Türkiye’de Üreme Çağındaki Bireylerde Dini Tutumlar, Kültürel Duyarlılık ve Aile Planlaması
Yıl 2025,
Cilt: 10 Sayı: 3, 435 - 450, 25.12.2025
Ebru Cirban Ekrem
,
Duygu Bayrak
,
Emre Çaça
Öz
Amaç: Üreme ve aile planlaması konusunda toplumsal, dini ve kültürel unsurlar önemli rol oynamaktadır. Din ve kültüre duyarlı aile planlaması hizmetleri, yöntem kullanım düzeyini arttırabilir. Bu araştırmanın amacı, üreme çağındaki bireylerin üreme ve aile planlaması tutumları ile dini tutumları ve kültürel duyarlılıkları arasındaki ilişkiyi incelemektir.
Yöntem: Kesitsel ilişki arayan tipteki araştırmanın evrenini Türkiye’de yaşayan üreme çağındaki (18-49 yaş) bireyler oluşturmuştur. Örneklem güç analizi ile 235 olarak hesaplanmıştır. Araştırma 485 katılımcı ile tamamlanmıştır. Veriler Aralık 2023-Nisan 2024 tarihleri arasında “Tanıtıcı Bilgi Formu”, “Üreme ve Aile Planlaması Tutum Ölçeği (ÜAPTÖ)”, “Ok Dini Tutum Ölçeği (ODTÖ)” ve “Kültürel Duyarlılık Ölçeği (KDÖ)” ile online olarak toplanmıştır.
Bulgular: Katılımcıların ÜAPTÖ toplam puan ortalaması 211,65±38,46, ODTÖ toplam puan ortalaması 28,03±7,89 ve KDÖ toplam puan ortalaması 81,81±15,62’dir. Katılımcıların dini tutum, kültürel duyarlılık ile üreme ve aile planlaması tutumu arasında pozitif yönde bir ilişki vardı (p<0,001). Katılımcıların üreme ve aile planlaması tutumlarına ilişkin toplam varyansın %45’ini dini tutumları ve kültürel duyarlılıkları açıklamaktaydı.
Sonuç ve Öneriler: Katılımcıların üreme ve aile planlaması tutumları olumlu, dindarlık seviyelerinin yüksek ve kültürel duyarlılıkları iyi düzeydeydi. Üreme ve aile planlaması ile dini tutumun ve kültürel duyarlılığın birbirlerini olumlu yönde etkilediği görülmüştür. Katılımcıların üreme ve aile planlaması tutumunun yaklaşık yarısını dini tutumları ve kültürel duyarlılıkları oluşturmuştur.
Proje Numarası
Bu çalışma proje kapsamında yapılmamıştır.
Kaynakça
-
Aydın, A., & Güner, Ö. (2021). Psychological effects of the pandemic and healthy lifestyle awareness among working women. Turkish Journal of Family Medicine and Primary Care, 15(3), 602-609. https://doi.org/10.21763/tjfmpc.909485
-
Aydoğdu, S. G. M., & Akça, E. (2018). Use of family planning methods by women applicants to Amasya central public health centre and influencing factors. Journal of Continuing Medical Education, 27(6), 384-391.
