Women’s autonomy in negotiating safer sex to prevent HIV: Findings from the 2011 Nepal Demographic and Health Survey

Madhu Sudhan Atteraya, Heejin Kimm, In Han Song

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Women with greater autonomy have higher HIV-related knowledge and condom use. Inability to negotiate safer sex in high-risk situations might increase HIV infection. This study examined the relationship between women’s autonomy and ability to negotiate safer sex practices among married women. The 2011 Nepal Demographic and Health Survey data were used. The data were collected by two-stage stratified cluster sampling and face- to-face interviews. Autonomy was measured in Decision-Making Participation and Assets Ownership, while ability to negotiate safer sex consists of Refusal of Sex and Ask for Condom Use. Among 12,674 women of 15-49 years, married women were analyzed (« = 8,896). Women with greater autonomy in decision-making participation were more likely to negotiate safer sex. After controlling for socio-demographic factors, odds ratios (OR) for refusal of sex was 2.70 (95% Cl [2.14, 3.40)) in women with the highest decision-making participation. These women showed higher OR for 'ask for condom use’ in high risk situations (2.10, 95% Cl [1.81,2.44]). Assets ownership also demonstrated a positive statistical relationship with asking for a condom use (OR 1.31, 95% Cl [1.10, l.56]). The results point to the importance of women’s autonomy on sexual health. It emphasizes women’s empowerment-based approach to curbing HIV/AIDS in developing countries.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalAIDS Education and Prevention
Volume26
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Safe Sex
Nepal
Negotiating
autonomy
Demography
HIV
health
Condoms
Decision Making
decision making
Aptitude
Ownership
Odds Ratio
participation
wife
assets
ability
demographic factors
Reproductive Health
empowerment

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

@article{feac30ab945c4e4f92791d87ace1437f,
title = "Women’s autonomy in negotiating safer sex to prevent HIV: Findings from the 2011 Nepal Demographic and Health Survey",
abstract = "Women with greater autonomy have higher HIV-related knowledge and condom use. Inability to negotiate safer sex in high-risk situations might increase HIV infection. This study examined the relationship between women’s autonomy and ability to negotiate safer sex practices among married women. The 2011 Nepal Demographic and Health Survey data were used. The data were collected by two-stage stratified cluster sampling and face- to-face interviews. Autonomy was measured in Decision-Making Participation and Assets Ownership, while ability to negotiate safer sex consists of Refusal of Sex and Ask for Condom Use. Among 12,674 women of 15-49 years, married women were analyzed (« = 8,896). Women with greater autonomy in decision-making participation were more likely to negotiate safer sex. After controlling for socio-demographic factors, odds ratios (OR) for refusal of sex was 2.70 (95{\%} Cl [2.14, 3.40)) in women with the highest decision-making participation. These women showed higher OR for 'ask for condom use’ in high risk situations (2.10, 95{\%} Cl [1.81,2.44]). Assets ownership also demonstrated a positive statistical relationship with asking for a condom use (OR 1.31, 95{\%} Cl [1.10, l.56]). The results point to the importance of women’s autonomy on sexual health. It emphasizes women’s empowerment-based approach to curbing HIV/AIDS in developing countries.",
author = "Atteraya, {Madhu Sudhan} and Heejin Kimm and Song, {In Han}",
year = "2014",
month = "1",
day = "1",
doi = "10.1521/aeap.2014.26.1.1",
language = "English",
volume = "26",
pages = "1--12",
journal = "AIDS Education and Prevention",
issn = "0899-9546",
publisher = "Guilford Publications",
number = "1",

}

Women’s autonomy in negotiating safer sex to prevent HIV : Findings from the 2011 Nepal Demographic and Health Survey. / Atteraya, Madhu Sudhan; Kimm, Heejin; Song, In Han.

In: AIDS Education and Prevention, Vol. 26, No. 1, 01.01.2014, p. 1-12.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Women’s autonomy in negotiating safer sex to prevent HIV

T2 - Findings from the 2011 Nepal Demographic and Health Survey

AU - Atteraya, Madhu Sudhan

AU - Kimm, Heejin

AU - Song, In Han

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Women with greater autonomy have higher HIV-related knowledge and condom use. Inability to negotiate safer sex in high-risk situations might increase HIV infection. This study examined the relationship between women’s autonomy and ability to negotiate safer sex practices among married women. The 2011 Nepal Demographic and Health Survey data were used. The data were collected by two-stage stratified cluster sampling and face- to-face interviews. Autonomy was measured in Decision-Making Participation and Assets Ownership, while ability to negotiate safer sex consists of Refusal of Sex and Ask for Condom Use. Among 12,674 women of 15-49 years, married women were analyzed (« = 8,896). Women with greater autonomy in decision-making participation were more likely to negotiate safer sex. After controlling for socio-demographic factors, odds ratios (OR) for refusal of sex was 2.70 (95% Cl [2.14, 3.40)) in women with the highest decision-making participation. These women showed higher OR for 'ask for condom use’ in high risk situations (2.10, 95% Cl [1.81,2.44]). Assets ownership also demonstrated a positive statistical relationship with asking for a condom use (OR 1.31, 95% Cl [1.10, l.56]). The results point to the importance of women’s autonomy on sexual health. It emphasizes women’s empowerment-based approach to curbing HIV/AIDS in developing countries.

AB - Women with greater autonomy have higher HIV-related knowledge and condom use. Inability to negotiate safer sex in high-risk situations might increase HIV infection. This study examined the relationship between women’s autonomy and ability to negotiate safer sex practices among married women. The 2011 Nepal Demographic and Health Survey data were used. The data were collected by two-stage stratified cluster sampling and face- to-face interviews. Autonomy was measured in Decision-Making Participation and Assets Ownership, while ability to negotiate safer sex consists of Refusal of Sex and Ask for Condom Use. Among 12,674 women of 15-49 years, married women were analyzed (« = 8,896). Women with greater autonomy in decision-making participation were more likely to negotiate safer sex. After controlling for socio-demographic factors, odds ratios (OR) for refusal of sex was 2.70 (95% Cl [2.14, 3.40)) in women with the highest decision-making participation. These women showed higher OR for 'ask for condom use’ in high risk situations (2.10, 95% Cl [1.81,2.44]). Assets ownership also demonstrated a positive statistical relationship with asking for a condom use (OR 1.31, 95% Cl [1.10, l.56]). The results point to the importance of women’s autonomy on sexual health. It emphasizes women’s empowerment-based approach to curbing HIV/AIDS in developing countries.

UR - http://www.scopus.com/inward/record.url?scp=84897019510&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897019510&partnerID=8YFLogxK

U2 - 10.1521/aeap.2014.26.1.1

DO - 10.1521/aeap.2014.26.1.1

M3 - Article

C2 - 24450274

AN - SCOPUS:84897019510

VL - 26

SP - 1

EP - 12

JO - AIDS Education and Prevention

JF - AIDS Education and Prevention

SN - 0899-9546

IS - 1

ER -