Women's Choices Research Articles

Pema Tseden's Balloon: Reincarnation of a Semi-transparent Envelope

Buddhism provides the vocabulary for film auteur Pema Tseden to express a psychological dimension in his Amdo‐Tibetan stories. Drawing on the Tibetan Buddhist concept of bardo, the transitional space between sleep and waking, or death and rebirth, his works encapsulate surrealist flow of consciousness of the characters as they are torn between religious principles, modern imperatives, and conscience. Specifically, Balloon exposes an Amdo woman's choice between having an abortion in compliance with China's 1990s birth control policy or enabling the prophesized rebirth of a family forebear. The film extends Pema Tseden's earlier experiment in Jinpa, which enacts an intrapsychic dialogue in a dream, by using a religiously inflected visualization of the state of mind in the threshold between death and the next life. Balloon's passionate reenactment of a luminous afterlife landscape and its reflexive and even questioning attitudes toward the concept of reincarnation create an intriguing tension. Its central imagery, the inflated condom balloon, is a “semi‐transparent envelope,” to borrow British novelist Virginia Woolf's phrase, which suggests the inscrutability of the characters’ internal experiences. The balloon is also a “semi‐transparent filter” of the director's ambiguous affects, encapsulating cultural intimacy and cultural contemplation within a non‐dual framework.

임신중지, 영화, 정동정치

Since the late 2010s, when the Black Protests were sparked in Korea (September 2016) and the Constitutional Court of Korea ruled that criminalizing abortion is unconstitutional (April 2019), contemporarily and internationally produced films, series and documentaries focusing on abortion have been actively introduced to the Korean public alongside with the popularisation of global OTT services. Most of them explicitly or implicitly support women's choice and the right to abort, but they often perpetuate the suffering, shame, and victimization of women who undergo abortions. For exemple, they make maternal grief inseparable from the pregnant body, embody the excruciating physical suffering of the protagonist’s abortion to the point of making the audience shudder, or keep the protagonist (slut-)shamed, without cause, throughout the story of abortion experience. Erica Millar puts ‘emotion’ at the center of abortion politics, criticizing the politics of ‘choice’, whether anti-abortion or pro-choice, for naturalizing, depoliticizing, and normalizing desperation, grief, and shame as the experience of abortion. This article extends her ideas into the dimension of ‘affect’ and, building on Brian Massumi's discussion of politics of affect, explores affect via film, how anti-abortion power operates and the cinematic practices that resist it.

Gender-Based Double Standards and Inequalities in Online Culture: Objectification of Feminine Sexuality, Self-Expression and Appearance, and Cybershaming

Online communities provide a place that facilitates netizens to share their thoughts and ideas freely and swiftly with the speed of a click; this is relatively free and more convenient compared to traditional methods of socialisation. However, the online world can still reflect the traditional community to some extent. Especially with gender-related topics, women are the most often recipients of cyber shaming. This essay will explore the topic of gender-based double standards both online and offline, focusing on cyber shaming received pertaining to women's outfit choices. The essay argues that the cyber shaming of women's outfit choices is not just a matter of individual taste or preference but is rooted in deeply ingrained gender stereotypes and expectations that constrain women's freedom of expression and limit their opportunities for self-determination. This essay will use qualitative and quantitative research methods to investigate the impact of outfits on criticism directed at women and the implications of gender-based double standards. By shedding light on the gender-based double standards that underpin cyber shaming, the essay aims to raise awareness and promote a more equitable and inclusive online culture that values diversity, respect, and empowerment for all. Moreover, this essay demonstrates that online cyberbullying can cause significant consequences in the offline world; some can even cost lives. There is also a need for progressive changes in criminal and privacy law that promote gender equity and prevent cyber-SV against EYW. The implications of these results for academics and practitioners are discussed, and directions for future research are outlined. Throughout the conducted research on three designed inquiry questions, this study concluded with three key findings: Outfit-based content manifests judgments and criticism in the comment to be harsher for women; the impact of cyberbullying on emerging young women is greater than at other ages; and women to some extent have aggravated the effect of the misogyny complex.

