Dinç G.Eser E.Cihan U.A.Ay S.Pala T.Ergör G.Özcan C.2024-07-222024-07-22200714730782http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19352Objectives: To explore the differences in unwanted fertility in different parts of a city. Methods: Data were obtained from the 1999 Manisa Demographic and Health Survey (MDHS) in Turkey. We collected information from a representative sample of 1728 ever-married women aged 15-49 years on fertility, fertility preferences, unmet need for family planning, contraceptive discontinuation, and abortion. Data were analyzed using SPSS 10.0 for Windows®. Results: Of the persons studied, 1238 (71.6%) were living in urban settlements and 490 (28.4%) in suburban (gecekondu) settlements. The total fertility rate is higher among gecekondu women (2.42) than among urban women (2.14) although gecekondu women have a lower wanted fertility rate (1.54) than urban women (1.77). Married women in the urban area were currently using a contraceptive method more frequently (75.6%) than those living in the gecekondu area (61.7%) (OR 2.5; 95% CI 1.9-3.2; p < 0.001). The unmet need percentage in gecekondu women (17.7%) is higher than in urban women (8.3%; p < 0.001). The induced abortion rate is higher in urban women (14.8 per 1000 pregnancies) than in gecekondu women (7.1 per 1000 pregnancies; OR 2.1; 95% CI 1.4-3.1; p < 0.001). Conclusions: There are inequalities in the achievement of fertility preferences and in accessibility to family planning services between urban and suburban parts of the city. © 2007 European Society of Contraception.EnglishAdolescentAdultAge DistributionContraception BehaviorFamily Planning ServicesFemaleFertilityHealth Services AccessibilityHealth Services Needs and DemandHumansMiddle AgedQuestionnairesSuburban Health ServicesTurkeyUrban Health Servicescontraceptive agentabortionadolescentadultarticlecomputer programcontraceptioncontrolled studyfamily planningfemalefertilityhumaninduced abortioninformationmajor clinical studypriority journalsexual behaviorsuburban areaturkey (bird)urban areaArticle10.1080/13625180601141227