ArticleInternational journal of women's health2017
Sexual autonomy and contraceptive use among women in Nigeria: findings from the Demographic and Health Survey data.
Article in International journal of women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Sexual autonomy and contraceptive use among married or cohabiting female youth: insights from recent Ghana demographic and health survey.Contraception and reproductive medicine · 2026Article
- Prevalence and determinants of ability to refuse sex among women of reproductive age in Tanzania: evidence from national representative surveys.BMC women's health · 2026Article
- Socio-demographic factors, sexual autonomy, and self-reported sexually transmitted infection/symptoms among coupled women in Indonesia: A secondary analysis of a national survey.Belitung nursing journal · 2026Article
- Association between male absence and women's reproductive autonomy in sub-Saharan Africa: A cross-sectional analysis of Demographic and Health Survey Data.PLOS global public health · 2026Article
- Women's and girls' sexual empowerment differs by geographical context: a population-based validation study.BMC women's health · 2025Article
- Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.Reproductive health · 2025Article
- Article
- Joint decision on contraceptive use and determinant factors among married women of reproductive ages (15-49) in Ethiopia: a multilevel analysis using Ethiopian Demographic and Health Survey; 2016 data.BMC public health · 2024Article
- Decision-making pathways for contraceptive use among refugee and host populations in Adjumani district, Uganda; an exploratory study.BMC women's health · 2024Article
- Article
- Is sexual autonomy a protective factor against intimate partner violence? Evidence from 27 sub-Saharan African countries.PloS one · 2024Article
- Article
- Married women's decision-making autonomy on modern contraceptive use and its associated factors in high fertile sub-Saharan Africa countries: a multi-level analysis of Demographic and Health Surveys.Archives of public health = Archives belges de sante publique · 2023Article
- Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study.BMC women's health · 2023Article
- Prevalence of married women's decision-making autonomy on contraceptive use and its associated factors in high fertility regions of Ethiopia: a multilevel analysis using EDHS 2016 data.BMC public health · 2023Article
- Factors that determine women's autonomy to make decisions about sexual and reproductive health and rights in Nepal: A cross-sectional study.PLOS global public health · 2023Article
- Prevalence and determinants of contraceptive method use among Bangladeshi women of reproductive age: a multilevel multinomial analysis.BMC public health · 2022Article
- Article
- Determinants of fertility in Malawi: Does women autonomy dimension matter?BMC women's health · 2022Article
- Women's sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case-control study.BMC women's health · 2022Article
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5 authors.
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Abstract
contextThe persistent low contraceptive use and high fertility in Nigeria despite improvements in educational achievements calls for an examination of the role of factors, which may moderate the use of modern contraception. This article explores the influence of sexual autonomy on the use of modern contraceptive methods among women and its relative importance compared with other, more traditional, indicators of women's autonomy such as education and occupation. DATA AND
methodsData from two Demographic and Health Surveys (DHS), 2008 and 2013, were used in this study. An index of sexual autonomy was constructed by combining related DHS variables, and its association with current use of modern contraception was examined at each time point as well as over time using multivariate regression analysis.
resultsThe observed prevalence for use of modern contraception was 2.8 and 2.6 times higher among women who had high sexual autonomy in 2008 and 2013, respectively. The corresponding figures for women with secondary or higher education were 8.2 and 11.8 times higher, respectively, compared with women with no education. But after controlling for wealth index, religion, place of residence, autonomy and experience of intimate partner violence (IPV), the likelihood of use of modern contraception was lowered to about 2.5 (from 8.2) and 2.8 (from 11.8) times during 2008 and 2013, respectively, among women with secondary or higher education. The likelihood of use of modern contraception lowered only to 1.6 (from 2.8) and 1.8 (from 2.6) times among women with high sexual autonomy after controlling for other covariates, respectively, during the same period.
conclusionSexual autonomy seems to play an important role in women's use of modern contraceptive methods independent of education and a number of other factors related to women's status. Sexual autonomy needs to be simultaneously promoted alongside increasing educational opportunities to enhance women's ability to use modern contraception.
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