-
Baker, J. L., & Collins, W. C. (2020). Exploring the relationship between reproductive health attitudes and family planning: A meta-analysis. Journal of Health Psychology, 25(8), 1125-1138. https://doi. org/10.1177/1359105318761350
-
Bakibinga, P., N. Mutombo, C. Mukiira, E. Kamande, A. Ezeh, & Muga. R. (2016). The influence of religion and ethnicity on family planning approval: A case for women in rural western Kenya. Journal of Religion and Health, 55(1), 192–205. https://doi.org/10.1007/s10943-015-0030-9
-
Bulduk, S., Tosun, H., & Ardıç, E. (2011). Measurement properties of Turkish intercultural sensitivity Scale among nursing students. Turkiye Klinikleri Journal of Medical Ethics, 19(1), 25-31
-
Cordeiro, A.A., Gumanneh, H., Nzali, A., Lambert, V.J., Yussuph, A., Kihunrwa, A., Mchondo, Y., Mtita, R., Yahaya, H., Kalluvya, S.E., Wamoyi, J., Suleman, M., & Downs, J.A. (2025). Evaluation of a pilot family planning educational seminar and subsequent attitudes towards family planning among Muslim communities in Tanzania. PLOS One, 20(2): e0315410. https://doi.org/10.1371/journal.pone.0315410
-
Deva, R., Ramani, D., Divate, T., Jalota, S., & Ismail, A. (2025). “Kya family planning after marriage hoti hai?”: Integrating Cultural Sensitivity in an LLM Chatbot for Reproductive Health. In Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems (CHI ‘25). Association for Computing Machinery, New York, NY, USA, Article 638, 1–23. https://doi.org/10.1145/3706598.3713362
-
D’Souza, P., Bailey, JV, Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally: A synthesis of systematic reviews. The European Journal Of Contraception & Reproductive Health Care, 27(5), 364–372. https://doi.org/10.1080/13625187.2022.2096215
-
Dynes, M. M., Bernstein, E., Morof, D., Kelly, L., Ruiz, A., Mongo, W., Chaote, P., Bujari, R. N., & Serbanescu, F. (2018). Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma region, Tanzania: A cross-sectional study, April-July 2016. Reproductive Health, 15, 152. https://doi.org/10.1186/s12978-018-0593-5
-
Eraslan, H., & Aymankuy, Y. (2023). A Research to Measure the Level of Cultural Sensitivity of Local People: The Case of Halfeti. International Journal of Tourism and Destination Studies, 2(1), 58-69.
-
Flores, R., Trajera, S.M., & Ching, G.S. (2025). Attitudes and barriers to family planning methods among reproductive-age women in Southern Philippines. Edelweiss Applied Science and Technology, 9(2), 1337-1352. https://doi.org/10.55214/25768484.v9i2.4767
-
Gavas, E., & İnal, S. (2019). The family planning methods using status and attitudes of women in Turkey: A systematic review. The Journal of Health and Life Sciences, 1(2), 37-43. https://doi.org/10.33308/2687248X.201912118
-
Götmark, F., & Andersson, M. (2020). Human fertility in relation to education, economy, religion, contraception, and family planning programs. BMC Public Health, 20, 265. https://doi.org/10.1186/s12889-020-8331-7
-
Gözükara, F., Kabalcıoğlu, F., & Ersin, F. (2015). Determining the attitudes of woman towards family planning in Şanlıurfa. Journal of Harran University Medical Faculty, 12(1), 9-16.
-
Hossain, M., Khan, M., Ababneh, F., & Shaw, J. E. H. (2018). Identifying factors influencing contraceptive use in Bangladesh: evidence from BDHS 2014 data. BMC Public Health, 18, 192. https://doi.org/10.1186/s12889-018-5098-1
-
İbar Aydın, E., & Çıtak Bilgin, N. (2020). Relationship among family planning attitude, gender and religious orientation of individuals preparing for marriage. Eurasian Journal of Family Medicine, 9(4), 214-224. https://doi.org/10.33880/ejfm.2020090404
-
Kantorová, V., Wheldon, M. C., Ueffing, P., & Dasgupta, A. N. Z. (2020). Estimating progress towards meeting women’s contraceptive needs in 185 countries: A bayesian hierarchical modeling study. PLOS Medicine, 17(2),e1003026. https://doi.org/10.1371/journal.pmed.1003026
-
Karaoğlan, S. E., & Duman, M. Z. (2017). The effects of religious beliefs and attitudes on fertility (Van province
example. Journal of International Social Research, 50(10), 391-404.
-
Kökcü, T. A. (2010). The effect of the reproductive health and family planning educations being given in a training unit of TAF on ethical issues in this field (PhD Dissertion). Osmangazi Univercity, Eskişehir.
