ArticlePLOS global public health2023
Factors that determine women's autonomy to make decisions about sexual and reproductive health and rights in Nepal: A cross-sectional study.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Gender bias in fertility choices: how son preference increases the risk of short birth intervals in India.Tropical medicine and health · 2026Article
- Promoting sexual and reproductive health in development and governance priorities for youth in Nepal: a qualitative exploration using reproductive justice framework.Health promotion international · 2026Article
- Cervical cancer prevention behaviors and determinants among Indigenous women in rural Nepal.Health promotion international · 2026Article
- Husband's knowledge on partner's reproductive rights and its associated factors in central Ethiopia: a community-based cross-sectional study.Primary health care research & development · 2026Article
- Prevalence, Determinants, and Barriers to Reproductive Health Decision-Making Autonomy Among Married Women in Rural Parts of Seden Sodo District, Southwest Ethiopia: A Mixed-Methods Study.Health science reports · 2026Article
- Factors associated with married adolescent girls' and young women's participation in decision-making regarding sexual and reproductive health in Tanzania: a nationwide cross-sectional survey.Reproductive 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
- Knowledge, awareness, support networks, and service utilization of sexual and reproductive health and rights among Indonesian adolescents.Journal of education and health promotion · 2026Article
- Determinants of agency in family planning among marginalized and non-marginalized women: an analysis of the Nepal demographic and health survey 2022.BMC women's health · 2025Article
- Spatial pattern and influence of mass media exposure on sexual exposure among women with disabilities in sub-Saharan Africa.Archives of public health = Archives belges de sante publique · 2025Article
- Exploring the multifaceted correlates of household decision-making autonomy among married women in Cameroon.BMC women's health · 2025Article
- Examining Family Violence and Reproductive Autonomy Among Arab American Women.Journal of women's health (2002) · 2025Article
- The Role of Women's Empowerment in Fertility Preferences and Outcomes: Analysis of the 2017 Indonesia Demographic and Health Survey.BMC women's health · 2025Article
- Investigating the impact of armed conflict, cultural factors, and demographic characteristics on access to family planning services in Northwest Syria: a cross-sectional study.BMC health services research · 2025Article
- Successful strategies that address gender-related barriers and promote bodily autonomy within efforts to scale up and sustain postpregnancy contraception: a scoping review.BMJ global health · 2025Article
- Climate change and its differential impact on sexual and reproductive health and rights among women in Nepal.Frontiers in reproductive health · 2025Article
- Exploring marriage beliefs from the perspectives of married students.Frontiers in psychology · 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
- 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
- Early sexual debut among adolescent girls and young women in Sierra Leone: A multilevel analysis of prevalence and predictors.Contraception and reproductive medicine · 2024Article
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4 authors.
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Abstract
Women's autonomy on sexual and reproductive health issues is critical to women's health and well-being. Women have the right to decide on their fertility and sexuality, be free from coercion and violence, and achieve well-being. This study has identified women's autonomy regarding decision and exercise of their sexual reproductive health and rights and its association with determining factors in Nepal. Descriptive and analytical statistics such as bivariate and multivariate regression analysis were performed using data from Nepal Demographic and Health Survey 2016. The survey collected data from 12,862 women of reproductive age groups i.e. 15-49 years. However, for this study, we analyzed the data of only ever-married women and they were 9,875 in total. The analysis showed that women's autonomy in exercising their sexual reproductive health rights is highly associated with media exposure after controlling demographic variables. The frequency of exposure to media (i. less than a week: adjusted odds ratio (AOR):1.383; confidence interval (CI):1.145-1.670, p<0.001, ii. at least once a week: AOR:1.657; CI:1.359-2.021, p<0.001) is positively associated with women's autonomy. Furthermore, factors like women from Janajati (AOR:1.298; CI:1.071-1.576, p<0.01) and other Terai ethnic groups (AOR:1.471; CI:1.160-1.866, p<0.01), higher education attainment (AOR:1.482; CI:1.164-1.888, p<0.01), richest wealth quintile (AOR:1.527; CI:1.151-2.026, p<0.01), paid work (AOR:1.277; CI:1.045-1.561, p<0.05) and living in Lumbini Province (AOR:0.622; CI:0.486-0.797, p<0.001) and Sudur Paschim Province (AOR:0.723; CI:0.554-0.944, p<0.05) were found to be significantly associated with women's autonomy in sexual and reproductive health decision making. Similarly, women's autonomy is also increased with their increased age. In conclusion, women's exposure to media, improved socio-economic status and increased age influence their autonomy to make decisions about sexual and reproductive health rights in Nepal. Therefore, this study underscores the need to address socio-economic barriers and improve women's exposure to the media to enhance their autonomy further.
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