Who earns engineering degrees? Detecting longitudinal data trends with infographics

AbstractTypical data available to engineering educators about the state of degrees awarded is disseminated via various groups. The most salient limitations to each of these sources are a lack of disaggregating data by multiple personal identities and an annualized reporting schedule hindering interpretations over time. This analysis ascertains how female degrees earned in engineering changed for bachelor's, master's, and doctoral degree levels from 2005 to 2021. We sought to understand trends by disaggregating ASEE records by gender, race, and engineering discipline. Data gathered from EDMS were cleaned, analyzed, and visualized, following principles for data sense making and human factors. Results highlight women gravitating towards Biological, Environmental, and Computational engineering disciplines. The total number of all degrees awarded is increasing for all genders in all disciplines, but these trends are not evenly distributed across disciplines. While it is true that the overall proportion of women in engineering wavered near 20%, this statistic does not tell the whole story of what has been occurring in engineering. By disaggregating infographics, we tracked percentage growth in certain fields as well as overall increases in number of degrees awarded at all levels of higher education. Future research is needed to determine causes for women's choices in engineering.

Continuing Insurance Coverage for Flap-Based Breast Reconstruction: Is There a Reservation Cost Related to a Woman's Abdominal Flap Choice?

The recent proposed alterations to the Centers for Medicare and Medicaid Services regulations, although subsequently reversed on August 21, 2023, have engendered persistent concerns regarding the impact of insurance policies on breast reconstruction procedures coverage. This study aimed to identify factors that would influence women's preferences regarding autologous breast reconstruction to better understand the possible consequences of these coverage changes. A survey of adult women in the United States was conducted via Amazon Mechanical Turk to assess patient preferences for breast reconstruction options, specifically deep inferior epigastric perforator (DIEP) and transverse rectus abdominis myocutaneous (TRAM) flap surgery. The Cochrane-Armitage test evaluated trends in flap preferences concerning incremental out-of-pocket payment increases. Of 500 total responses, 485 were completed and correctly answered a verification question to ensure adequate attention to the survey, with respondents having a median (interquartile range) age of 26 (25-39) years. When presented with the advantages and disadvantages of DIEP versus TRAM flaps, 78% of respondents preferred DIEP; however, as DIEP's out-of-pocket price incrementally rose, more respondents favored the cheaper TRAM option, with $3804 being the "indifference point" where preferences for both procedures converged (P < 0.001). Notably, respondents with a personal history of breast reconstruction showed a higher preference for DIEP, even at a $10,000 out-of-pocket cost (P = 0.04). Out-of-pocket cost can significantly influence women's choices for breast reconstruction. These findings encourage a reevaluation of emergent insurance practices that could potentially increase out-of-pocket costs associated with DIEP flaps, to prevent cost from decreasing equitable patient access to most current reconstructive options.

The Experiences of Mothers Giving Birth with Tohu Danga's Assistance in Indragiri Hulu Regency

Tohu Danga are believed to be maternity assistants who care for women and infants before and after birth. This study aimed to explore the experiences of women in the Indragiri Hulu Regency who gave birth with the assistance of Tohu Danga. This study used a descriptive phenomenological approach with a total of 12 women. Participants were obtained by the snowball method until data saturation was reached. Data was collected through in-depth interviews. The Colaizzi analysis technique was used. The findings of this study generated six themes: (1) the significance of childbirth for women who give birth with Tohu Danga, (2) the context that determines the women's choice of birth attendant, (3) the cultural practice of Tohu Danga's birth aid, (4) the difficulty of the longer birth process, (5) the relationship between Tohu Danga birth care and traditional medicine, and (6) the positive and negative responses of women regarding the birth process with Tohu Danga. Nurses are forced to think critically when a woman's cultural practices can affect health and provide nursing care according to their patient’s cultural requirements.

Evidence-based intrapartum care during vaginal births: Direct observations in a tertiary care hospital in Central Sri Lanka

BackgroundEvidence-based practice (EBP) is an effective approach to improve maternal and newborn outcomes at birth. ObjectiveThis study aimed to assess the current intrapartum practices of a tertiary care hospital in Central Province, Sri Lanka, during vaginal births. The benchmark for this assessment was the World Health Organisation's (WHO) recommendations on intrapartum care for a positive childbirth experience. MethodsAn observational study was conducted at the delivery room of Teaching Hospital, Peradeniya with the participation of 196 labouring women who were selected using systematic random sampling. A non-participant observation checklist covering labour room admission procedures, management of the first, second, and third stages of labour, and immediate care of the newborn and postpartum mother was used for the data collection. The care interventions implemented throughout labour and childbirth were observed and recorded. The data analysis was done using SPSS version 22. ResultsWHO-recommended practices such as providing privacy (33.2%), offering oral fluids (39.3%), and opioids for pain relief (48.5%) were found to be infrequent. Encouraging correct pushing techniques (77.6%), early breastfeeding (83.2%), regular assessment of vaginal bleeding (91.3%), skin-to-skin contact (93.4%), and using prophylactic uterotonics (100.0%) were found to be frequent. However, labour companionship, use of upright positions during labour, women's choice of birth position, and use of manual or relaxation techniques for pain relief were not observed in hospital intrapartum care. ConclusionThe findings of the study indicate that additional attention and monitoring are required to align the current intrapartum care practices with the WHO recommendations. Moreover, the adoption of evidence-based intrapartum care should be encouraged by conveying the standard evidence-based intrapartum care guidelines to the grassroots level healthcare workers to avoid intrapartum interventions.

