ArticleBMC women's health2025
Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Ensemble machine learning framework with SHAP and LIME for accurate early prediction of student success in online learning environments.Scientific reports · 2026Article
- Tele-mental health for frail older adults in rural Bangladesh: a phenomenological study.BMC psychology · 2026Article
- Barriers and Facilitators to Accessing and Using Maternal Healthcare Services by Women Living in Rural Bangladesh: A Theory-Guided Narrative Literature Review.Public health reviews · 2025Review
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5 authors.
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Abstract
backgroundWomen's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.
methodsData on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.
resultsOverall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).
conclusionAround one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.
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