Prevalence and determinants of ability to refuse sex among women of reproductive age in Tanzania: evidence from national representative surveys

The study found that a majority of Tanzanian women have the ability to refuse sex and that the ability to refuse sex is significantly linked to education, economic status, partner's education, access to media, STI awareness, HIV testing, and contraceptive use. However, women in Unguja and Pemba had lower ability to refuse sex compared to those in mainland urban areas. The findings highlight the need for targeted interventions to address regional disparities and promote equitable access to resources that support women's ability to refuse sex.

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Publication Details

Journal
BMC Women s Health
Published
2026-01-03
DOI
https://doi.org/10.1186/s12905-025-04203-2
Primary Topic
Adolescent Sexual and Reproductive Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Prevalence and determinants of ability to refuse sex among women of reproductive age in Tanzania: evidence from national representative surveys

Fabiola Vincent Moshi, Rose Emmanuel Buname
BMC Women s Health
Adolescent Sexual and Reproductive Health
article

Prevalence and determinants of ability to refuse sex among women of reproductive age in Tanzania: evidence from national representative surveys

Fabiola Vincent Moshi, Rose Emmanuel Buname
article en

Abstract

The study found that a majority of Tanzanian women have the ability to refuse sex and that the ability to refuse sex is significantly linked to education, economic status, partner's education, access to media, STI awareness, HIV testing, and contraceptive use. However, women in Unguja and Pemba had lower ability to refuse sex compared to those in mainland urban areas. The findings highlight the need for targeted interventions to address regional disparities and promote equitable access to resources that support women's ability to refuse sex.

BMC Women s HealthVol. 26(1)
Catholic University of Health and Allied Sciences (TZ), The University of Dodoma (TZ)
Gender equality, Good health and well-being
Openalex Percentile: Top 99%
Adolescent Sexual and Reproductive Health
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