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Abstract
BackgroundRisky sexual behavior is a major public health concern of Ethiopians. Although studying the autonomy of women in refusing risky sex is significant to take proper actions, the issue is not yet studied. Accordingly, this population-based nationwide study was aimed at assessing women’s autonomy in refusing risky sex and its associated factors in Ethiopia.MethodThe sample was limited to married women of 2011 (n = 8369) and 2016 (n = 8403) Ethiopian Demographic and Health Survey data. Women's autonomy in refusing risky sex was measured based on wives' response to 'not having sex because husbands have other women. To examine associated factors, socio-demographic variables were computed using binary logistic regression.ResultThe finding revealed that the trend of women’s autonomy in refusing risky sex had declined from 78.9% in 2011 to 69.5% in 2016. Women aged from 25 to 34 were less likely autonomous in refusing sex compared to those who aged less than 24 years old (AOR = .7064; 95% CI 0.605, 0.965). The autonomy of women with higher educational status was three times more likely higher than those who have no formal education (AOR = 3.221; 95% CI 1.647, 6.300 respectively. The autonomy of women who are from rich households was more likely higher in comparison to women from poor households (AOR = 1.523; 95% CI 1.28, 1.813). The autonomy of women those who live in Tigray 2.9 times (AOR = 2.938; 95% CI 2.025, 4.263), Amhara 4.8 times (AOR = 4.870; 95% CI 3.388, 7.000), SNNP 1.9 times (AOR = 1.900; 95% CI 1.355, 2.664), and Addis Ababa 3.8 times (AOR = 3.809; 95% CI 2.227, 6.516) more likely higher than those who reside in Dire Dawa.ConclusionThe autonomy of women in refusing risky sex has declined from 2011 to 2016. This infers that currently, women are more victimized than previously. Hence, possible interventions like empowering women shall be taken to protect women from certain health problems of risky sexual behavior.
Highlights
Risky sexual behavior is defined as an individual’s practice in one or more of the following acts such as unprotected sexual intercourse, starting sexual activity at aAsabu BMC Women’s Health (2021) 21:335 infections (STIs), HIV/AIDS, unwanted pregnancy, and psychological distress [2, 5,6,7,8].Having multiple sexual partners refers that an individual’s sexual interaction with two or more sexual partners that overlapped in time [9,10,11]
The study used data from the 2011 and 2016 EDHS that were collected by the Central Statistical Authority (CSA) of Ethiopia and Opinion Research Corporation Company (ORC) Macro International
Women’s educational status and their autonomy in refusing risky sex were directly associated in both 2011 and 2016. In both 2011 and 2016, the autonomy of employed women in refusing risky sex was better than housewife/unemployed women albeit its percentage
Summary
Risky sexual behavior is defined as an individual’s practice in one or more of the following acts such as unprotected sexual intercourse, starting sexual activity at aAsabu BMC Women’s Health (2021) 21:335 infections (STIs), HIV/AIDS, unwanted pregnancy, and psychological distress [2, 5,6,7,8].Having multiple sexual partners refers that an individual’s sexual interaction with two or more sexual partners that overlapped in time [9,10,11]. Autonomous women can refuse risky sex if husbands have risky sexual behavior like having sexual contact with an additional woman. This is to protect themselves from adverse effects of risky sexual behavior like sexually transmitted infections (STIs) and HIV/AIDS. Studying the autonomy of women in refusing risky sex is significant to take proper actions, the issue is not yet studied. This population-based nationwide study was aimed at assessing women’s autonomy in refusing risky sex and its associated factors in Ethiopia
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