Rafsaniat Binte Mustafiz, Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Nurjahan Binte Munaf, Azaz Bin Sharif
{"title":"孟加拉国妇女保健决策自主权的决定因素:混合效应逻辑回归分析。","authors":"Rafsaniat Binte Mustafiz, Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Nurjahan Binte Munaf, Azaz Bin Sharif","doi":"10.1186/s12905-025-03666-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Women's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.</p><p><strong>Methods: </strong>Data on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.</p><p><strong>Results: </strong>Overall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).</p><p><strong>Conclusion: </strong>Around one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"192"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007339/pdf/","citationCount":"0","resultStr":"{\"title\":\"Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.\",\"authors\":\"Rafsaniat Binte Mustafiz, Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Nurjahan Binte Munaf, Azaz Bin Sharif\",\"doi\":\"10.1186/s12905-025-03666-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Women's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.</p><p><strong>Methods: </strong>Data on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.</p><p><strong>Results: </strong>Overall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).</p><p><strong>Conclusion: </strong>Around one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.</p>\",\"PeriodicalId\":9204,\"journal\":{\"name\":\"BMC Women's Health\",\"volume\":\"25 1\",\"pages\":\"192\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-04-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007339/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Women's Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12905-025-03666-7\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Women's Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12905-025-03666-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.
Background: Women's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.
Methods: Data on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.
Results: Overall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).
Conclusion: Around one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.
期刊介绍:
BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.