-
Liu, R., Mazza, D., Li, C.K., & Subasinghe, A.K. (2024). What do women need to know about long-acting reversiblecontraception? Perspectives of women from culturallyand linguistically diverse backgrounds. Health Promotion Journal of Australia, 35(2), 276–284. https://doi.org/10.1002/hpja.743
-
Mjaaland, T. (2018). Negotiating gender norms in education access in north-west Tigray, Ethiopia. Gender and Education, 30(1), 139-155. https://doi.org/10.1080/09540253.2016.1175550
-
Nazik, F., Mumcu, Ş., Sönmez, M., Yılmaz, A. N., & Doğan Yüksekol, Ö. (2021). Determination of attitudes of 15-49
age married women towards family planning. Ordu University Journal of Nursing Studies, 4(3), 326-336.
https://doi.org/10.38108/ouhcd.881578
-
Nguyen, C., Lee, K., & Kim, M. (2020). Exploring cultural and religious factors in family planning decision-making: A cross-cultural study in Asia and Africa. Journal of Cross-Cultural Psychology, 51(5), 589-604. https://doi. org/10.1016/S1701-2163(16)32736-0
-
Ojo, O.J., & Afolabi, D.A. (2025). Impact of religious and cultural beliefs on family planning and well-being of children in Saki West local government. Unizik Journal of Educational Research and Policy Studies, 19(4), 86-105.
-
Ok, Ü. (2016). The Ok-Religious Attitude Scale (Islam): Introducing an instrument originated in Turkish for international use. Journal of Beliefs & Values, 37(1), 55–67. https://doi.org/10.1080/13617672.2016.1141529
-
Ortaç, G., & Koruk, F. (2024). The attıtudes and behavıors of women towards family planning in the postpartum perıod in Sanlıurfa. Gazi Journal of Health Sciences, 9(2), 54-65. https://doi.org/10.52881/gsbdergi.1421328
-
Oyediran, K. A., Ishola, G., & Bankole, A. (2020). Religion and unintended childbearing in Nigeria: A regional perspective. Reproductive Health, 17, 15. https://doi.org/10.1186/s41118-020-00084-5
-
Öztaş, Ö., Artantaş, B.A., Tetik, K.B., Yalçıntaş, A., Üstü, Y., & Uğurlu, M. (2015). 18-49 yaş grubu evli kadınların üreme sağlığı ve kontrasepsiyon hakkındaki bilgi, tutum ve davranışları. Ankara Medical Journal, 15(2), 67-76.
-
Pinter, B., Hakim, M., Seidman, D.S., Kubba, A., Kishen, M., & Carlo, C.D. (2016). Religion and family planning. The
European Journal of Contraception & Reproductive Health Care, 21(6), 486–495. https://doi.org/10.1080/
13625187.2016.1237631
-
Semachew Kasa, A., Tarekegn, M. & Embiale, N. (2018). Knowledge, attitude and practice towards family planning among reproductive age women in a resource limited settings of Northwest Ethiopia. BMC Research Notes, 11, 577. https://doi.org/10.1186/s13104-018-3689-7
-
Smith, A., & Johnson, B. (2019). Cultural and religious influences on family planning decision-making: A comparative study. Journal of Population Health, 12(3), 245-260.
-
Stacey, D. (2019). What do religions say about birth control and family planning. Retrieved January 1, 2025 from https://www.verywellhealth.com/the-pill-pros-vs-cons-906927
-
Sundararajan, R., Yoder, L. M., Kihunrwa, A., Aristide, C., Kalluvya, S. E., Downs, D. J., Mwakisole, A. H., & Downs, J.
A. (2019). How gender and religion impact uptake of family planning: Results from a qualitative study in
north-western Tanzania. BMC Women’s Health, 19, 99. https://doi.org/10.1186/s12905-019-0802-6
-
Şolt, A., & Bulut, S. (2023). Attitudes of married women registered with the family health center about reproductive health and family planning. Black Sea Journal of Health Science, 6(1), 57-63. https://doi.org/10.19127/bshealthscience.1172022
-
Tanrıverdi, F. Ş., & Demirezen, E. (2021). The Dimension of Male Contraception in Reproductive Health. Halic University Journal of Health Sciences, 4(2), 115-122. https://doi.org/10.48124/husagbilder.840493
-
Turgay, Ş. (2018). Research of the relationship between married couples’ marital adjustment and religious attitudes. Turkish Studies, 13(3), 691–722. https://doi.org/10.7827/TurkishStudies.
