en مقاله اصيل پژوهشي Orginal Article <strong>Background</strong>: Women often have many reproductive health problems in developing countries. Economic and social factors play a vital role in health outcomes. This study aimed-predict women&rsquo;s reproductive health from socio-economic status in Ardabil City, Iran in 2020.<br> <strong>Methods</strong>: A cross-sectional study was conducted based on a prospective cohort study in Ardabil in March 2020. Out of 9,000 eligible participants (35-70 years old and living in Ardabil), 368 women were included in the study with systematic random sampling. A checklist was used-collect all patient information from the Ardabil Persian Cohort study. Data were analyzed using descriptive statistics, logistic regression, and multivariate regression analysis. The significance level was 5%. Data were examined using statistical SPSS software, version 21.<br> <strong>Results</strong>: The results showed a significant statistical relationship between socio-economic status and women&rsquo;s reproductive health (P<0.001). Women with higher socio-economic status had fewer reproductive health issues, such as infertility (P<0.001), and tubectomy (P=0.004), abortion (P<0.001), stillbirth (P<0.001), atypical menopause (P<0.001) and hysterectomy (P=0.021).<br> <strong>Conclusion</strong>: The findings showed a significant inequality in reproductive health status among women who were at different socio-economic levels. Policymakers should consider these results-promote women&rsquo;s reproductive health.&nbsp;<br> &nbsp; Socio-economic status, Reproductive health, Women 19 26 http://jrh.gmu.ac.ir/browse.php?a_code=A-10-2027-1&slc_lang=en&sid=1 Hamed Zandian H.zadian@arums.ac.ir 100319475328460025839 100319475328460025839 No Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran. Farhad Pourfarzi f.pourfarzi@arums.ac.ir 100319475328460025840 100319475328460025840 No Department of Community Medicine, Digestive Diseases Research Center, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran. Afrouz Mardi mardi1151@gmail.com 100319475328460025841 100319475328460025841 Yes Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran. Telma Zahirian T.zahiran@arums.ac.ir 100319475328460025842 100319475328460025842 No Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran. Atefeh Shadman drshadman2013@gamil.com 100319475328460025843 100319475328460025843 No Department of Community Medicine, Social Determinants of Health Research Center, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.