Evidence map›Paper›PMID 38918832›Full record

ArticleReproductive health2024

Support for sexual and reproductive health and rights in Sub-Saharan Africa: a new index based on World Values Survey data.

Signe Svallfors, Karin Båge, Anna Mia Ekström, Yadeta Dessie, Yohannes Dibaba Wado, Mariam Fagbemi, Elin C Larsson, Helena Litorp, Bi Puranen, Jesper Sundewall and 2 more

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Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Signe Svallfors *Department of Sociology, Stanford University, 450 Jane Stanford Way, Stanford, CA, 94305-2047, USA.
Karin Båge *Department of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden. Karin.bage@ki.se.
Anna Mia EkströmDepartment of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.
Yadeta DessieSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, P.O. Box 235, Ethiopia.
Yohannes Dibaba WadoAfrican Population and Health Research Center, Nairobi, Kenya.
Mariam FagbemiKantar Public, 376 Ikorodu Road, Lagos, Nigeria.
Elin C LarssonDepartment of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.
Helena LitorpDepartment of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.
Bi PuranenWorld Values Survey Association, Institute for Future Studies, Stockholm, 10131, Sweden.
Jesper SundewallWorld Values Survey Association, Institute for Future Studies, Stockholm, 10131, Sweden.
Olalekan A UthmanDepartment of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.
Anna E KågestenDepartment of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.

Funding

Bill and Melinda Gates Foundation OPP1186559
6 · The paper itself

Abstract

backgroundAddressing attitudes is central to achieving sexual and reproductive health and rights (SRHR) and Agenda 2030. We aimed to develop a comprehensive index to measure attitudinal support for SRHR, expanding opportunities for global trend analyses and tailored interventions.

methodsWe designed a new module capturing attitudes towards different dimensions of SRHR, collected via the nationally representative World Values Survey in Ethiopia, Kenya, and Zimbabwe during 2020-2021 (n = 3,711). We used exploratory factor analysis of 58 items to identify sub-scales and an overall index. Adjusted regression models were used to evaluate the index according to sociodemographic characteristics, stratified by country and sex.

resultsA 23-item, five-factor solution was identified and used to construct sub-indices reflecting support for: (1) sexual and reproductive rights, (2) neighborhood sexual safety, (3) gender-equitable relationships, (4) equitable masculinity norms, and (5) SRHR interventions. These five sub-indices performed well across countries and socioeconomic subgroups and were combined into a comprehensive "SRHR Support Index", standardized on a 1-100 scale (mean = 39.19, SD = 15.27, Cronbach's alpha = 0.80) with higher values indicating more support for SRHR. Mean values were highest in Kenya (45.48, SD = 16.78) followed by Ethiopia (40.2, SD = 13.63), and lowest in Zimbabwe (32.65, SD = 13.77), with no differences by sex. Higher education and being single were associated with more support, except in Ethiopia. Younger age and urban residence correlated with more support among males only.

conclusionThe SRHR Support Index has the potential to broaden SRHR attitude research from a comprehensive perspective - addressing the need for a common measure to track progress over time.

Indexed as

Reproductive HealthReproductive RightsSexual HealthAdolescentAdultAfrica South of the SaharaFemaleHumansMaleMiddle AgedSexual BehaviorSurveys and QuestionnairesYoung AdultAttitudesFactor analysisIndexSexual and reproductive health and rightsSub-Saharan AfricaWorld Values Survey

Identifiers

PMID38918832
PMCPMC11197335

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LicenceCC BY
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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.