Changes in attitudes to childbirth in modern times illustrated over three generations in Iraq.

To describe changes in attitudes and expectations of labor over the previous six decades, comparing the Iraqi generation who labored at home without medical assistance with their descendants. We used semi-structured telephone interviews with 22 women across three generations of one extended family living and giving birth in Iraq between the 1950s and the 2010s. Qualitative data were analyzed thematically using open, axial, and selective coding. Each generation experienced a paradigm shift in childbirth, from exclusive home births to hospital-directed maternity care, to a trend that favors planned cesarean birth, driven by generation-specific changes in outlook. Emerging themes included social influences, changing technology, and medical professionals' recommendations; all of these affected attitudes toward childbirth and pregnancy. There were generational disconnects in perceptions concerning the reasons childbirth has changed over the past 60 years, with the youngest generation citing wider pressures regarding body image and marital relationships as two of the factors affecting preferences in childbirth options. Societal changes and availability of healthcare services affect women's choices and experiences of childbirth. To be successful, efforts to improve women's experiences in labor, as well as maternal and neonatal outcomes, must consider these wider sociocultural issues.

Explore the Family Responsibility and Career Dilemma of Professional Women in Marriage

This paper investigates the reasons why married women in the banking industry choose occupational mobility by qualitative research method, analyzing the factors that influence womens choices of doing or undoing gender. The investigator interviewed 20 female bank clerks in marriage as the object of the study. All the women have had higher education in the past. In the background of modern labor society and the social identity of gender, professional women in marriage are under the dilemma of their work and family which includes occupational promotion, spouse, childcare, and eldercare. The consideration of family factors such as spouse, children, and the elderly, ultimately leads to the choice of occupational mobility for these married women. Personal career prospects, aspirations for a better future, the need for better educational conditions and opportunities for children, and the need to support parents and in-laws, all influence women's choice to make active or passive career mobility. It is still difficult for women from higher education backgrounds to make free choices after marriage.

A Comparative Analysis of Attitude Resources in Chinese and American English News Reports on “Roe v. Wade”

In 1973, "Roe v. Wade" (hereinafter referred to as Roe) became one of the important judgements in modern American society because of its establishment of women's reproductive choice. In 2022, the US Supreme Court officially overturned the Roe case, which also caused an uproar at home and abroad. News media, as an important information dissemination medium, widely influences readers' attitudes and opinions. This paper mainly conducted by the application of the Appraisal Theory, which has developed by the linguist J. R. Martin covering three subsystems: attitude, engagement and graduation, to the study of news reports concerning the Roe. The study is focus on the perspective of the attitude system, and the research corpus consists of a total of 10 news articles selected from two mainstream media both in China and the U.S., China Daily and New York Times. Using a combination of quantitative and qualitative methods, this study has discussed in detail the attitude resources in the overturning of Roe in Chinese and American news discourse. Through analysis and comparison, the author finds that there are similarities and differences in the overall distribution of attitude resources between the two media. First of all, the distribution of attitude resources between the two sides is roughly in the same trend. Secondly, New York Times employs more attitude resources than that of China Daily, with a dominant air of negative attitude resources.

