Introduction: One of the cultural problems of Third World countries is sexual pre-ference attitudes. Gender is an important determinant of women's reproductive beh-avior in south Asia and Middle East cou-ntries. This study aimed to evaluate the effect of sexual preference on fertility of women in Kangavar city.
Materials & Methods: This cross-sectional study was done on 279 women who had at least 3 children and experienced their fourth and more pregnancy during the last 2 years. Databases were collected through house-hold health records in health networks. D-ata was extracted and analyzed by SPSS17 and appropriate statistical tests.
Findings: The mean age of participants was 38.9±3.4 years. 41% of participants were illiterate and the rest had elementary and seconddary education. 61% of participants were living in village. Results of correlation tests showed that male´s and female´s education and their place of residence had a significant relationship with high women's fertility (P<0.001). Regression results also showed that the number of male children was the main explanatory of high women's fertility (72%).
Discussion & Conclusion: Given the rela-tionship between education with sexual pre-ference and high fertility, efforts to promote the education of women and men to reduce sexual preference are recommended.