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Multi-level predictors of sexual autonomy among married women in Nigeria
Authors: Bola Lukman Solanke, Olufemi Mayowa Adetutu, Kazeem Adebayo Sunmola, Ayodele Aderemi Opadere, Nurat Kehinde Adeyemi, and Daniel Alabi Soladoye
Source: BMC Women's Health, Volume 22, Article 114; DOI:
Topic(s): Education
Rural-urban differentials
Sexual behavior
Wealth Index
Women's autonomy
Country: Africa
Published: APR 2022
Abstract: Background Extant studies have established diverse individual-level and relational-level predictors of sexual autonomy among women in different countries. However, information remains scanty about the predictors beyond the individual and relational levels particularly at the community level. This study examined the multi-level predictors of sexual autonomy in Nigeria. This was done to shed more light on the progression toward attaining women-controlled safe sex in Nigeria. Methods This study adopted a cross-sectional design that utilised the 2018 Nigeria Demographic and Health Survey (NDHS) data. The study analysed responses from 8,558 women. The outcome variable was sexual autonomy, while the explanatory variables were individual-level (maternal age group, maternal education, nature of first marriage, parity, work status, religion, and media exposure), relational-level (spousal violence, type of marriage, spousal living arrangement, household wealth quintile, alcoholic consumption, family decision-making, and degree of marital control), and community-level characteristics (community residency type, geographic region, community literacy, female financial inclusion in community, female ownership of assets in community, and community rejection of wife-beating). Statistical analyses were performed using Stata version 14. The multilevel regression analysis was applied. Statistical significance was set at p?