Abstract：
Women\'s autonomy in decision making has important sexual and reproductive health implications. This study uses a nationwide analysis in Nepal to examine women\'s autonomy, attitude toward intimate partner violence (IPV) behaviors, and HIV-related knowledge in the execution of HIV protective behaviors such as having one sexual partner or getting an HIV test to prevent HIV transmission. Secondary data analysis was conducted using the nationally represented Nepal Demographic and Health Survey (2016-2021) dataset. The sample included 9,904 women ages 15 to 49 who self-identified as ever married. Factor analysis for women\'s autonomy, attitude toward IPV behaviors, and HIV-related knowledge were conducted based on social dominance theory. Structural equation modeling was conducted, and the results indicated that higher autonomy decreased the risk of HIV infection through having one sexual partner. Factors related to multiple sex partners included unemployment, religious affiliation, and age. Similarly, higher autonomy, HIV-related knowledge, having a formal job, and urban residence increased women\'s likelihood of taking an HIV test. Women\'s higher education, greater wealth, religious affiliation, and youth also correlate with HIV testing. Future HIV prevention interventions should include strategies that support women\'s social and economic empowerment and enhance women\'s ability to make informed choices about their health and risks.
摘要：
妇女自主决策具有重要的性健康和生殖健康意义。这项研究使用了尼泊尔的一项全国性分析来考察妇女的自主权，对亲密伴侣暴力(IPV)行为的态度，以及在执行艾滋病毒保护行为方面的艾滋病毒相关知识，例如有一个性伴侣或接受艾滋病毒检测以防止艾滋病毒传播。使用全国代表的尼泊尔人口与健康调查（2016-2021）数据集进行二次数据分析。该样本包括9,904名年龄在15至49岁之间的女性，她们的身份与以前相同。女性自主性的因素分析，对IPV行为的态度，和艾滋病相关知识是基于社会支配理论进行的。进行了结构方程建模，结果表明，更高的自主性通过拥有一个性伴侣降低了感染艾滋病毒的风险。与多个性伴侣相关的因素包括失业，宗教信仰,和年龄。同样，更高的自主权,艾滋病毒相关知识，有一份正式的工作，和城市住宅增加了妇女接受艾滋病毒检测的可能性。妇女的高等教育，更大的财富,宗教信仰,年轻人也与艾滋病毒检测相关。未来的艾滋病毒预防干预措施应包括支持妇女社会和经济赋权的战略，并提高妇女对其健康和风险做出知情选择的能力。
