Evidence map›Paper›PMID 42365357›Full record

ArticleReproductive health2026

Women's empowerment and experience of marital control in sub-Saharan Africa.

Richard Gyan Aboagye, Augustus Osborne, Joshua Okyere, Mainprice Akuoko Essuman, Yaa Boahemaa Gyasi Aderoju, Blessing Jaka Akombi-Inyang, Bright Opoku Ahinkorah

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Article in Reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Richard Gyan AboagyeSchool of Population Health, University of New South Wales, Sydney, Australia. aboagyegyan94@gmail.com.ORCID http://orcid.org/0000-0002-3498-2909
Augustus OsborneInstitute for Development, Western Area, Freetown, Sierra Leone.ORCID http://orcid.org/0000-0002-0226-841X
Joshua OkyereSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, United Kingdom.
Mainprice Akuoko EssumanDepartment of Medical Laboratory Science, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.
Yaa Boahemaa Gyasi AderojuSchool of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.
Blessing Jaka Akombi-InyangSchool of Population Health, University of New South Wales, Sydney, Australia.
Bright Opoku AhinkorahREMS Consultancy Services, Sekondi-Takoradi, Western Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study examined the association between women's empowerment (social independence, decision-making, and attitudes to violence) and experience of marital control in sub-Saharan Africa.

methodsA weighted sample of 82,208 was extracted from the most recent Demographic and Health Surveys conducted in 19 countries in sub-Saharan Africa. We used multinomial and multivariable binary logistic regression analyses to examine the association between the dimensions of women's empowerment and marital control. All the analyses were conducted using Stata 17.0.

resultsWomen with high attitudes to violence (adjusted relative risk ratio [aRRR] = 0.72, 95% CI = 0.68, 0.77) were less likely to experience medium marital control than those with low attitudes to violence. Women with medium (aRRR = 0.80, 95% CI = 0.74, 0.86) and high (aRRR = 0.49; 95% CI = 0.46, 0.52) attitudes to violence were less likely to experience high marital control. Women with high social independence were less likely to experience medium and high levels of marital control. Women with medium decision-making capacity were less likely to experience medium marital control. Additionally, women with medium and high decision-making capacity had a reduced likelihood of experiencing high marital control. Partner alcohol consumption, women's exposure to interparental violence, place of residence, wealth index, women's age, and media exposure were the covariates associated with marital control.

conclusionThis study highlights an association between women's empowerment and marital control. It emphasises the importance of prioritising women's empowerment initiatives to address controlling behaviour by spouses. Governments in sub-Saharan Africa, especially in Eastern African countries, should focus on providing women with quality education and skills development programmes to enhance their economic independence and decision-making capacity.

Indexed as

EmpowermentMarriagePower, PsychologicalSpouse AbuseAdolescentAdultAfrica South of the SaharaAttitudeDecision MakingFemaleHumansMiddle AgedSub-Saharan African PeopleWomen's RightsYoung AdultAttitude towards violenceAutonomyDecision-makingDemographic and Health SurveyIntimate partner violenceMarital controlSocial independencesub-Saharan AfricaWomen’s empowerment

Identifiers

PMID42365357
PMCPMC13573419

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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.