-
Türkiye Demographic and Health Survey. 2018. Hacettepe University Institute of Population Studies, Ankara, Türkiye. Retrieved January 2, 2025 from https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20%20raporlar/2018%20TNSA/TNSA2018_ana_Rapor_compressed.pdf
-
World Health Organization. 2025. Family Planning/Contraception Methods. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception
Religious Attitudes, Cultural Sensitivity, and Family Planning Individuals of Reproductive Age in Türkiye
Yıl 2025,
Cilt: 10 Sayı: 3, 435 - 450, 25.12.2025
Ebru Cirban Ekrem
,
Duygu Bayrak
,
Emre Çaça
Öz
Aim: This study sought to examine the relationship between the reproductive and family planning (FP) attitudes of individuals of reproductive age in Türkiye and their religious attitudes and cultural sensitivity.
Method: A cross-sectional study was conducted among 485 individuals aged 18–49 years living in Türkiye. The sample size was calculated as 235 using power analysis. The study was completed with 485 participants recruited online. Instruments included the Descriptive Information Form, the Reproductive Health and Family Planning Attitude Scale (RHFPAS), the Ok-Religious Attitude Scale
(ORAS-I), and the Intercultural Sensitivity Scale (ISS).
Results: The participants’ mean RHFPAS, ORAS-I, and ISS scores were 211.65±38.46, 28.03±7.89, and 81.81±15.62, respectively. There was a statistically significant positive association between religious attitudes, cultural sensitivity, and reproductive and FP attitudes (p<0.001). Religious attitudes and cultural sensitivity together accounted for 45% of the variance in reproductive and FP attitudes.
Conclusions and Suggestions: Individuals of reproductive age in Türkiye demonstrated positive reproductive and FP attitudes, high religiosity, and moderate to high cultural sensitivity. Religious attitudes and cultural sensitivity significantly predicted reproductive and FP attitudes, accounting for nearly half of the explained variance. These findings highlight the importance of incorporating religious and cultural perspectives into FP counselling and education programs.
Etik Beyan
Ethical approval was obtained from the Social and Human Sciences Ethics Committee of the university to which the researchers were affiliated (Protocol No: 2023-SBB-0825, Date: December 11, 2023). Following the Declaration of Helsinki, written informed consent was obtained from the participants on the first page of the data collection form.
Proje Numarası
Bu çalışma proje kapsamında yapılmamıştır.
Kaynakça
-
Aydın, A., & Güner, Ö. (2021). Psychological effects of the pandemic and healthy lifestyle awareness among working women. Turkish Journal of Family Medicine and Primary Care, 15(3), 602-609. https://doi.org/10.21763/tjfmpc.909485
-
Aydoğdu, S. G. M., & Akça, E. (2018). Use of family planning methods by women applicants to Amasya central public health centre and influencing factors. Journal of Continuing Medical Education, 27(6), 384-391.
-
Baker, J. L., & Collins, W. C. (2020). Exploring the relationship between reproductive health attitudes and family planning: A meta-analysis. Journal of Health Psychology, 25(8), 1125-1138. https://doi. org/10.1177/1359105318761350
-
Bakibinga, P., N. Mutombo, C. Mukiira, E. Kamande, A. Ezeh, & Muga. R. (2016). The influence of religion and ethnicity on family planning approval: A case for women in rural western Kenya. Journal of Religion and Health, 55(1), 192–205. https://doi.org/10.1007/s10943-015-0030-9
-
Bulduk, S., Tosun, H., & Ardıç, E. (2011). Measurement properties of Turkish intercultural sensitivity Scale among nursing students. Turkiye Klinikleri Journal of Medical Ethics, 19(1), 25-31
-
Cordeiro, A.A., Gumanneh, H., Nzali, A., Lambert, V.J., Yussuph, A., Kihunrwa, A., Mchondo, Y., Mtita, R., Yahaya, H., Kalluvya, S.E., Wamoyi, J., Suleman, M., & Downs, J.A. (2025). Evaluation of a pilot family planning educational seminar and subsequent attitudes towards family planning among Muslim communities in Tanzania. PLOS One, 20(2): e0315410. https://doi.org/10.1371/journal.pone.0315410
-
Deva, R., Ramani, D., Divate, T., Jalota, S., & Ismail, A. (2025). “Kya family planning after marriage hoti hai?”: Integrating Cultural Sensitivity in an LLM Chatbot for Reproductive Health. In Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems (CHI ‘25). Association for Computing Machinery, New York, NY, USA, Article 638, 1–23. https://doi.org/10.1145/3706598.3713362
-
D’Souza, P., Bailey, JV, Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally: A synthesis of systematic reviews. The European Journal Of Contraception & Reproductive Health Care, 27(5), 364–372. https://doi.org/10.1080/13625187.2022.2096215
-
Dynes, M. M., Bernstein, E., Morof, D., Kelly, L., Ruiz, A., Mongo, W., Chaote, P., Bujari, R. N., & Serbanescu, F. (2018). Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma region, Tanzania: A cross-sectional study, April-July 2016. Reproductive Health, 15, 152. https://doi.org/10.1186/s12978-018-0593-5
-
Eraslan, H., & Aymankuy, Y. (2023). A Research to Measure the Level of Cultural Sensitivity of Local People: The Case of Halfeti. International Journal of Tourism and Destination Studies, 2(1), 58-69.
