Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis
Abstract 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...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-025-03666-7 |
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| Summary: | Abstract 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. |
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| ISSN: | 1472-6874 |