Factors associated with the health and reproductive autonomy of Quilombola women in Brazil.
Gabriela Cardoso Moreira Marques, Silvia Lucia Ferreira, Eliana do Sacramento de Almeida and 3 others
PMID 39083822WHAT IT FOUND
Quilombola women reported high autonomy in making reproductive decisions and resisting coercion.
However, those who were single, had late menarche, or underwent mammography screening showed lower overall autonomy. Partner communication remained a weaker area.
Key findings
01Participants exhibited high reproductive autonomy, particularly in decision-making and freedom from coercion.
02Single women or those without a partner reported higher total reproductive autonomy than married women or those with a partner.
03Women with late menarche (after age 13) and those who had undergone mammography screening demonstrated lower autonomy in freedom from coercion and total reproductive autonomy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used a non-probabilistic convenience sample, limiting the generalizability of the findings. Data collection was impacted by the COVID-19 pandemic and geographical isolation, preventing a full census. The cross-sectional design cannot establish causality between sociodemographic factors and reproductive autonomy.
The easy way to misread this
Do not assume that high autonomy scores in decision-making and freedom from coercion indicate that all women have equal power in partner communication, which was the lowest-scoring domain. Also, the association with mammography screening does not mean screening causes low autonomy; it may reflect underlying socioeconomic or access disparities.