ArticleArchives of public health = Archives belges de sante publique2022
Sexual autonomy and self-reported sexually transmitted infections among women in sexual unions.
Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 25 citations in OpenAlex.
- Efficacy of mobile-based educational intervention using Instructional Systems Design in promoting preventive behaviors for sexually transmitted infections among Iranian women: a randomized controlled trial.BMC public health · 2024Trial
- Multilevel factors associated with self-reported sexually transmitted infections among sexually active women in Africa: a socio-ecological analysis.BMC public health · 2026Article
- Region of residence, exposure to the media, and awareness of sexually transmitted infections among women in Ghana.BMC public health · 2026Article
- 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
- Self-reported sexually transmitted infections and related symptoms among women in Ghana.PloS one · 2026Article
- Prevalence and factors associated with self-reported sexually transmitted infections in Myanmar: analysis of national survey data.Frontiers in public health · 2026Article
- Young women's healthcare screening behaviours and sexual autonomy in Ghana: a spatial distribution and socioeconomic inequality analysis of a large population-based survey.Frontiers in reproductive health · 2026Article
- Association of sexual perceptions, behavior, and intimate partner violence with sexually transmitted infection (STI) among Filipino women.BMC public health · 2025Article
- The economics of investing in women and health.Nature medicine · 2025Review
- Women's and girls' sexual empowerment differs by geographical context: a population-based validation study.BMC women's health · 2025Article
- Trends and determinants of female genital mutilation prevalence among women of reproductive age in Tanzania and Kenya: a demographic and health survey analysis (2008-2022).BMC public health · 2025Article
- Prevalence and Factors Associated With Sexually Transmitted Infections Among Women of Reproductive Age in Tanzania: A Cross-Sectional Analysis of National Data.Health science reports · 2025Article
- 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
- Provincial distribution and factors associated with self-reported sexually transmitted infections and their symptoms among women in Sierra Leone.BMC infectious diseases · 2024Article
- Self-reported sexually transmitted infections among men and women in Papua New Guinea: A cross-sectional study.Health science reports · 2024Article
- Article
- Gynecological morbidity and treatment-seeking among older adult (aged 45-59) women in India.Reproductive health · 2023Article
- Self-reported sexually transmitted infections among adolescent girls and young women in Mali: analysis of prevalence and predictors.BMJ open · 2023Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSexually transmitted infections (STIs) are major public health challenges worldwide. Despite the importance of sexual autonomy in the prevention and control of sexual and reproductive health disorders such as STIs, there are limited studies on the possible relationship between women's sexual autonomy and self-reported STIs, especially in sub-Saharan Africa (SSA). This study, therefore, examined the association between sexual autonomy and self-reported STIs among women in sexual unions in SSA.
methodsData from the Demographic and Health Survey (DHS) of 31 countries in SSA conducted between 2010 and 2019 were analysed. A total of 234,310 women in sexual unions were included in the study. Data were analysed using binary logistic regression models and the results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs) at 95% confidence interval (CI).
resultsThe prevalence of self-reported STIs among women in sexual unions in SSA was 5.8%. Approximately 83.0% of the women surveyed had sexual autonomy. Women who had no sexual autonomy were less likely to have self-reported STIs (cOR=0.52, CI: 0.46-0.54), compared to those who had sexual autonomy. Additionally, higher odds of self-reported STIs were found among women aged 25-29, compared to those aged 15-19 (aOR= 1.21, CI: 1.09-1.35); those who reside in urban areas, compared to those who reside in rural areas (aOR= 1.51, CI: 1.37-1.66) and those who were cohabiting, compared to those who were married (aOR= 1.65, CI: 1.52-1.79). On the other hand, lower odds of self-reported STIs were found among women who were exposed to newspapers (aOR= 0.89, CI: 0.82-0.95), those whose partners had primary education (aOR= 0.84, CI: 0.78-0.91), those who were not exposed to radio (aOR= 0.84, CI: 0.79-0.89), and working women (aOR= 0.86, CI: 0.80-0.93).
conclusionsFindings from this study suggest that sexual autonomy is a significant predictor of self-reported STIs among women in sexual unions in SSA. Thus, instituting policies and programs that empower women and improve their levels of sexual autonomy may result in increased self-reporting of symptoms associated with STIs which subsequently help in minimising STI-related complications. Also, policies aimed at enhancing women's sexual autonomy may reduce the burden of STIs in SSA, especially among women in sexual unions.
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