Factors associated with the health and reproductive autonomy of Quilombola women in Brazil.

Autor:	Moreira Marques GC; Registered Nurse. PhD. Assistant Professor, Nursing Course at the Universidade do Estado da Bahia, Guanambi, Bahia, Brasil. gmarques.vc@gmail.com., Ferreira SL; Registered Nurse. PhD. Full Professor, Escola de Enfermagem da Universidade Federal da Bahia, Salvador, Bahia, Brazil. silvialf100@gmail.com., do Sacramento de Almeida E; Registered Nurse. PhD candidate. Assistant Professor, Nursing Course at the Universidade do Estado da Bahia, Senhor do Bonfim, Bahia, Brazil. elianadosacramento@hotmail.com., Diniz Farias PL; Bachelor of Laws. PhD candidate. Judicial Analyst at the Tribunal de Justiça do Estado da Paraíba, Brazil. palomaldf@gmail.com., Bezerra Ribeiro S; Physiotherapist. PhD candidate. Professor, Physiotherapy Course at UNIAENE-FADBA - Adventist University Center of Northeast, Cachoeira, Bahia, Brazil. sanziar@gmail.com., Cardoso Coelho EA; Registered Nurse. PhD. Full Professor, Escola de Enfermagem da Universidade Federal da Bahia, Salvador, Bahia, Brazil. edmeiaacardoso3@gmail.com.
Jazyk:	angličtina
Zdroj:	Investigacion y educacion en enfermeria [Invest Educ Enferm] 2024 Mar; Vol. 42 (1).
DOI:	10.17533/udea.iee.v42n1e10
Abstrakt:	Objective: To verify the association between reproductive autonomy and sociodemographic, sexual, and reproductive characteristics in Quilombola women (a term indicating the origin of politically organized concentrations of Afro-descendants who emancipated themselves from slavery). Methods: Cross-sectional and analytical study with 160 women from Quilombola communities in the southwest of Bahia, Brazil. Data were collected using the Reproductive Autonomy Scale and the questionnaire from the National Health Survey (adapted). Results: Out of the 160 participating women, 91.9% declared themselves as black, one out of every three were aged ≤ 23 years, 53.8% were married or had a partner, 38.8% had studied for ≤ 4 years, over half (58.1%) were unemployed, only 32.4% had a monthly income > R$ 430 (80 US dollars), 52.5% had their first menstruation at the age of 12, 70.7% had not accessed family planning services in the last 12 months, and over half used some method to avoid pregnancy (59.0%). The women had a high level of reproductive autonomy, especially in the "Decision-making" and "Freedom from coercion" subscales with a score of 2.53 and 3.40, respectively. A significant association (p<0.05) was found between the "Total reproductive autonomy" score and marital status, indicating that single or unpartnered women had higher autonomy compared to married or partnered women. Conclusion: The association of social determinants of health such as marital status, education, and age impacts women's reproductive choices, implying risks for sexual and reproductive health. The intergenerational reproductive autonomy of Quilombola women is associated with sociodemographic and reproductive factors. Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose. (Copyright� by the Universidad de Antioquia.)
Databáze:	MEDLINE
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