Evidence map›Paper›PMID 33855160›Full record

ArticleSSM - population health2021

Women's autonomy in household decision-making and safer sex negotiation in sub-Saharan Africa: An analysis of data from 27 Demographic and Health Surveys.

Abdul-Aziz Seidu, Richard Gyan Aboagye, Joshua Okyere, Wonder Agbemavi, Mawulorm Akpeke, Eugene Budu, Farrukh Ishaque Saah, Vivian Tackie, Bright Opoku Ahinkorah

Abstract read
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In one paragraph

Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

56 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Abdul-Aziz SeiduDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Richard Gyan AboagyeSchool of Public Health, University of Health and Allied Sciences, Ho, Ghana.
Joshua OkyereDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Wonder AgbemaviDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Mawulorm AkpekeDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Eugene BuduDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Farrukh Ishaque SaahDepartment of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Vivian TackieDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women's ability to negotiate the conditions and timing of sex is key to several reproductive health outcomes including family planning and prevention of sexually transmitted infections. We investigated the association between women's autonomy in household decision-making and safer sex negotiation (SSN) in sub-Saharan Africa (SSA). This was a cross-sectional analysis of data from the Demographic and Health Survey (DHS) of 27 countries in SSA. Data were analyzed using Stata version 16.0 using descriptive statistics, chi square test, and logistic regression models. Statistical significance was set at p < 0.05 at 95% confidence interval. The pooled prevalence of SSN in the 27 countries was 77.1%. Compared to women with low autonomy in household decision-making, those with medium (aOR = 1.30; CI = 1.23-1.37) and high levels of autonomy in household decision-making (aOR = 1.28; CI = 1.17-1.40) were more likely to have greater SSN. Those with primary (aOR = 1.35; CI = 1.28-1.41) and secondary/higher education level of education (aOR = 1.68; CI = 1.58-1.79) had higher odds of SSN, compared to those with no formal education. Women who were working had higher odds of SSN (aOR = 1.44; CI = 1.37-1.51) than those who were not working. Women in the middle (aOR = 0.93; CI = 0.87-0.99) and richer (aOR = 0.92; CI = 0.85-0.98) wealth status had lower odds of SSN, compared to those in the poorest wealth status. Women's autonomy in household decision-making is a significant predictor of SSN. Women autonomy in household decision-making programs and interventions should be intensified to achieve Sustainable Development Goals 3.7 and 5 which seek to achieve universal access to sexual and reproductive health services and ensure gender equality and empower all women and girls by 2030.

Indexed as

Demographic and health surveyMarried womenPublic healthSafer sex negotiationSub-Saharan AfricaWomen's autonomy in household decision-making

Identifiers

PMID33855160
PMCPMC8025044

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.