Bola Lukman Solanke|Olufemi Mayowa Adetutu|Kazeem Adebayo Sunmola|Ayodele Aderemi Opadere|Nurat Kehinde Adeyemi|Daniel Alabi Soladoye
Multi-level predictors of sexual autonomy among married women in Nigeria
Obafemi Awolowo University|Obafemi Awolowo University|Ekiti State University|Redeemer's University|Kaduna State University|Obafemi Awolowo University
extant studies established diverse individuallevel relationallevel predictors sexual autonomy among women different countries however information remains scanty predictors beyond individual relational levels particularly community level study examined multilevel predictors sexual autonomy nigeria done shed light progression toward attaining womencontrolled safe sex nigeriathis study adopted crosssectional design utilised 2018 nigeria demographic health survey ndhs data study analysed responses 8558 women outcome variable sexual autonomy explanatory variables individuallevel maternal age group maternal education nature first marriage parity work status religion media exposure relationallevel spousal violence type marriage spousal living arrangement household wealth quintile alcoholic consumption family decisionmaking degree marital control communitylevel characteristics community residency type geographic region community literacy female financial inclusion community female ownership assets community community rejection wifebeating statistical analyses performed using stata version 14 multilevel regression analysis applied statistical significance set p 005findings showed parity nature first marriage maternal education media exposure work status religion significant individuallevel predictors spousal violence degree marital control type marriage family decisionmaking household wealth quintile significant relationallevel predictors sexual autonomy results showed communitylevel characteristics also significantly predicted sexual autonomy likelihood sexual autonomy lower among rural women aor 0433 95 ci 03580524 odds sexual autonomy higher among southern women aor 3169 95 ci 25943871 women live high literate communities aor 3446 95 ci 30473897 women reside communities high female financial inclusion aor 3821 95 ci 30024864 among women live communities high female ownership assets aor 1907 95 ci 15622327womens sexual autonomy predicted factors operating beyond individual relational levels existing sexual health promotion strategies targeting individual relational factors country modified adequately incorporate communitylevel characteristics enhance prospect womencontrolled safe sex nigeria