The role of self-efficacy in women's autonomy for health and nutrition decision-making in rural Bangladesh

被引:1
作者
Salinger, Allison P. [1 ]
Vermes, Ellen [2 ]
Waid, Jillian L. [3 ,4 ,5 ]
Wendt, Amanda S. [3 ,4 ]
Dupuis, Sarah J. N. [1 ]
Kalam, Md Abul [5 ,6 ]
Kader, Abdul [5 ]
Sinharoy, Sheela S. [1 ]
机构
[1] Emory Univ, Rollins Sch Publ Hlth, Hubert Dept Global Hlth, Atlanta, GA 30322 USA
[2] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA
[3] Leibniz Assoc, Potsdam Inst Climate Impact Res, Res Dept 2, Potsdam, Germany
[4] Heidelberg Univ, Heidelberg Inst Global Hlth, Heidelberg, Germany
[5] Helen Keller Int, Bangladesh Country Off, Dhaka, Bangladesh
[6] Emory Univ, Laney Grad Sch, Global Hlth & Dev Program, Atlanta, GA USA
基金
比尔及梅琳达.盖茨基金会;
关键词
Women's empowerment; Agency; Preference; Measurement; Agriculture; REGRESSION-MODELS; EMPOWERMENT; AGRICULTURE; AGENCY; IMPACT;
D O I
10.1186/s12889-024-17663-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundAgency - including the sub-domains of intrinsic agency, instrumental agency, and collective agency - is a critical component of the women's empowerment process. Self-efficacy (a component of intrinsic agency) may operate as a motivational influence for women to make choices according to their own preferences or goals, such that higher self-efficacy would be associated with more autonomous decision-making (a key component of instrumental agency).MethodsWe examine these relationships using mixed methods. We developed a series of decision-making autonomy indices, which captured alignment between the woman's reported and preferred roles in health and nutrition decisions. Using ordinal logistic regression, we assessed the relationship between generalized self-efficacy and decision-making autonomy.ResultsThere was a consistently positive association across all categories of decision-making, controlling for a number of individual and household-level covariates. In a sub-sample of joint decision-makers (i.e., women who reported making decisions with at least one other household member), we compared the association between generalized self-efficacy (i.e., one's overall belief in their ability to succeed) and decision-making autonomy to that of domain-specific self-efficacy (i.e., one's belief in their ability to achieve a specific goal) and decision-making autonomy. Across all decision-making categories, domain-specific self-efficacy was more strongly associated with decision-making autonomy than generalized self-efficacy. In-depth interviews provided additional context for interpretation of the regression analyses.ConclusionsThe results indicate the importance of the role of self-efficacy in the women's empowerment process, even in the traditionally female-controlled areas of health and nutrition decision-making. The development of the decision-making autonomy index is an important contribution to the literature in that it directly recognizes and captures the role of women's preferences regarding participation in decision-making.
引用
收藏
页数:15
相关论文
共 50 条