-
Flores, R., Trajera, S.M., & Ching, G.S. (2025). Attitudes and barriers to family planning methods among reproductive-age women in Southern Philippines. Edelweiss Applied Science and Technology, 9(2), 1337-1352. https://doi.org/10.55214/25768484.v9i2.4767
-
Gavas, E., & İnal, S. (2019). The family planning methods using status and attitudes of women in Turkey: A systematic review. The Journal of Health and Life Sciences, 1(2), 37-43. https://doi.org/10.33308/2687248X.201912118
-
Götmark, F., & Andersson, M. (2020). Human fertility in relation to education, economy, religion, contraception, and family planning programs. BMC Public Health, 20, 265. https://doi.org/10.1186/s12889-020-8331-7
-
Gözükara, F., Kabalcıoğlu, F., & Ersin, F. (2015). Determining the attitudes of woman towards family planning in Şanlıurfa. Journal of Harran University Medical Faculty, 12(1), 9-16.
-
Hossain, M., Khan, M., Ababneh, F., & Shaw, J. E. H. (2018). Identifying factors influencing contraceptive use in Bangladesh: evidence from BDHS 2014 data. BMC Public Health, 18, 192. https://doi.org/10.1186/s12889-018-5098-1
-
İbar Aydın, E., & Çıtak Bilgin, N. (2020). Relationship among family planning attitude, gender and religious orientation of individuals preparing for marriage. Eurasian Journal of Family Medicine, 9(4), 214-224. https://doi.org/10.33880/ejfm.2020090404
-
Kantorová, V., Wheldon, M. C., Ueffing, P., & Dasgupta, A. N. Z. (2020). Estimating progress towards meeting women’s contraceptive needs in 185 countries: A bayesian hierarchical modeling study. PLOS Medicine, 17(2),e1003026. https://doi.org/10.1371/journal.pmed.1003026
-
Karaoğlan, S. E., & Duman, M. Z. (2017). The effects of religious beliefs and attitudes on fertility (Van province
example. Journal of International Social Research, 50(10), 391-404.
-
Kökcü, T. A. (2010). The effect of the reproductive health and family planning educations being given in a training unit of TAF on ethical issues in this field (PhD Dissertion). Osmangazi Univercity, Eskişehir.
-
Liu, R., Mazza, D., Li, C.K., & Subasinghe, A.K. (2024). What do women need to know about long-acting reversiblecontraception? Perspectives of women from culturallyand linguistically diverse backgrounds. Health Promotion Journal of Australia, 35(2), 276–284. https://doi.org/10.1002/hpja.743
-
Mjaaland, T. (2018). Negotiating gender norms in education access in north-west Tigray, Ethiopia. Gender and Education, 30(1), 139-155. https://doi.org/10.1080/09540253.2016.1175550
-
Nazik, F., Mumcu, Ş., Sönmez, M., Yılmaz, A. N., & Doğan Yüksekol, Ö. (2021). Determination of attitudes of 15-49
age married women towards family planning. Ordu University Journal of Nursing Studies, 4(3), 326-336.
