Multi-level predictors of sexual autonomy among married women in Nigeria

Solanke, Bola Lukman; Adetutu, Olufemi Mayowa; Sunmola, Kazeem Adebayo; Opadere, Ayodele Aderemi; Adeyemi, Nurat Kehinde; Soladoye, Daniel Alabi

doi:10.1186/s12905-022-01699-w

Cited by 4 publications

(4 citation statements)

References 51 publications

(102 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This could be due to their previous attachments with health facilities, which could expose them to reproductive health services information, including the need to take part in CC screening services. This is consistent with studies conducted in China [ 34 ].…”

Section: Discussionsupporting

confidence: 93%

“…This is also supported by another study that found more autonomous women are more likely to visit a health facility for health care service than their counterparts [ 33 ]. Interventions such as increasing women’s education [ 34 , 35 ] and raising awareness about women’s sexual right [ 36 , 37 ] have been effective to improve women sexual autonomy elsewhere in the world which might be benefit to be implemented in Ethiopia. Thus, the existing national policies should consider these interventions as a means to improve women sexual autonomy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study

et al. 2022

View full text Add to dashboard Cite

Cervical cancer (CC) is the fourth most common cancer in women worldwide and the leading cause of cancer deaths in developing countries. CC can be prevented through available preventive interventions. However, most patients in developing countries, such as Ethiopia, present late with advanced stage disease due to low participation in CC screening and require treatment involving multiple modalities. Women’s social, economic and cultural backgrounds have been associated with the level of participation in CC screening programmes. Therefore, this study aimed to assess women’s sexual autonomy as a determinant of lifetime CC screening among women in Addis Ababa, Ethiopia. An institutional-based case–control study was conducted in which controls were women who had received screening services during the last 5 years, and cases were randomly selected from women coming for other services but never screened or aware of the screening service. Accordingly, 294 women were enrolled. Data were collected by using a pre-tested standard questionnaire through interviewing. Bivariate and multivariable logistic regression analyses were performed to assess the women’s sexual autonomy as a determinant of lifetime CC screening. The study revealed higher sexual autonomy led to higher odds for having been screened (adjusted odds ratio (AOR) = 3.128, 95% CI (1.730, 5.658)). Moreover, direct referral to the screening service (AOR = 3.173, 95% CI (1.57, 6.45)) and parity had positively affected the lifetime uptake of CC screening (AOR = 2.844, 95% CI (1.344, 6.014)). We found that women’s own sexual autonomy was associated with the improvement of CC screening uptake. Empowering women could alleviate barriers to CC screening in the community.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…A study in India supports these explanations, and other previous studies, 24 , 25 that women's use of the Internet could provide them with the information needed to claim and exercise their reproductive health and rights. 49 …”

Section: Discussionmentioning

confidence: 99%

Internet use, exposure to digital family planning messages, and sexual agency among partnered women in Northern Nigeria: implications for digital family planning intervention

Okunlola,

Alawode,

Awoleye

et al. 2023

Sexual and Reproductive Health Matters

View full text Add to dashboard Cite

Digital health interventions are gaining ground in conflict-affected countries, but studies on their reproductive health benefits for women are scanty. Focusing on conflict-affected northern Nigeria, this study examined the relationships between Internet use, exposure to digital family planning messages via text messages or social media, and sexual agency – measured as the ability to refuse sex and ask a male partner to use a condom – among partnered women including the rural-urban differentials. Partnered women's data (n= 18,205) from the 2018 Nigeria Demographic and Health Survey were analysed using descriptive and multinomial logistic regression analyses. 44.6% of women are able to refuse sex, and 31.4% to ask a male partner to use a condom. Internet use was positively associated with women's ability to refuse sex in the northern region and urban areas, and across the region to ask a male partner to use a condom. It was also positively associated with women's uncertainty about asking a male partner to use a condom. Exposure to digital family planning messages was positively associated with women's ability to ask a male partner to use a condom across the region, in both urban and rural areas. However, exposure to digital family planning messages was negatively associated with women's uncertainty in urban areas about their ability to refuse sex. Implications of these findings for digital family planning interventions are discussed.

show abstract

“…Sexual autonomy is linked with women’s empowerment and has been conceptualized as a human rights issue. This is because sexual autonomy helps protect and maintain an informed decision over one’s body, one’s sexuality, and one’s sexual experience [ 12 – 14 ]. Evidence abounds that for a society to provide and promote women’s sexual autonomy, partner involvement cannot be overlooked as partner involvement increases awareness and recognition of women’s sexual autonomy [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Is sexual autonomy a protective factor against intimate partner violence? Evidence from 27 sub-Saharan African countries

Tesema,

Gbagbo,

Okeke

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Though women in sub-Saharan Africa have increased risk of intimate sexual violence, research on the association between sexual autonomy and intimate partner violence among this population has not received the requisite attention. Consequently, we investigated if sexual autonomy is a protective factor against intimate partner violence among women in sub-Saharan Africa. Methods Secondary data analysis was conducted based on the Demographic and Health Surveys (DHSs) of 27 sub-Saharan African countries from 2008 to 2021. A total of 104,523 married or cohabitating women were included in the study. We applied a multilevel Poisson regression model with robust variance to identify associated factors. Variables with a p-value<0.2 in the bi-variable multilevel Poisson regression analysis were considered for the multivariable analysis. The Adjusted Prevalence Ratio (APR) with its 95% confidence interval (CI) was reported, and variables with a p-value <0.05 were included in the multivariable analysis. Results The prevalence of intimate partner violence and sexual autonomy among women in SSA were 32.96% [95% CI: 32.68%, 33.25%] and 88.79% [95% CI: 88.59%, 88.97%], respectively. Women in Sierra Leone had the highest prevalence of IPV (52.71%) while Comoros had the lowest prevalence of IPV (8.09%). The prevalence of sexual autonomy was highest in Namibia (99.22%) and lowest in Mali (61.83%). The MOR value in the null model was 1.26. We found that women who had sexual autonomy are 1.28 times [APR = 1.28, 95% CI: 1.17, 1.40] more likely to experience IPV than women who had no sexual autonomy. Conclusion This study has demonstrated that sexual autonomy is significantly associated with intimate partner violence, however, it does not necessarily act as a protective factor. The study suggests the need for more education on intimate partner violence targeting women’s partners. This can help secure the commitment of the perpetrators to rather become proponents of anti-intimate partner violence and further offer women the necessary support for them to attain their full fundamental rights in all spheres of life.

show abstract

Multi-level predictors of sexual autonomy among married women in Nigeria

Cited by 4 publications

References 51 publications

Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study

Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study

Internet use, exposure to digital family planning messages, and sexual agency among partnered women in Northern Nigeria: implications for digital family planning intervention

Is sexual autonomy a protective factor against intimate partner violence? Evidence from 27 sub-Saharan African countries

Contact Info

Product

Resources

About