Predictors of Reproductive Autonomy among a Rural University Population.

Reproductive autonomy is necessary for one's overall well-being and is defined as the ability to decide and control issues of contraceptive use, pregnancy, and birth. Barriers to consistent contraceptive use persist, limiting an individual's ability to exercise reproductive autonomy. The present study investigated the prevalence of reproductive autonomy and gender beliefs among 468 university students (311 women and 157 men) in a rural setting. Participants completed surveys measuring reproductive autonomy, attitudes around gender beliefs, and demographic questions. Correlations revealed a positive association between decision making, communication, and freedom from coercion. Multiple regressions found significant predictors to achieving reproductive autonomy, including holding healthy gender beliefs, being a woman, using birth control, engaging in less religious activity, and being a non-Christian. Social work efforts should support young adults to effectively communicate about the use of contraception within relationships and to promote healthy gender beliefs. Assessment tools should include screening for coercive behaviors such as intimidation, isolation, and threats within intimate partnerships. Social work advocacy efforts should focus on decreasing the continuing barriers to both comprehensive reproductive health care and access to highly effective contraceptives. The specific reproductive health needs of rural young adult populations should also be further examined.