Sexual Health

Men's gender role and attitude toward sexual autonomy of women in India.

TL;DR

Sixty-three percent of Indian men hold a favorable attitude toward women's sexual autonomy, with egalitarian views on household decision-making, higher educational attainment, married status, media exposure, working status, and wealthier household strata positively associated with such support.

Key Findings

Approximately 63% of Indian men hold a favorable attitude toward women's sexual autonomy.

  • Data drawn from 101,839 men aged 15-54 from the fifth round of the National Family Health Survey (NFHS-5, 2019-21), a nationally representative sample
  • Binary logistic regression and bivariate analysis were used to determine predictors
  • All analyses performed using Stata at a 5% significance level

Men with egalitarian views on household decision-making were significantly more likely to hold favorable attitudes toward women's sexual autonomy.

  • Adjusted odds ratio (AOR): 1.45; 95% CI: 1.41–1.49
  • This was the strongest predictor of favorable attitudes among all factors examined
  • Reflects that gender-equitable norms in domestic settings correlate with broader support for women's sexual rights

Higher educational attainment was positively associated with men's favorable attitudes toward women's sexual autonomy.

  • AOR: 1.34; 95% CI: 1.20–1.50
  • Non-literate men were identified as a group less likely to hold favorable attitudes
  • The study recommends broadening SRH strategies to include non-literate men

Media exposure was positively associated with men's favorable attitudes toward women's sexual autonomy.

  • AOR: 1.17; 95% CI: 1.12–1.21
  • Media exposure was one of several modifiable factors identified as predictors of favorable attitudes
  • Results suggest educational campaigns through media as a potential intervention avenue

Belonging to a wealthier household was positively associated with men's favorable attitudes toward women's sexual autonomy.

  • AOR: 1.17; 95% CI: 1.11–1.23
  • Wealthier household strata was one of six significant positive predictors identified in the regression model
  • Rural and economically disadvantaged men were flagged as underserved groups requiring targeted interventions

Currently married and currently working men were more likely to hold favorable attitudes toward women's sexual autonomy.

  • Both married status and working status were positively correlated with favorable attitudes in the binary logistic regression
  • Unmarried and unemployed men were identified as priority groups for future SRH program inclusion
  • Specific AORs for marital and employment status were not reported in the abstract but were listed among significant predictors

Younger, non-literate, unmarried, unemployed, and rural men were identified as groups less likely to support women's sexual autonomy and in need of targeted interventions.

  • These subgroups were underrepresented among men with favorable attitudes based on regression findings
  • The study recommends broadening existing SRH strategies to specifically include these populations
  • Community workshops led by local leaders, grassroots healthcare professionals, and NGOs were suggested as delivery mechanisms

What This Means

This research used a large, nationally representative survey of over 100,000 Indian men to understand how many support women's right to make their own sexual decisions — including the right to refuse sex — and what factors predict that support. The study found that roughly 6 in 10 Indian men held favorable views on women's sexual autonomy, meaning a substantial minority (about 37%) did not. Men who believed in shared household decision-making, had more education, were exposed to media, were employed, were married, or lived in wealthier households were all more likely to be supportive. The strongest predictor was whether a man held gender-equal views about who should make decisions in the home. This suggests that attitudes about women's autonomy in one domain (domestic decisions) are closely linked to attitudes in another (sexual choices). The findings point to men's gender beliefs as a key lever for improving women's sexual and reproductive health outcomes in India, where women continue to face significant barriers to exercising control over their own bodies and health decisions. This research suggests that programs aiming to improve women's sexual and reproductive health in India should not focus solely on women — engaging men, particularly younger, less-educated, unmarried, unemployed, and rural men, is also important. Community-based workshops, media campaigns, and outreach by local leaders and health workers are highlighted as potential strategies to promote more gender-equitable attitudes among men.

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Citation

Pradhan M, De P. (2025). Men's gender role and attitude toward sexual autonomy of women in India.. PloS one. https://doi.org/10.1371/journal.pone.0317301