ArticleBMC women's health2021
Women's autonomy in refusing risky sex and associated factors in Ethiopia: evidence from 2011 to 2016 EDHS data.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- A multilevel analysis of the predictive effects of internal migration and region of residence on women's empowerment in Nigeria.BMC women's health · 2026Article
- Women's Autonomy in Health Care Decision-Making in Somalia: Evidence from a Multinomial Logistic Regression Analysis of the 2020 National Survey.BMC women's health · 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
- Socioeconomic inequality of low sexual autonomy among reproductive-age women in four selected sub-Saharan African countries: a decomposition analysis by using performance monitoring for action data.Frontiers in global women's health · 2025Article
- Women's autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries.PLOS global public health · 2023Article
- 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
- Multi-level predictors of sexual autonomy among married women in Nigeria.BMC women's health · 2022Article
- The trends of women's autonomy in health care decision making and associated factors in Ethiopia: evidence from 2005, 2011 and 2016 DHS data.BMC women's health · 2021Article
- Men's Attitude Towards Contraception and Sexuality, Women's Empowerment, and Demand Satisfied for Family Planning in India.Frontiers in sociology · 2021Article
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Abstract
backgroundRisky sexual behavior is a major public health concern of Ethiopians. Although studying the autonomy of women in refusing risky sex is significant to take proper actions, the issue is not yet studied. Accordingly, this population-based nationwide study was aimed at assessing women's autonomy in refusing risky sex and its associated factors in Ethiopia.
methodThe sample was limited to married women of 2011 (n = 8369) and 2016 (n = 8403) Ethiopian Demographic and Health Survey data. Women's autonomy in refusing risky sex was measured based on wives' response to 'not having sex because husbands have other women. To examine associated factors, socio-demographic variables were computed using binary logistic regression.
resultThe finding revealed that the trend of women's autonomy in refusing risky sex had declined from 78.9% in 2011 to 69.5% in 2016. Women aged from 25 to 34 were less likely autonomous in refusing sex compared to those who aged less than 24 years old (AOR = .7064; 95% CI 0.605, 0.965). The autonomy of women with higher educational status was three times more likely higher than those who have no formal education (AOR = 3.221; 95% CI 1.647, 6.300 respectively. The autonomy of women who are from rich households was more likely higher in comparison to women from poor households (AOR = 1.523; 95% CI 1.28, 1.813). The autonomy of women those who live in Tigray 2.9 times (AOR = 2.938; 95% CI 2.025, 4.263), Amhara 4.8 times (AOR = 4.870; 95% CI 3.388, 7.000), SNNP 1.9 times (AOR = 1.900; 95% CI 1.355, 2.664), and Addis Ababa 3.8 times (AOR = 3.809; 95% CI 2.227, 6.516) more likely higher than those who reside in Dire Dawa.
conclusionThe autonomy of women in refusing risky sex has declined from 2011 to 2016. This infers that currently, women are more victimized than previously. Hence, possible interventions like empowering women shall be taken to protect women from certain health problems of risky sexual behavior.
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