ArticleReproductive health2023
Assessing the relationship between reproductive autonomy and contraceptive use in rural Malawi.
Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 15 citations in OpenAlex.
- Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).Contraception and reproductive medicine · 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
- Hormonal contraception and mental health: a narrative review of screening, monitoring, and patient-centered care for family physicians.Frontiers in psychiatry · 2026Review
- Association between male absence and women's reproductive autonomy in sub-Saharan Africa: A cross-sectional analysis of Demographic and Health Survey Data.PLOS global public health · 2026Article
- Correlates of reproductive coercion among women of reproductive age in Kingston, Jamaica and Hanoi, Vietnam.PLOS global public health · 2026Article
- From fertility intentions to contraceptive behaviour: evidence among women with children in Malawi.Frontiers in reproductive health · 2026Article
- Development of a comprehensive measure of reproductive coercion and abuse for global use: a Delphi study.Sexual and reproductive health matters · 2025Article
- Article
- Measuring Unmet Need for Contraception Using a Person-Centered Algorithm: An Application With a Community-Based Sample of Married Rohingya Women in Bangladesh.Studies in family planning · 2025Article
- Inequities in safe abortion: women's care trajectories in Abuja and Lagos, Nigeria.BMC public health · 2025Article
- Prevalence and factors associated with unintended pregnancy among women in Ghana.BMC pregnancy and childbirth · 2025Article
- Reproductive Autonomy in Fertility Research in Sub-Saharan Africa: A Scoping Review.Studies in family planning · 2025Article
- Community pharmacists improving equitable access to contraceptive methods: a commentary.International journal of clinical pharmacy · 2025Article
- Provincial distribution of unintended pregnancy and its associated factors in Sierra Leone.BMC public health · 2025Article
- Age-disparate relationships at first sex and reproductive autonomy, empowerment, and sexual violence among adolescent girls and young women in Rwanda.SSM - population health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
Reproductive autonomy, or the extent to which people control matters related to their own sexual and reproductive decisions, may help explain why some people who do not intend to become pregnant nevertheless do not use contraception. Using cross-sectional survey data from 695 women aged 16 to 47 enrolled in the Umoyo Wa Thanzi (UTHA) study in Malawi in 2019, we conducted confirmatory factor analysis, descriptive analyses, and multivariable logistic regression to assess the freedom from coercion and communication subscales of the Reproductive Autonomy Scale and to examine relationships between these components of reproductive autonomy and current contraceptive use. The freedom from coercion and communication subscales were valid within this population of partnered women; results from a correlated two-factor confirmatory factor analysis model resulted in good model fit. Women with higher scores on the freedom from coercion subscale had greater odds of current contraceptive use (aOR 1.13, 95% CI: 1.03-1.23) after adjustment for pregnancy intentions, relationship type, parity, education, employment for wages, and household wealth. Scores on the communication subscale were predictive of contraceptive use in some, but not all, models. These findings demonstrate the utility of the Reproductive Autonomy Scale in more holistically understanding contractive use and non-use in a lower-income setting, yet also highlight the need to further explore the multidimensionality of women's reproductive autonomy and its effects on achieving desired fertility.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.