“Even when you write with a pencil there is an eraser to clean it”: Examining men's conceptualisations of and involvement in emergency contraceptive use in Accra, Ghana

Emergency contraceptive pills are an essential and unique post-coital method to avoid a pregnancy, with evidence showing the significant role men can have in procurement and decisions to use. Global Health recommendations specify that emergency contraceptive pills be used sparingly and under specific conditions. This increasingly misaligns with the myriad conceptualisations and rationales among the public for why they choose to use emergency contraceptive pills. There has been a paucity of research aiming to understanding men's involvement and how they shape women's access, choice, and autonomy.This study interrogates how emergency contraceptive pills are conceptualised by men in James Town, Ghana, and how this intersects with their motivations to be involved in its use. Mixed method data from a survey (n = 270) and in-depth interviews (n = 37) were collected between July 2020 and January 2021. The analysis examines men's framings of emergency contraceptive pills and how these shape their involvement in its use.Men's knowledge of post-coital contraceptives was high, while knowledge of the specific term ‘emergency contraception’ was lower. While some men understood the pills in ways that aligned to Global Health framings, many more men saw emergency contraceptive pills as another means of pregnancy prevention in line with other contraceptives. This included its conceptualisation as a contraceptive that facilitates pleasurable (condomless) and spontaneous sex. Gendered perceptions of women who use emergency contraceptive pills were bound in sexual stigma, and men indicated that emergency contraceptive pills were a directly observable form of contraception that they could pressure their partner into using. Understanding plural conceptualisations away from ‘emergency’ are necessary to create policies and programmes that account for men's involvement. This includes understanding how emergency contraceptive pills are located within people's sexual and reproductive lives and gendered power dynamics, to reflect the public's own rationales for and experiences using post-coital contraceptives.

Perspectives on prior preparation for menstrual experience from women and female health workers in Malawi.

While studies have explored various aspects of menstruation, an evident gap remains in the literature concerning the perspectives of young women and female health workers. By shedding light on this unexplored terrain, the study provides novel insights that can inform targeted interventions and foster a more inclusive understanding of menstrual health. As such, this investigation stands at the forefront of academic endeavour in menstrual health research, making an original and valuable impact in the field. The objective of this study was to explore the experiences of reproductive-aged women during menstruation in Malawi. The specific objectives were to examine the experiences of reproductive-age women related to menstrual preparation, identify factors influencing the choice of menstrual products for women in Malawi, and identify the public health implications of menstrual products. This cross-sectional study employed qualitative research methods to explore the acceptance and implementation of menstrual cups as a feminine hygienic product for women in Malawi. The study involved focus group discussions and interviews with reproductive-age women aged 18-54 years and health providers at Bwaila and Mitundu family clinics and Lighthouse HIV management centres. Thematic content analysis was performed using NVivo 12. Ethical approval was obtained from the College of Medicine Research and Ethics Committee (P.08/21/3379). Education on menstruation is provided as early as 10 years before menarche by sisters, friends, mothers, aunties and grandmothers. Parents remain silent on menstrual issues. Commonly used menstrual products include disposable pads, cloths, reusable pads and cotton wool. While a few mentioned using tampons, pieces of blankets and flex foam, the majority demonstrated widespread ignorance about menstrual cups. Mentors or counsellors, affordability, accessibility, comfort and disposal issues influence women's choice of products being used. Parents need to break the silence on menstrual issues. Messages on menstruation and menstrual products are explicit in forming female adolescents what to expect with menarche, how to manage menses including health-related impacts, and ways of mitigating menses-related misconceptions, discrimination and stigma, and could be incorporated into the primary school curriculum. Safe menstrual products are accessible free of charge or at a subsidised cost.

IMPACT OF T.V. COMMERCIALS ON INVESTMENT BEHAVIOUR OF WOMEN IN INDIA

The research explores the influence of TV commercials on the investment behavior of women in India. It acknowledges the evolving role of women in the workforce, with a focus on the 51.44% employability rate in 2022. The article highlights factors affecting women's investment choices, such as risk aversion, reliance on others for decisions, and financial literacy gaps. It discusses the impact of TV commercials on shaping consumer behavior, noting a historical bias in investment-related ads favouring men. Despite positive changes, the research emphasizes the importance of encouraging women in financial activities for achieving gender equality in India.

Contemplating the U.S. Supreme Court's Reversal of Roe v. Wade

The Roe case and Casey case were important moments in the women's liberation movement in the United States, recognizing women's constitutional right to abortion, and a fundamental aspect of their autonomy. In contrast, the recent Dobbs case upended the established Roe precedent, rejecting constitutional recognition of women's right to abortion and reverting "regulation of abortion rights to the people and their elected representatives. To delve deeper into this matter, it's crucial to examine the legal doctrines at play. The Roe decision primarily invoked the Substantive Due Process Clause to protect a woman's privacy and reproductive choices, whereas the Dobbs case highlighted the importance of the democratic process and aligns with originalism in constitutional interpretation. This shift raises questions about the durability of constitutional precedents and the evolving nature of constitutional interpretation. The conflict between these cases underscores the profound implications for women's reproductive rights and the broader women's liberation movement, as the nation grapples with the balance between individual autonomy and democratic decision-making in shaping constitutional rights.

