Women’s ability to negotiate safer sex with partners by contraceptive status among a nationally representative sample of married women in Nigeria

Solanke, Bola Lukman; Kupoluyi, Joseph Ayodeji; Awoleye, Abayomi Folorunso; Adewole, Olusola Esther; Babalola, Oyeyemi Bukola

doi:10.1186/s40834-023-00214-2

Cited by 3 publications

(1 citation statement)

References 52 publications

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“…When women possess more opportunities outside the home with an increasing income and various job options, their threat to leave the family becomes more credible and women can have more effect on the distribution of resources within the family ( Hidrobo and Fernald, 2013 ). In the Nigerian context, when women have more financial autonomy, they are almost twice as likely to negotiate safer sex than women who have no financial autonomy ( Solanke et al, 2023 ), which is directly linked to possessing ability to avoid exposure to controlling behavior.…”

Section: Discussionmentioning

confidence: 99%

Determinants of intimate partner controlling behavior targeting women in Türkiye

Başkan

Alkan

2023

Front. Psychol.

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Background/aimIntimate partner controlling behavior toward women is an important form of intimate partner violence (IPV), both in terms of limiting women’s daily lives and in terms of reproducing patriarchal culture and male dominance in societies at the micro level. A limited number of studies in the literature have identified the male intimate partner’s controlling behavior as a dependent variable, which is important for understanding the determinants of this type of IPV. There is also a significant gap in the literature in terms of studies focusing on the case of Türkiye. Thus, the main aim of this study was to determine the socio-demographic, economic and violence-related factors that have an effect on women’s status in terms of exposure to control behavior in Türkiye.MethodsThese factors were examined by using binary logistic regression analysis, based on the micro data set collected by the Hacettepe University’s Institute of Population Studies in the 2014-dated National Research on Domestic Violence against Women in Türkiye. A total of 7,462 women between the ages of 15 and 59 were interviewed face-to-face.ResultsThe findings of the study revealed that women are more likely to be exposed to controlling behavior if they live in rural areas, are unmarried, speak Turkish as their mother tongue, have bad or very bad health conditions, justify men’s violence and are afraid of their intimate partners. As women’s age, level of education and income contribution increase, their likelihood of exposure to controlling behavior decreases. However, women’s exposure to economic, physical and emotional violence also increases their likelihood of exposure to controlling behavior.ConclusionThe findings highlighted the importance of creating public policies that make women less vulnerable to men’s controlling behavior, providing women with methods and mechanisms of resistance and raising public awareness of the exacerbating effects of controlling behavior on social inequalities.

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Section: Discussionmentioning

confidence: 99%

Determinants of intimate partner controlling behavior targeting women in Türkiye

Başkan

Alkan

2023

Front. Psychol.

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Polygamy and safe sex negotiation among married women: evidence from Cameroon

Dhillon,

Amoak,

Chidimbah Munthali

et al. 2023

BMC Infect Dis

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Background Research indicates that women in polygamous relationships may be exposed to unique sexual and reproductive health challenges. However, there are very few studies that examine whether polygamy is associated with safe sex negotiation among married women in sub-Saharan Africa, including Cameroon. Methods Using the 2018 Cameroon Demographic and Health Survey, we apply logistic regression analysis to compare two indicators of safe sex negotiation (i.e., the ability to ask for condom use and refuse sex against their partner) between polygamous (n = 1,628) and monogamous (n = 5,686) women aged 15–49 years old. Results We find that 67% and 50% of married women can ask for condom use and refuse sex against their partner, respectively. Multivariate analysis further reveals that women in polygamous relationships are less likely to report they can ask for condom use (OR = 0.71, p < 0.001) and refuse sex (OR = 0.64, p < 0.001) in comparison to their monogamous counterparts. Conclusions Our analysis found that in Cameroon, women in polygamous relationships, Muslim women, married women with inadequate HIV knowledge, those who had never been tested for HIV and women with lower socioeconomic status are less likely to negotiate for safe sex. Based on these findings, we discuss several implications for policymakers, including the establishment of a comprehensive family planning educational program and the deployment of community health workers to disseminate educational initiatives pertaining to safe sex negotiation to community members.

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Exploring the drivers of unmet need for contraception among adolescents and young women in Sierra Leone. a cross-sectional study

Osborne,

James,

Bangura

et al. 2024

Contracept Reprod Med

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Background Sierra Leone grapples with a concerning reality: a high unmet need for contraception among adolescents and young women (AYW). This translates to a multitude of unintended pregnancies, jeopardising their health, education, and overall life trajectory. To effectively address this challenge, we aim to examine the factors associated with the unmet need for contraception among AYW in Sierra Leone. Methods The study analysed the 2019 Sierra Leone Demographic and Health Survey data. A total of 1,796 married and cohabiting AYW aged 15 to 24 years, representing the nationally representative sample, comprised the study. A multivariable binary regression analysis was used to explore the drivers of unmet needs for contraception. The regression results were presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CI). Results The study found that 29% of Sierra Leonean AYW had an unmet need for contraception. AYW with three or more births(AOR = 6.80, 95% CI = 3.97, 11.65), two births (AOR = 4.11, 95% CI = 2.50, 6.76), one birth (AOR = 4.40, 95% CI = 2.81, 6.88), heard family planning on TV last few months (AOR = 1.94, 95% CI = 0.98, 3.83), and are cohabiting (AOR = 1.88, 95% CI = 1.29, 2.75) had higher odds of unmet need for contraception. AYW who read the newspaper or magazine at least once a week (AOR = 0.11, 95% CI = 0.01, 1.10) had lower odds of unmet need for contraception. Conclusions The study found a high unmet need among AYW in Sierra Leone, which indicates a significant gap between desired and actual contraceptive use, leading to unintended pregnancies and potentially adverse health and socio-economic consequences. Parity, media exposure and cohabitation were associated with a higher unmet need for contraception and newspaper/magazine readership was associated with a lower unmet need for contraception. The study highlights the need to increase access to affordable and diverse contraceptive options, especially in rural areas. Expand educational campaigns beyond TV to include print media and community-based interventions. Provide AYWs with knowledge and authority to make well-informed decisions around their sexual and reproductive well-being.

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Women’s ability to negotiate safer sex with partners by contraceptive status among a nationally representative sample of married women in Nigeria

Cited by 3 publications

References 52 publications

Determinants of intimate partner controlling behavior targeting women in Türkiye

Determinants of intimate partner controlling behavior targeting women in Türkiye

Polygamy and safe sex negotiation among married women: evidence from Cameroon

Exploring the drivers of unmet need for contraception among adolescents and young women in Sierra Leone. a cross-sectional study

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