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Is reproductive agency associated with subjective well-being? A population-based cross-sectional study among men and women in four sub-Saharan African countries using the World Values Survey

Datos Bibliográficos

ID15294694
AutoresKarin Båge (0000-0002-6793-441X, Karolinska Institutet, autor de correspondencia), Anna Kågesten (0000-0002-5458-8319, Karolinska Institutet), Anna E Kågesten (0000-0003-4096-8780, Karolinska Institutet), Mariam Fagbemi (Kantar Public), Olalekan Uthman (Karolinska Institutet), Olalekan Abdulrahman Uthman (0000-0002-8567-3081, Karolinska Institutet), Malachi Ochieng Arunda (0000-0001-9236-7210, Karolinska Institutet), Bi Puranen (0000-0002-0751-2928, Institute for Future Studies), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet), Helena Litorp (0000-0001-7164-598X, Karolinska Institutet)
Año2025
Volumen36
Número1
Fecha de publicación2025-12-31
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCritical Public Health (JOURNAL)
Identificadores de la revistaISSN: 0958-1596 • E-ISSN: 1469-3682
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09581596.2025.2604450
OpenAlexW7117867119
IdiomaEN
Referencias citadas47

We investigated the association between reproductive agency (RA) and subjective well-being (SWB) in Ethiopia, Kenya, Nigeria, and Zimbabwe using cross-sectional research design. We used nationally representative data from the World Values Survey from 2017 to 2021 (N = 4948). SWB used four items on perceived: (i) life satisfaction (range 1-10), overall life agency (range 1-10), health status (range 1-5), and happiness (range 1-4). RA used one item on perceived freedom of choice and control over whether, when, and how many children to have (range 1-10). We compared SWB between 4302 respondents of high vs. low RA (cutoff based on the median) using bivariate and multivariable logistic regression, stratified by country and sex. 55% rated their RA as high (median, 8; interquartile range (IQR, 5-10). 66% rated their life satisfaction as high (median, 5; IQR, 4-8), and 51% rated their overall life agency as high (median, 8; IQR, 5-10). 75% reported themselves as healthy and happy. High RA was associated with higher life satisfaction (aOR 1.27, 95% CI 1.11-1.46) and overall life agency (aOR 3.70, 95% CI 3.24-4.24), particularly for women and respondents in Nigeria and Zimbabwe. Women's RA and wellbeing are linked, relevant when fertility becomes politicized globally

Agency (philosophy · Childlessness · Fertility · Flourishing · Happiness · Life satisfaction · Logistic regression · Public health · Quality of life (healthcare · Global Maternal and Child Health · Reproductive Health and Contraception · Reproductive Health and Technologies

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