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

Budu, E; Ahinkorah, BO; Okyere, J; Seidu, A-A; Aboagye, RG; Yaya, S

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

Budu, E Ahinkorah, BO Okyere, J Seidu, A-A Aboagye, RG Yaya, S

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Publisher:: Public Library of Science (PLoS)
Publication Type:: Journal Article
Citation:: PLOS Global Public Health, 2023, 3, (9), pp. e0002350
Issue Date:: 2023

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Field	Value	Language
dc.contributor.author	Budu, E
dc.contributor.author	Ahinkorah, BO
dc.contributor.author	Okyere, J
dc.contributor.author	Seidu, A-A
dc.contributor.author	Aboagye, RG
dc.contributor.author	Yaya, S
dc.contributor.editor	Biney, AAE
dc.date.accessioned	2024-03-22T23:40:10Z
dc.date.available	2023-08-10
dc.date.available	2024-03-22T23:40:10Z
dc.date.issued	2023
dc.identifier.citation	PLOS Global Public Health, 2023, 3, (9), pp. e0002350
dc.identifier.issn	2767-3375
dc.identifier.issn	2767-3375
dc.identifier.uri	http://hdl.handle.net/10453/177026
dc.description.abstract	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
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Public Library of Science (PLoS)
dc.relation.ispartof	PLOS Global Public Health
dc.relation.isbasedon	10.1371/journal.pgph.0002350
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Women’s autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries
dc.type	Journal Article
utslib.citation.volume	3
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/DVC (Research)
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-03-22T23:40:07Z
pubs.issue	9
pubs.publication-status	Published
pubs.volume	3
utslib.citation.issue	9

Abstract:

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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http://hdl.handle.net/10453/177026