{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T23:21:00Z","timestamp":1775604060478,"version":"3.50.1"},"reference-count":46,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T00:00:00Z","timestamp":1662940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["SFRH\/BD\/146625\/2019"],"award-info":[{"award-number":["SFRH\/BD\/146625\/2019"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["CEECIND\/01516\/2017"],"award-info":[{"award-number":["CEECIND\/01516\/2017"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Faculty Research Committee (FRC) of the Faculty of Health Sciences of the University of Cape Town","award":["FRC Award 2019"],"award-info":[{"award-number":["FRC Award 2019"]}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Women\u2019s empowerment could be a crucial step for tackling gender inequality and improve women\u2019s reproductive health and rights in Mozambique. This study aims to examine how different domains of women\u2019s empowerment influence fertility-related outcomes and contraceptive practices in Mozambique. We used the 2015 Demographic Health Survey (DHS) conducted in Mozambique from which a sample of 2072 women aged 15 to 49 years were selected and included in this analysis. A principal component analysis was performed, and the components retained were identified as the domains of empowerment. These were: Beliefs about violence against women, Decision-making, and Control over sexuality and safe sex. A multinomial logistic regression was run to estimate the association between levels of empowerment for each domain and the study outcomes. Crude and adjusted odds ratio (OR) were calculated, with 95% confidence intervals (95% CI). Beliefs about violence against women and Control over sexuality and safe sex were positively associated with having 1 to 4 children. Control over sexuality and safe sex also increased likelihood of women wanting to space childbearing over more than 2 years. Decision-making increased the odds of women not wanting more children. Middle to high empowerment levels for Control over sexuality and safe sex also increased the chances of using any type of contraceptive method and using it for longer periods. All domains, from the middle to high levels of empowerment, decreased the chances of women not wanting to use contraception. Our study confirmed the multidimensional nature of empowerment showing that each domain had a different effect over specific fertility and contraceptive outcomes and reinforced the importance of a domain approach for estimating and understanding empowerment. It also revealed the critical role of Control over sexuality and safe sex domain for improving women\u2019s ability to decide over fertility and contraceptive practices in Mozambique.<\/jats:p>","DOI":"10.1371\/journal.pgph.0000670","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T17:23:51Z","timestamp":1663003431000},"page":"e0000670","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":17,"title":["How women\u2019s empowerment influences fertility-related outcomes and contraceptive practices: A cross-sectional study in Mozambique"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3482-1718","authenticated-orcid":true,"given":"Sofia","family":"Castro Lopes","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7176-9963","authenticated-orcid":true,"given":"Deborah","family":"Constant","sequence":"additional","affiliation":[]},{"given":"S\u00edlvia","family":"Fraga","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7359-8419","authenticated-orcid":true,"given":"Jane","family":"Harries","sequence":"additional","affiliation":[]}],"member":"340","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"key":"pgph.0000670.ref001","article-title":"Programme of Action of the International Conference on Population and Development 1994","author":"UNPF","year":"2014","journal-title":"20th Anniversary Edition"},{"key":"pgph.0000670.ref002","article-title":"Ensure universal access to sexual and reproductive health and reproductive rights","author":"UNFPA","year":"2020","journal-title":"Measuring SDG Target 5.6. 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