-risk fertility categories still do not use any method. Intrauterine devices (IUDs) and male condoms were the most commonly used modern methods, while withdrawal remained the leading traditional method. The results highlight the need for family planning services to be more effective, accessible, and sustainable for this specific group of women.

References

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Ahmed, S., Li, Q., Liu, L., & Tsui, A. O. (2012). Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet (London, England), 380(9837), 111–125. https://doi.org/10.1016/S0140-6736(12)60478-4
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Keywords

Family planning
high-risk fertility behavior
TDHS (Turkey Demographic and Health Survey)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

1.

Contraceptive Use Patterns Among Women with High-Risk Fertility Behavior in Turkey: An Analysis of the 2003–2018 Turkey Demographic and Health Survey Data. SoSa [Internet]. 2025 May 28 [cited 2025 Jun. 8];(14):44-52. Available from: https://sosabulten.com/index.php/sosa/article/view/165

[1] Adolescent pregnancy. (n.d.). Retrieved September 18, 2023, from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

[2] Ahmed, S., Li, Q., Liu, L., & Tsui, A. O. (2012). Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet (London, England), 380(9837), 111–125. https://doi.org/10.1016/S0140-6736(12)60478-4

[3] Ba, D. M., Ssentongo, P., Agbese, E., & Kjerulff, K. H. (2019). Prevalence and predictors of contraceptive use among women of reproductive age in 17 sub-Saharan African countries: A large population-based study. Sexual & Reproductive Healthcare, 21, 26–32. https://doi.org/10.1016/J.SRHC.2019.06.002

[4] Bai, J., Wong, F. W. S., Bauman, A., & Mohsin, M. (2002). Parity and pregnancy outcomes. American Journal of Obstetrics and Gynecology, 186(2), 274–278. https://doi.org/10.1067/mob.2002.119639

[5] Campbell, O. M., & Graham, W. J. (2006). Strategies for reducing maternal mortality: getting on with what works. Lancet (London, England), 368(9543), 1284–1299. https://doi.org/10.1016/S0140-6736(06)69381-1

[6] Çavlin, A., & Çağatay, P. (2020). Türkiye’de Karşılanmamış Aile Planlaması İhtiyacı. https://turkiye.unfpa.org/sites/default/files/pub-pdf/ap-unmetneed-tr_3.pdf

[7] Chandra-Mouli, V., Camacho, A. V., & Michaud, P. A. (2013). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Journal of Adolescent Health, 52(5), 517–522. https://doi.org/10.1016/j.jadohealth.2013.03.002

[8] Cleland, J., Conde-Agudelo, A., Peterson, H., Ross, J., & Tsui, A. (2012). Contraception and health. Lancet (London, England), 380(9837), 149–156. https://doi.org/10.1016/S0140-6736(12)60609-6

[9] Conde-Agudelo, A., Rosas-Bermúdez, A., & Kafury-Goeta, A. C. (2006). Birth spacing and risk of adverse perinatal outcomes: a meta-analysis. JAMA, 295(15), 1809–1823. https://doi.org/10.1001/JAMA.295.15.1809

[10] Contraception. (n.d.). Retrieved September 18, 2023, from https://www.who.int/health-topics/contraception#tab=tab_2

[11] Family planning/contraception methods. (n.d.). Retrieved September 21, 2023, from https://www.who.int/en/news-room/fact-sheets/detail/family-planning-contraception

[12] Kirby, D. (2007). Emerging Answers 2007: Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. Full Report.

[13] Lisonkova, S., Janssen, P. A., Sheps, S. B., Lee, S. K., & Dahlgren, L. (2010). The effect of maternal age on adverse birth outcomes: does parity matter? Journal of Obstetrics and Gynaecology Canada : JOGC = Journal d’obstetrique et Gynecologie Du Canada : JOGC, 32(6), 541–548. https://doi.org/10.1016/S1701-2163(16)34522-4

[14] Lisonkova, S., Potts, J., Muraca, G. M., Razaz, N., Sabr, Y., Chan, W. S., & Kramer, M. S. (2017). Maternal age and severe maternal morbidity: A population-based retrospective cohort study. PLoS Medicine, 14(5). https://doi.org/10.1371/JOURNAL.PMED.1002307

[15] Prata, N., Passano, P., Sreenivas, A., & Gerdts, C. E. (2010). Maternal mortality in developing countries: challenges in scaling-up priority interventions. Women’s Health (London, England), 6(2), 311–327. https://doi.org/10.2217/WHE.10.8

[16] Rawaf, S., Allen, L., Dubois, E., Majeed, A., Myrup, A. C., Raheem, M., Rawaf, D., & Razavi, A. (2018). Primary health care: closing the gap between public health and primary care through integration. https://iris.who.int/bitstream/handle/10665/326458/WHO-HIS-SDS-2018.49-eng.pdf?sequence=1&isAllowed=y

[17] Rutstein, S. O. (2005). Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 89 Suppl 1(SUPPL. 1). https://doi.org/10.1016/J.IJGO.2004.11.012

[18] Rutstein, S., & Winter, R. (2015). Contraception needed to avoid high-fertility-risk births, and maternal and child deaths that would be averted. https://paa.confex.com/paa/2016/mediafile/ExtendedAbstract/Paper5972/Rutstein_Winter_PAA_2016_Extended_Abstract_hrb.pdf

[19] Theodore H., Tulchinsky MD, M. E. A., Varavikova MD, M. P. M. J., & Cohen MD, M. P. (2023). Family health and primary prevention. In The New Public Health (4th ed., pp. 467–549). Academic Press. https://doi.org/10.1016/B978-0-12-822957-6.00007-7

[20] Türkiye İstatistik Kurumu, Doğum İstatistikleri, 2018. (2019, May 17). https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2018-30696#:~:text=Canlı%20doğan%20bebek%20sayısı%201,milyon%20248%20bin%20847%20oldu.

[21] United Nations Department of Economic and Social Affairs, P. D. (2022). World Family Planning 2022 Meeting the changing needs for family planning: Contraceptive use by age and method. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2023/Feb/undesa_pd_2022_world-family-planning.pdf

[22] WHO. (n.d.). WHO Data : Türkiye. Retrieved January 14, 2025, from https://data.who.int/countries/792