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The Reproductive Autonomy Scale: German validation and application in an Austrian student population.

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Summary
This summary is machine-generated.

The Reproductive Autonomy Scale (RAS) is validated for German speakers, showing high autonomy in Austrian students. However, women still bear more contraceptive responsibility, indicating a need for improved sexual education and shared decision-making.

Keywords:
contraceptiongender differencesreproductive autonomyreproductive healthshared decision- making

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Area of Science:

  • Psychology
  • Sociology
  • Public Health

Background:

  • Reproductive autonomy encompasses independent decision-making regarding sexuality, contraception, pregnancy, and childbirth.
  • The Reproductive Autonomy Scale (RAS) is a validated instrument for assessing these aspects across various languages.
  • Previous research has not extensively explored RAS validation within German-speaking populations or its application to men.

Purpose of the Study:

  • To validate the RAS in a German context.
  • To explore the application of the RAS in an Austrian student population, including males.
  • To examine gender-specific differences in reproductive autonomy.

Main Methods:

  • Psychometric evaluation of the RAS using internal consistency (Cronbach's alpha) and item-total correlations.
  • Confirmatory factor analysis (CFA) to assess measurement invariance across gender.
  • Univariate ANOVAs and t-tests with Bonferroni correction to analyze associations with sociodemographic variables.

Main Results:

  • The RAS demonstrated satisfactory psychometric properties, supporting its three-factor structure.
  • Internal consistency was satisfactory for decision-making and freedom from coercion, but marginally lower for communication (α=0.67).
  • Gender differences were observed, with females reporting higher sole decision-making; however, no substantial gender differences were found for freedom from coercion or communication.

Conclusions:

  • The RAS is a reliable tool for assessing reproductive autonomy in German-speaking populations, though adaptations may be needed for diverse groups, including men.
  • Austrian students reported high reproductive autonomy, influenced by age and sexual orientation.
  • Women disproportionately manage contraception, underscoring the need for enhanced sexual education and equitable partner responsibility.