ArticleBMC women's health2022
A cross-sectional study of women's autonomy and modern contraception use in Zambia.
Article in BMC women's health, 2022. 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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Who cites it
10 citing papers in PubMed.
- Exploring clinical empathy among maternal healthcare providers in Zambia: Does the heart meet the mind? Insights from a qualitative study.Journal of health psychology · 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
- Factors associated with adolescent pregnancy in Zambia: a secondary data analysis of the 2018 Zambia demographic and health survey.BMC pregnancy and childbirth · 2025Article
- Pooled prevalence of modern contraceptive utilization and its associated factors among reproductive age women in East Africa: derived from demographic and health surveys.Journal of health, population, and nutrition · 2025Article
- Spatial variations and determinants of modern contraceptive utilization among sexually active rural women in Ethiopia using mini EDHS 2019 data: spatial and multilevel analysis.BMC public health · 2025Article
- Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.Reproductive health · 2025Article
- Married women's autonomy in modern contraceptive utilization in Kutaber district, Northeast Ethiopia.PLOS global public health · 2025Article
- Health care and contraceptive decision-making autonomy and use of female sterilisation among married women in Malawi.Frontiers in global women's health · 2024Article
- Social context of contraceptive use transition among sexually active women in Zambia (1992-2018): A decomposition analysis.PloS one · 2024Article
- To what extent does the adapted Women's empowerment in nutrition index demonstrate psychometric validity and determine the nutritional empowerment among pregnant women in southern Ethiopia?Women's health (London, England)Article
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3 authors.
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Abstract
backgroundModern contraceptive use effectively prevents unwanted pregnancies, promoting maternal and child health and improving the socio-economic well-being of women and their families. Women's autonomy has been shown to increase the uptake of modern contraception use. This research aimed to investigate the relationship between measures of women's autonomy and modern contraception use among partnered women in Zambia.
methodsThis cross-sectional survey study used data from the health census, the 2018 Zambia Demographic Health Survey. We measured women's autonomy using three indices: women's participation in decision-making, women's attitude towards wife-beating and women's household status. Information from 6727 women in a relationship, not pregnant, not planning pregnancy and aged between 15 and 49 years old were analyzed using descriptive statistics and adjusted odds ratios (AOR).
resultsThe mean age of respondents was 32 years. Most women lived in rural areas (65%), and 81% were protestant. Current modern contraception use among partnered women was 8.8%. Women's autonomy was significantly associated with modern contraception use. Women with moderate autonomy (AOR = 1.054, P value = 0.004, 95% CI 1.048-1.312) and high autonomy (AOR = 1.031, P value = 0.001, 95% CI 1.013-1.562) had higher odds of using modern contraception compared to those with low autonomy. Other factors related to modern contraception use included a higher level of education (AOR = 1.181, P value = 0.012, 95% CI 1.091-1.783), increased wealth index (AOR = 1.230, P value = 0.006, 95% CI 1.105-1.766) and age, 15-24 (AOR = 1.266, P value = 0.007, 95% CI 1.182-2.113,) and 25-34 (AOR = 1.163, P value = 0.002, 95% CI 1.052-1.273).
conclusionThis study argues that increasing women's assertiveness to make independent decisions within the household is cardinal to enhancing the uptake of modern contraception in Zambia and other low-and-middle-income countries. Governments and other stakeholders must therefore consider rolling out programs to boost women's autonomy, which in turn would support gender equality and reproductive health.
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