Randomized experimental population-based study to evaluate the acceptance and completion of and preferences for cervical cancer screening.

Cervical cancer has high incidence and mortality rates, especially in less-developed countries. Prevention methods are well established, but there are still barriers preventing some Brazilian women from undergoing a Pap sample. The objective of the study was to evaluate the acceptance, preferences and completion of four screening methods. This has an experimental design (community trial). A total of 164 participants who had never had a Pap sample or had not had one for more than three years were included. The city's urban area was stratified by census tracts and divided according to income and education levels. Women belonging to the lower-income strata were considered in the study. Random blocks were numbered into five intervention groups (Group 1- Pap sample at the hospital; Group 2- Pap sample in the mobile unit; Group 3- urine self-collection; Group 4- vaginal self-collection; Group 5- woman's choice). Only 164 women met all of the eligibility criteria (15.3%). Most of them accepted the assigned method (92%), but only 84% of the women completed the collection step. The acceptance rates were as follows: Group 1 (100%), Group 2 (64.5%), Group 3 (100%) and Group 4 (91.4%). In Group 5, the women's preferences were distributed as follows: examination performed at the hospital, 13 women (33.3%); examination performed at the mobile unit, 11 women (28.2%); urine self-collection, 11 women (28.2%); and vaginal self-collection, 4 women (10.3%). This study suggests that methods that allow cervical sampling collected near the women's domicile might improve the acceptance and completion of preventive tests. This finding is relevant for the development of new cervical cancer screening strategies.

Person-centered maternity care and associated factors among women who give birth at public hospitals in South Gondar zone, North West Ethiopia, 2023.

Person-centered maternity care (PCMC) is the process of maternity care that is responsive to and respectful of each woman's choices, values, and needs. It reflects the quality of maternal health services. The provision of PCMC is influenced by the maternal sociodemographic and obstetric-related variables However, there is little information about person-centered maternity care in Ethiopia; particularly, communication & autonomy, and supportive care are not well investigated. Therefore, the purpose of this study was to assess the proportion of person-centered maternity care and associated factors among women who give birth at the public hospital, in North West, Ethiopia, 2023. A facility-based cross-sectional study was conducted among 763 mothers who give birth at public hospitals in the South Gondar zone. The study participants were selected using a systematic random sampling technique. Data were collected through exit interviews using a structured pretested Amharic version questionnaire. EPI- Data version 4.6 was used for data entry and SPSS Version 25 for analysis. Bivariable & multivariable linear regression analysis was computed. Predictor variables were identified by using unstandardized β and a 95% confidence interval. A variable that has a p-value < 0.05 was considered statistically significant. The mean person-centered maternity care was 42.33 out of 90. Mothers living in rural areas (β = -1.43, 95% CI: -2.76,-0.11), 3-4 providers present during labor and delivery (β = -1.58, 95% CI:-3.67,-0.27), had no history of facility delivery (β = -2.28,95% CI:-4.43,-0.13), two days length of stay at hospitals (β = 1.69,95% CI:0.40,2.48), and highest wealth (β = 1.05,95% CI:0.42,1.41) were factors significantly associated with person-centered maternity care (PCMC). The mean score of PCMC was low in the study area compared to studies done in low- and middle-income countries. Highest wealth, 3-4 health providers present during labor and delivery, had no history of facility delivery, and had two-day lengths of stay at hospitals were predictors for PCMC. Therefore, strengthening facility delivery and promoting hospital stays for more than a day as a part of first postnatal care is paramount for increasing PCMC.

A survey on the perceptions of midwives, women, and support persons on the introduction of a support person information resource.

Midwives in an Australian birth unit undertook a project to develop a resource for women and their support person. The aim of this study was to explore how the women, support persons and midwives viewed the introduction of this resource designed to guide and support women in their choice of support person. A quantitative survey study was used to explore how three participant groups viewed the introduction of a support person information resource. A hospital designed survey was developed for women, support people and midwives. Data were analyzed using SPSS, version 26 and Braun and Clarke's guide for thematic analysis. More than half (55%) of the midwives believed that the information resource presented influenced women's choice of support people during labor. Almost three-quarters (72%) of the women did not change their choice of number of support people that they wanted during their labor. The majority (83%) of women would recommend the support person brochure to other women. The majority (83%) of support people stayed the entire duration of labor. Four themes were generated from open-ended questions: value of the information sheet, knowing how to be a support person, connecting midwives with being woman-centered, and choosing the support person. The availability of an information resource was of benefit for women, support people and midwives, contributing to women feeling more informed in choosing their support person. Midwives felt they had evidence to support conversations with women, contributing to the feeling of being woman-centered. Support people had increased confidence.

