ArticleSAGE open medicine2022
Married women's decision-making autonomy on contraceptive use and its associated factors in Ethiopia: A multilevel analysis of 2016 demographic and health survey.
Article in SAGE open medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Women's autonomy in healthcare decision making: a systematic review.BMC women's health · 2023Pooled it
- Utilization of family planning and associated factors among women with disabilities in ethiopia: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Bridging perception and reality: understanding Chinese women's behavioral intentions toward robot-assisted gynecologic surgery.Frontiers in public health · 2026Article
- Understanding men's perspective on women's contraceptive use in Tanzania: insights from the 2022 Demographic and Health Survey.Contraception and reproductive medicine · 2025Article
- Married Women's Decision-Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment.Health science reports · 2025Article
- Article
- Factors associated with decision-making autonomy in healthcare utilization among married women from the Indonesia demographic health survey 2017.Scientific reports · 2025Article
- Prevalence and determinants of unintended pregnancy among rural reproductive age women in Ethiopia.Scientific reports · 2025Article
- Article
- Married women's autonomy in modern contraceptive utilization in Kutaber district, Northeast Ethiopia.PLOS global public health · 2025Article
- Determinant of women's autonomy in sexual and reproductive health decision-making in Tanzania: a multilevel analysis of 2022 demographic and health survey.Frontiers in reproductive health · 2025Article
- Women decision-making on modern contraceptive use and its associated factors among married women in Girawa District, Eastern Ethiopia: a community-based cross-sectional study, 2024.BMC public health · 2024Article
- Spatial Variation and Predictors of Women's Sole Autonomy in Healthcare Decision-Making in Bangladesh: A Spatial and Multilevel Analysis.Healthcare (Basel, Switzerland) · 2024Article
- Determinants of household decision making autonomy among rural married women based on Ethiopian demography health survey: a multilevel analysis.BMC women's health · 2024Article
- Women alone modern contraceptive use decision making and its correlates, evidence from PMA CS 2021 survey.BMC women's health · 2024Article
- High-risk fertility behaviors and associated factors among married reproductive-age women in sub-Saharan Africa: A multilevel mixed-effect analysis of nationally representative data from 35 countries.PLOS global public health · 2024Article
- Women decision making on use of modern family planning methods and associated factors, evidence from PMA Ethiopia.PloS one · 2024Article
- Article
- Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study.Sexual and reproductive health matters · 2023Article
- 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
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWomen's decision-making autonomy has a positive effect on the scale-up of contraceptive use. In Ethiopia, evidence regarding women's decision-making autonomy on contraceptive use and associated factors is limited and inconclusive. Therefore, this study was intended to assess married women's decision-making autonomy on contraceptive use and associated factors in Ethiopia using a multilevel logistic regression model.
methodsThe study used data from the 2016 Ethiopia Demographic and Health Survey that comprised of a weighted sample of 3668 married reproductive age women (15-49 years) currently using contraceptives. A multilevel logistic regression model was fitted to identify factors affecting married women's decision-making autonomy on contraceptive use. Akaike's information criterion was used to select the best-fitted model.
resultsOverall, 21.6% (95% confidence interval = 20.3%-22.9%) of women had decision-making autonomy on contraceptive use. Community exposure to family planning messages (adjusted odds ratio = 2.22, 95% confidence interval = 1.67-3.05), media exposure (adjusted odds ratio = 2.13, 95% confidence interval = 1.52-3.23), age from 35 to 49 years (adjusted odds ratio = 2.09, 95% confidence interval = 1.36-4.69), living in the richer households (adjusted odds ratio = 1.67, 95% confidence interval = 1.32-3.11), and visiting health facility (adjusted odds ratio = 2.01, 95% confidence interval = 1.34-3.87) were positively associated with women's decision-making autonomy on contraceptive use. On the contrary, being Muslim (adjusted odds ratio = 0.53, 95% confidence interval = 0.29-0.95), being married before the age of 18 years (adjusted odds ratio = 0.33, 95% confidence interval = 0.12-0.92), and residing in rural residence (adjusted odds ratio = 0.48, 95% confidence interval = 0.23-0.87) were negatively associated with women's independent decision on contraceptive use.
conclusionLess than one-fourth of married reproductive age women in Ethiopia had the decision-making autonomy on contraceptive use. Media exposure, women's age, household wealth, religion, age at marriage, visiting health facilities, community exposure to family planning messages, and residence were the factors associated with women's decision-making autonomy on contraceptive use. The government should promote women's autonomy on contraceptive use as an essential component of sexual and reproductive health rights through mass media, with particular attention for adolescent women, women living in households with poor wealth, and those residing in rural settings.
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