ArticleBMC pregnancy and childbirth2014
Empowerment and use of antenatal care among women in Ghana: a cross-sectional study.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The associations between intimate partner violence and maternal health care service utilization: a systematic review and meta-analysis.BMC women's health · 2019Pooled it
- Intimate partner violence and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis.Reproductive health · 2018Pooled it
- Women's decision-making autonomy and early antenatal care initiation in Ghana: a propensity score-matched analysis.BMC women's health · 2026Article
- Intimate partner violence and timely antenatal care visits in sub-Saharan Africa.Archives of public health = Archives belges de sante publique · 2022Article
- Factors that affect the utilisation of maternal healthcare in the Mchinji District of Malawi.PloS one · 2022Article
- Temporal relationship between Women's empowerment and utilization of antenatal care services: lessons from four National Surveys in sub-Saharan Africa.BMC pregnancy and childbirth · 2021Article
- Intimate partner violence and maternal health services utilization: evidence from 36 National Household Surveys.BMC public health · 2021Article
- Sexual Relationship Power and Socio-demographic Factors Predicting Contraceptive Use, Antenatal Visits and Sick Child Health Service Use in Northern Togo.Maternal and child health journal · 2020Article
- The Role of Women's Autonomy and Experience of Intimate Partner Violence as a Predictor of Maternal Healthcare Service Utilization in Nepal.International journal of environmental research and public health · 2019Article
- Relationship between empowerment and wealth: trends and predictors in Kenya between 2003 and 2008-2009.International journal of public health · 2018Article
- Attendance at antenatal clinics in inner-city Johannesburg, South Africa and its associations with birth outcomes: analysis of data from birth registers at three facilities.BMC public health · 2017Article
- Article
- Psychological Empowerment Model in Iranian Pregnant Women.International journal of community based nursing and midwifery · 2016Article
- Predictors of Prenatal Empowerment Among Iranian Pregnant Women.Electronic physician · 2016Article
- Skilled Antenatal Care Service Utilization and Its Association with the Characteristics of Women's Health Development Team in Yeky District, South-West Ethiopia: A Multilevel Analysis.Ethiopian journal of health sciences · 2016Article
- The relationship of women's status and empowerment with skilled birth attendant use in Senegal and Tanzania.BMC pregnancy and childbirth · 2015Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmpowerment among women in the context of a romantic relationship may affect the use of reproductive healthcare services; however, current literature examining this association is limited and inconsistent. We therefore aimed to examine the relationship between several measures of empowerment and use of inadequate antenatal care among women in Ghana.
methodsWe conducted a cross-sectional study using data from a nationally representative cohort of women in Ghana. Our analytic sample was limited to non-pregnant women who had been pregnant and involved in a relationship within the last 12 months. We used multivariable logistic regression to assess the associations between empowerment and inadequate use of antenatal care and interaction terms to assess moderation by education.
resultsApproximately 26% of women received inadequate antenatal care. Multivariable analysis indicated that having experienced physical abuse in the past year was directly associated with inadequate use of antenatal care (OR = 5.12; 95% CI = 1.35, 19.43) after adjusting for socio-demographic characteristics. This effect was particularly pronounced among women with no formal education and was non-significant among women with at least some formal education (P-value for interaction <0.001).
conclusionsResults suggest that improving use of reproductive health care services will require reducing partner abuse and enhancing empowerment among women in Ghana and other low-income countries, particularly among those with no formal education. Furthermore, the involvement of male partners will be critical for improving reproductive health outcomes, and increasing education among girls in these settings is likely a strong approach for improving reproductive health and buffering effects of low empowerment among women.
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