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Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries

Understanding the factors associated with women’s autonomy to refuse risky sex is imperative to inform the development of policies and interventions to reduce the risk of unintended pregnancies, sexually transmitted infections, unsafe abortion, and maternal mortality. This study sought to examine th...

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Autores principales: Budu, Eugene, Ahinkorah, Bright Opoku, Okyere, Joshua, Seidu, Abdul-Aziz, Aboagye, Richard Gyan, Yaya, Sanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501590/
https://www.ncbi.nlm.nih.gov/pubmed/37708097
http://dx.doi.org/10.1371/journal.pgph.0002350
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author Budu, Eugene
Ahinkorah, Bright Opoku
Okyere, Joshua
Seidu, Abdul-Aziz
Aboagye, Richard Gyan
Yaya, Sanni
author_facet Budu, Eugene
Ahinkorah, Bright Opoku
Okyere, Joshua
Seidu, Abdul-Aziz
Aboagye, Richard Gyan
Yaya, Sanni
author_sort Budu, Eugene
collection PubMed
description Understanding the factors associated with women’s autonomy to refuse risky sex is imperative to inform the development of policies and interventions to reduce the risk of unintended pregnancies, sexually transmitted infections, unsafe abortion, and maternal mortality. This study sought to examine the prevalence and factors associated with women’s autonomy to refuse risky sex in sub-Saharan Africa (SSA). Data for the study were extracted from the most recent Demographic and Health Surveys (DHS) of thirty countries in SSA conducted from 2010 to 2020. We included a weighted sample of 260,025 women who were married or cohabiting in the final analysis. Percentages were used to present the results of the prevalence of women’s ability to refuse risky sex. We used a multilevel logistic regression analysis to examine the factors associated with women’s ability to refuse risky sex. Stata software version 16.0 was used for the analysis. We found that 61.69% (95% confidence interval [CI]: 56.22–67.15) of the women were autonomous to refuse sex if their partners have other women, and this was highest in Namibia (91.44% [95% CI: 90.77–92.18]) and lowest in Mali (22.25% [95% CI: 21.24–23.26]). The odds of autonomy in refusing risky sex was higher among women with higher education (adjusted odds ratio [aOR] = 1.88; 95% CI = 1.78–1.46) compared to those with no formal education. Employment status was also a significant predictor, with working women having higher odds of sex refusal compared to non-working women (aOR = 1.16; 95% CI = 1.13–1.18). Advocacy to improve women’s autonomy to refuse risky sex must leverage the mass media as it emerged as a significant factor. Policies and intervention to enhance women’s autonomy must also target high-risk sub-populations which constitutes adolescent girls, those with no formal education, and those without employment.
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spelling pubmed-105015902023-09-15 Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries Budu, Eugene Ahinkorah, Bright Opoku Okyere, Joshua Seidu, Abdul-Aziz Aboagye, Richard Gyan Yaya, Sanni PLOS Glob Public Health Research Article Understanding the factors associated with women’s autonomy to refuse risky sex is imperative to inform the development of policies and interventions to reduce the risk of unintended pregnancies, sexually transmitted infections, unsafe abortion, and maternal mortality. This study sought to examine the prevalence and factors associated with women’s autonomy to refuse risky sex in sub-Saharan Africa (SSA). Data for the study were extracted from the most recent Demographic and Health Surveys (DHS) of thirty countries in SSA conducted from 2010 to 2020. We included a weighted sample of 260,025 women who were married or cohabiting in the final analysis. Percentages were used to present the results of the prevalence of women’s ability to refuse risky sex. We used a multilevel logistic regression analysis to examine the factors associated with women’s ability to refuse risky sex. Stata software version 16.0 was used for the analysis. We found that 61.69% (95% confidence interval [CI]: 56.22–67.15) of the women were autonomous to refuse sex if their partners have other women, and this was highest in Namibia (91.44% [95% CI: 90.77–92.18]) and lowest in Mali (22.25% [95% CI: 21.24–23.26]). The odds of autonomy in refusing risky sex was higher among women with higher education (adjusted odds ratio [aOR] = 1.88; 95% CI = 1.78–1.46) compared to those with no formal education. Employment status was also a significant predictor, with working women having higher odds of sex refusal compared to non-working women (aOR = 1.16; 95% CI = 1.13–1.18). Advocacy to improve women’s autonomy to refuse risky sex must leverage the mass media as it emerged as a significant factor. Policies and intervention to enhance women’s autonomy must also target high-risk sub-populations which constitutes adolescent girls, those with no formal education, and those without employment. Public Library of Science 2023-09-14 /pmc/articles/PMC10501590/ /pubmed/37708097 http://dx.doi.org/10.1371/journal.pgph.0002350 Text en © 2023 Budu et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Budu, Eugene
Ahinkorah, Bright Opoku
Okyere, Joshua
Seidu, Abdul-Aziz
Aboagye, Richard Gyan
Yaya, Sanni
Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title_full Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title_fullStr Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title_full_unstemmed Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title_short Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
title_sort women’s autonomy in refusing risky sex in sub-saharan africa: evidence from 30 countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501590/
https://www.ncbi.nlm.nih.gov/pubmed/37708097
http://dx.doi.org/10.1371/journal.pgph.0002350
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