We choose: Adolescent girls and young women's choice for an HIV prevention product in a cross-over randomized clinical trial conducted in South Africa, Uganda, and Zimbabwe.

With new pre-exposure prophylaxis (PrEP) modalities for HIV prevention becoming available, understanding how adolescent girls and young women (AGYW) navigate through PrEP options is essential, including factors underlying their choice. Through 16 focus group discussions (FGDs) and 52 in-depth interviews (IDIs) from REACH, an open-label crossover study in which AGYW were allocated 1:1 (between 06 February 2019 and 18 March 2020) to receive oral PrEP for six months and the dapivirine ring for six months, in a randomized sequence, followed by a 6-month period where either product (or neither) could be chosen, we explored decision-making process and product choice, using a mixed inductive-deductive analytical approach. Key themes included the desire to remain HIV-negative and weighing product attributes through experiential learning. Product triability appeared important in informing product choice as individual circumstances changed or assuaging side effects with a given product. Approved biomedical prevention innovations may also benefit from hands-on experience to help with adoption and use during real-world implementation. Furthermore, support from trusted providers will remain critical as AGYW contemplate navigating through PrEP options and choice.

Pregnant women autonomy when choosing their method of childbirth: Scoping review.

This paper has as its theme the autonomy of pregnant women in relation to choosing the method of birth for their child. The objective was to carry out a scoping review to study the literature and evidence of how autonomy is being offered to parturient women. Study design and location: In October 2023, a search was carried out using the terms "pregnant women" AND "delivery" AND "autonomy" in the following databases: PubMed, Web of Science, Scopus, Scielo and LILACS. The search included articles from 2016 to 2023. Of the 179 articles found, 15 met the criteria and were selected for this review. Results: the pregnant woman's autonomy in choosing the method of childbirth is influenced by several factors, such as the obstetrician's recommendation, the medical team, and negative and positive experiences. Thus, when this autonomy is shared with the obstetrician, the obstetrician recommends cesarean section as the safest route, but does not explain the benefits and harms of both routes (vaginal and cesarean section), causing the woman to accept the cesarean section. Midwives recommend vaginal birth because they believe it to be natural and safe and explain the benefits and harms of both methods, respecting the pregnant woman's choice of the method she prefers. Conclusion: women have the fundamental right to choose their method of birth and must be properly guided throughout prenatal care, whether by an obstetrician or a midwife, about the options, risks and benefits of each method of childbirth, respecting the ethical principle of beneficence.

Factors associated with the health and reproductive autonomy of Quilombola women in Brazil.

To verify the association between reproductive autonomy and sociodemographic, sexual, and reproductive characteristics in Quilombola women (a term indicating the origin of politically organized concentrations of Afro-descendants who emancipated themselves from slavery). Cross-sectional and analytical study with 160 women from Quilombola communities in the southwest of Bahia, Brazil. Data were collected using the Reproductive Autonomy Scale and the questionnaire from the National Health Survey (adapted). Out of the 160 participating women, 91.9% declared themselves as black, one out of every three were aged ≤ 23 years, 53.8% were married or had a partner, 38.8% had studied for ≤ 4 years, over half (58.1%) were unemployed, only 32.4% had a monthly income > R$ 430 (80 US dollars), 52.5% had their first menstruation at the age of 12, 70.7% had not accessed family planning services in the last 12 months, and over half used some method to avoid pregnancy (59.0%). The women had a high level of reproductive autonomy, especially in the "Decision-making" and "Freedom from coercion" subscales with a score of 2.53 and 3.40, respectively. A significant association (p<0.05) was found between the "Total reproductive autonomy" score and marital status, indicating that single or unpartnered women had higher autonomy compared to married or partnered women. The association of social determinants of health such as marital status, education, and age impacts women's reproductive choices, implying risks for sexual and reproductive health. The intergenerational reproductive autonomy of Quilombola women is associated with sociodemographic and reproductive factors.