INFLUENCE OF THE SOCIODEMOGRAPHIC AND REPRODUCTIVE CHARACTERISTICS ON REPRODUCTIVE AUTONOMY AMONG WOMEN

Dias, Ana Cleide da Silva; Ferreira, Silvia Lúcia; Gusmão, Maria Enoy Neves; Marques, Gabriela Cardoso Moreira

doi:10.1590/1980-265X-TCE-2020-0103

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Original Article • Texto contexto - enferm. 30 • 2021 • https://doi.org/10.1590/1980-265X-TCE-2020-0103 copy

INFLUENCE OF THE SOCIODEMOGRAPHIC AND REPRODUCTIVE CHARACTERISTICS ON REPRODUCTIVE AUTONOMY AMONG WOMEN

INFLUENCIA DE LAS CARACTERÍSTICAS SOCIODEMOGRÁFICAS Y REPRODUCTIVAS SOBRE LA AUTONOMÍA REPRODUCTIVA ENTRE MUJERES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

to analyze the influence of the sociodemographic and reproductive characteristics on reproductive autonomy among women through the subscales of the Reproductive Autonomy Scale.

Method

an analytical and cross-sectional study with a stratified sample composed of 346 female rural workers registered in Chapéu de Palha Mulher Program in Pernambuco. Data collection occurred in the month of February 19^th and February 23^rd, 2018. The National Health Survey questionnaire and the Reproductive Autonomy Scale were used. The data were analyzed using simple and multiple linear regression analyses.

Results

the women presented high reproductive autonomy with the lowest autonomy being observed in relation to the “Communication” construct. Marital status, education level, skin color/race, participation in a family planning group, and having already being pregnant are significant variables for total reproductive autonomy.

Conclusion

the full reproductive autonomy of rural women can be influenced by sociodemographic and reproductive variables. One of the ways to increase reproductive autonomy among the women in this study would be through an intervention aimed at health education on sexual and reproductive rights and power and gender relations so that women can be guided, obtain more information on these topics, and correlate them with reproductive autonomy.

DESCRIPTORS
Decision-making; Sexual and reproductive rights; Gender; Socioeconomic factors; Working women

Variable	Mean / n	SD* / %
Age (years old)	29.6	7.2
Marital status (%)
Single/Without partner	117	33.8
Married/With partner	229	66.2
Schooling level (%)
< Basic	96	27.7
Basic	75	21.7
Elementary school	118	34.1
≥ High school	57	16.5
Skin color/Race (%)
Black	306	88.4
White	40	11.6
Religion (%)
With some religion	309	89.3
No religion	37	10.7
Age that started working (years old)	17.2	3.5
Participation in family planning group in the last 12 months
No	301	87.0
Yes	45	13.0
Use of some method to prevent pregnancy
No	77	22.3
Yes	268	77.7
Has already been pregnant
No	31	9.0
Yes	315	91.0

Factor (subscale)	Mean	Standard deviation	Minimum - Maximum
Decision-making	2.54	0.41	1.00 - 3.00
Absence of coercion	3.43	0.58	1.80 - 4.00
Communication	2.77	0.47	1.00 - 4.00
TOTAL	2.94	0.32	1.71 - 3.50

Variable	Decision-making	Absence of coercion	Communication
Age (Spearman correlation)	0.06 (p=0.284)	0.02 (p=0.678)	- 0.03 (p=0.535)
Marital status
Single/Without partner	2.59±0.40	3.34±0.58	2.69±0.53
Married/With partner	2.52±0.42	3.48±0.57	2.82±0.44
p-value*	0.182	0.025	0.054
Schooling level
< Basic	2.55±0.41	3.37±0.63	2.78±0.42^a
Basic	2.57±0.38	3.47±0.50	2.67±0.53^a
Elementary school	2.52±0.46	3.41±0.61	2.78±0.45^a
≥ High school	2.56±0.35	3.54±0.49	2.90±0.50^b
p-value^†	0.992	0.537	0.024
Skin color/race
Black	2.54±0.42	3.42±0.58	2.76±0.49
White	2.58±0.37	3.53±0.51	2.88±0.31
p-value*	0.789	0.336	0.336
Religion
With some religion	2.53±0.42	3.43±0.58	2.77±0.48
No religion	2.63±0.38	3.45±0.57	2.77±0.43
p-value*	0.195	0.813	0.704
Age that started working (Spearman correlation)	- 0.01 (p=0.901)	- 0.04 (p= 0.443)	- 0.07 (p=0.187)

Variable	Decision-making	Absence of coercion	Communication
Participation in family planning group in the last 12 months
No	2.53±0.42	3.38±0.59	2.79±0.45
Yes	2.66±0.35	3.76±0.38	2.67±0.59
*p-value	0.062	< 0.001	0.461
Use of some method to prevent pregnancy
No	2.58±0.40	3.39±0.63	2.75±0.56
Yes	2.54±0.42	3.44±0.56	2.78±0.45
*p-value	0.398	0.740	0.999
Has already been pregnant
No	2.56±0.34	3.33±0.62	2.67±0.56
Yes	2.54±0.42	3.44±0.57	2.78±0.46
*p-value	0.826	0.418	0.293

Independent variable	*β_gross (p_variable)	*β_adjusted† (p_variable)	p_model	r² _adjusted
Marital status (married/with partner)	- 0.031 (0.261)	0.080 (0.024)	< 0.001	0.06
Schooling level (ordinal)	0.026 (0.107)	0.027 (0.091)
Color/race (White)	0.090 (0.090)	0.116 (0.027)
Age that started work	- 0.004 (0.356)	- 0.008 (0.086)
Participation in family planning group in the last 12 months (yes)	0.129 (0.011)	0.129 (0.009)
Has already been pregnant (yes)	0.077 (0.196)	0.081 (0.176)

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[1] CORRESPONDING AUTHOR
Ana Cleide da Silva Dias anacleide.dias@univasf.edu.br