https://doi.org/10.38108/ouhcd.881578
-
Nguyen, C., Lee, K., & Kim, M. (2020). Exploring cultural and religious factors in family planning decision-making: A cross-cultural study in Asia and Africa. Journal of Cross-Cultural Psychology, 51(5), 589-604. https://doi. org/10.1016/S1701-2163(16)32736-0
-
Ojo, O.J., & Afolabi, D.A. (2025). Impact of religious and cultural beliefs on family planning and well-being of children in Saki West local government. Unizik Journal of Educational Research and Policy Studies, 19(4), 86-105.
-
Ok, Ü. (2016). The Ok-Religious Attitude Scale (Islam): Introducing an instrument originated in Turkish for international use. Journal of Beliefs & Values, 37(1), 55–67. https://doi.org/10.1080/13617672.2016.1141529
-
Ortaç, G., & Koruk, F. (2024). The attıtudes and behavıors of women towards family planning in the postpartum perıod in Sanlıurfa. Gazi Journal of Health Sciences, 9(2), 54-65. https://doi.org/10.52881/gsbdergi.1421328
-
Oyediran, K. A., Ishola, G., & Bankole, A. (2020). Religion and unintended childbearing in Nigeria: A regional perspective. Reproductive Health, 17, 15. https://doi.org/10.1186/s41118-020-00084-5
-
Öztaş, Ö., Artantaş, B.A., Tetik, K.B., Yalçıntaş, A., Üstü, Y., & Uğurlu, M. (2015). 18-49 yaş grubu evli kadınların üreme sağlığı ve kontrasepsiyon hakkındaki bilgi, tutum ve davranışları. Ankara Medical Journal, 15(2), 67-76.
-
Pinter, B., Hakim, M., Seidman, D.S., Kubba, A., Kishen, M., & Carlo, C.D. (2016). Religion and family planning. The
European Journal of Contraception & Reproductive Health Care, 21(6), 486–495. https://doi.org/10.1080/
13625187.2016.1237631
-
Semachew Kasa, A., Tarekegn, M. & Embiale, N. (2018). Knowledge, attitude and practice towards family planning among reproductive age women in a resource limited settings of Northwest Ethiopia. BMC Research Notes, 11, 577. https://doi.org/10.1186/s13104-018-3689-7
-
Smith, A., & Johnson, B. (2019). Cultural and religious influences on family planning decision-making: A comparative study. Journal of Population Health, 12(3), 245-260.
-
Stacey, D. (2019). What do religions say about birth control and family planning. Retrieved January 1, 2025 from https://www.verywellhealth.com/the-pill-pros-vs-cons-906927
-
Sundararajan, R., Yoder, L. M., Kihunrwa, A., Aristide, C., Kalluvya, S. E., Downs, D. J., Mwakisole, A. H., & Downs, J.
A. (2019). How gender and religion impact uptake of family planning: Results from a qualitative study in
north-western Tanzania. BMC Women’s Health, 19, 99. https://doi.org/10.1186/s12905-019-0802-6
-
Şolt, A., & Bulut, S. (2023). Attitudes of married women registered with the family health center about reproductive health and family planning. Black Sea Journal of Health Science, 6(1), 57-63. https://doi.org/10.19127/bshealthscience.1172022
-
Tanrıverdi, F. Ş., & Demirezen, E. (2021). The Dimension of Male Contraception in Reproductive Health. Halic University Journal of Health Sciences, 4(2), 115-122. https://doi.org/10.48124/husagbilder.840493
-
Turgay, Ş. (2018). Research of the relationship between married couples’ marital adjustment and religious attitudes. Turkish Studies, 13(3), 691–722. https://doi.org/10.7827/TurkishStudies.
-
Türkiye Demographic and Health Survey. 2018. Hacettepe University Institute of Population Studies, Ankara, Türkiye. Retrieved January 2, 2025 from https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20%20raporlar/2018%20TNSA/TNSA2018_ana_Rapor_compressed.pdf
-
World Health Organization. 2025. Family Planning/Contraception Methods. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception