Safer sex negotiation and parity among women in sub-Saharan Africa.

Adu, C; Frimpong, JB; Mohammed, A; Tetteh, JK; Budu, E; Ahinkorah, BO; Seidu, A-A

Safer sex negotiation and parity among women in sub-Saharan Africa.

Adu, C Frimpong, JB Mohammed, A Tetteh, JK Budu, E Ahinkorah, BO Seidu, A-A

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Publisher:: Cambridge University Press (CUP)
Publication Type:: Journal Article
Citation:: J Biosoc Sci, 2022, pp. 1-13
Issue Date:: 2022-01-06

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Field	Value	Language
dc.contributor.author	Adu, C
dc.contributor.author	Frimpong, JB
dc.contributor.author	Mohammed, A
dc.contributor.author	Tetteh, JK
dc.contributor.author	Budu, E
dc.contributor.author	Ahinkorah, BO
dc.contributor.author	Seidu, A-A
dc.date.accessioned	2022-11-30T03:19:12Z
dc.date.available	2022-11-30T03:19:12Z
dc.date.issued	2022-01-06
dc.identifier.citation	J Biosoc Sci, 2022, pp. 1-13
dc.identifier.issn	0021-9320
dc.identifier.issn	1469-7599
dc.identifier.uri	http://hdl.handle.net/10453/163890
dc.description.abstract	Women's ability to negotiate for safer sex has effects on their sexual and reproductive health. This study investigated the association between safer sex negotiation and parity among women in sub-Saharan Africa. The data were sourced from the Demographic and Health Surveys of 28 sub-Saharan African countries conducted from 2010 to 2019. A total of 215,397 women aged 15-49 were included in the study. Multilevel logistic analysis was conducted to examine the association between safer sex negotiation and parity among women in sub-Saharan Africa. The results were presented as adjusted odds ratios (aOR) and the significance level set at p<0.05. The overall prevalences of safer sex negotiation and high parity among women in sub-Saharan Africa were 82.7% and 52.1%, respectively. The prevalence of high parity ranged from 32.3% in Chad to 72.1% in Lesotho. The lowest prevalence of safer sex negotiation was in Chad (16.8%) while the highest prevalence was recorded in Rwanda (99.7%). Women who had the capacity to negotiate for safer sex were less likely to have high parity compared with those who had no capacity to negotiate for safer sex (aOR = 0.78, CI: 0.75-0.81). Other factors that were associated with high parity were age, educational level, marital status, exposure to media, contraceptive use, religion, wealth quintile, sex of household head, and place of residence. The study identified significant association between safer sex negotiation and high parity among women of reproductive age in sub-Saharan Africa. It is worth noting that women's ability to negotiate for safer sex could reduce high parity among women in sub-Saharan Africa. Therefore, policies and programmes aimed at birth control or reducing high parity among women could be targeted at improving their capacity to negotiate for safer sex through education.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Cambridge University Press (CUP)
dc.relation.ispartof	J Biosoc Sci
dc.relation.isbasedon	10.1017/S0021932021000651
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1603 Demography
dc.subject.classification	General Arts, Humanities & Social Sciences
dc.title	Safer sex negotiation and parity among women in sub-Saharan Africa.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1603 Demography
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-11-30T03:19:11Z
pubs.publication-status	Published online

Abstract:

Women's ability to negotiate for safer sex has effects on their sexual and reproductive health. This study investigated the association between safer sex negotiation and parity among women in sub-Saharan Africa. The data were sourced from the Demographic and Health Surveys of 28 sub-Saharan African countries conducted from 2010 to 2019. A total of 215,397 women aged 15-49 were included in the study. Multilevel logistic analysis was conducted to examine the association between safer sex negotiation and parity among women in sub-Saharan Africa. The results were presented as adjusted odds ratios (aOR) and the significance level set at p<0.05. The overall prevalences of safer sex negotiation and high parity among women in sub-Saharan Africa were 82.7% and 52.1%, respectively. The prevalence of high parity ranged from 32.3% in Chad to 72.1% in Lesotho. The lowest prevalence of safer sex negotiation was in Chad (16.8%) while the highest prevalence was recorded in Rwanda (99.7%). Women who had the capacity to negotiate for safer sex were less likely to have high parity compared with those who had no capacity to negotiate for safer sex (aOR = 0.78, CI: 0.75-0.81). Other factors that were associated with high parity were age, educational level, marital status, exposure to media, contraceptive use, religion, wealth quintile, sex of household head, and place of residence. The study identified significant association between safer sex negotiation and high parity among women of reproductive age in sub-Saharan Africa. It is worth noting that women's ability to negotiate for safer sex could reduce high parity among women in sub-Saharan Africa. Therefore, policies and programmes aimed at birth control or reducing high parity among women could be targeted at improving their capacity to negotiate for safer sex through education.

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