Sexual health of people with physical disabilities: sexual education
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Abstract
People with disabilities are often excluded from the social construct of functionality and sexual satisfaction, due to the existence of certain negative sexual stereotypes that usually have more serious psychosocial effects than the disability itself. Knowledge is necessary so that the professional, parental and/or social environment does not trivialize or ignore their sexuality.
General aim: To provide information on sexual education for people with physical disabilities in Catalonia.
Study design: Exploratory, descriptive and cross-sectional study.
Sample: 135 surveys from subjects aged over 18 years with physical disability Instrumentation: Sexual Health Survey for People with Physical Disability ESSPDF / 2016.
Outcomes: The preliminary results of the sexual education section are presented. 43% of the sample rated the degree of usefulness of the sexual information received as “Very useful/useful” and 9.6% had not received any information. 63% valued the information they had as “Very good/good”.
There are significant differences in relation to gender on who would have chosen to receive sexual information (p=0.034), interest to obtain more information on topics such as “receiving information about prostitution” (p=0.01), “love and relationships” (p smaller than 0.001) and the sex of the person they would like to receiveadvise (p=0.014). They showed the greatest interest in topics such as “Ways to get and receive pleasure” and “problems in sexual relationships”.
Conclusions: People with physical disabilities still have deficiencies in relation to sexual information. This situation requires the revision of the existing training and intervention programs, as
well as checking the accessibility of the services. It is necessary to work from all existing sex education areas, beyond the health field, such as family, school and society. Sex education should be opened to behavioral and sentimental aspects, thus improving the sexual health intervention of people with physical disabilities.
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References
Aiken, A., McColl, A., y Sakakibara, B. (2012). Primary care of people with spinal cord injury: scoping review. Canadian Family Physician, 58(11), 1207-16, 626-35
Bitzer, J., Platano, G., Tschudin, S., y Alder, J. (2007). Sexual counseling for women in the context of physical diseases: a teaching model for physicians. The Journal of Sexual Medicine, 4(1), 29- 37.
Castillo, J. (2010). La sexualidad en personas con discapacidad. ¿Ficción o realidad? The sexual problems of persons with disabilities. Fiction or reality? Revista Cubana de Medicina Física y Rehabilitación, 2(1), 51-58.
Couldrick, L., Sadlo, G., y Cross, V. (2010). Proposing a new sexual health model of practice for disability teams: the Recognition Model. International Journal of Therapy and Rehabilitation, 17 (6), 290-299.
East, L., y Orchard, T. (2014). Somebody Else’s Job: Experiences of Sex Education among Health Professionals, Parents and Adolescents with Physical Disabilities in Southwestern Ontario. Sexuality and Disability, 32 (4), 335-350.
Garcia, P., y Nastri, M. (2011). Sexualidad en adolescentes con discapacidades motoras. Archivos Argentinos de Pediatría, 109 (5), 447-452.
Hardoff D. (2012). Sexuality in young people with physical disabilities: theory and practice. Georgian Medical News, 210, 23-6.
Higgins, A., Sharek, D., Nolan, M., Sheerin, B., Flanagan, P., Slaicuinaite, S., y Walsh
H. (2012). Mixed methods evaluation of an interdisciplinary sexuality education programme for staff working with people who have an acquired physical disability. Journal of Advanced Nursing, 68(11), 2559-69.
Holland-Hall, C., y Quint, E.H. (2017). Sexuality and Disability in Adolescents. Pediatric Clinics of North America, 64(2), 435-449.
Julia, P. E., & Othman, A. S. (2011). Barriers to sexual activity: counselling spinal cord injured women in Malaysia. Spinal Cord, 1–4.
Loeser, C., Pini, B., y Crowley, V. (2017). Disability and sexuality: Desires and pleasures. Sexualities, 0(0), 1–16.
Mccabe, J., & Holmes, D. (2014). Nursing, sexual health and youth with disabilities: A critical ethnography. Journal of Advanced Nursing. 70(1), 77-86.
Ministerio de sanidad, servicios sociales, e igualdad. (2011). Estrategia Nacional de Salud Sexual y reproductiva. Recuperado de http://www.msc.es/
Naciones Unidas. (1994). Informe de la Conferencia Internacional sobre la Población y el Desarrollo. El Cairo.
Nosek, M. A., Howland, C., Rintala, D. H., Young, M. E., y Chanpong, G. F. (2001). National Study of Women with Physical Disabilities: Final Report. Sexuality and Disability, 19(1).
Organización Panamaericana de Salud, Organización Mundial de la Salud. (2000).
Promoción de la salud sexual: Recomendaciones para la acción. Guatemala.
Pieters, R., Keddeband, H., y Bender, J. (2017). Training rehabilitation teams in sexual health care. Disability and Rehabilitation, 40(6), 1-8.
Ponsa, M., Botella, L., y Sánchez, E. (2016). Adaptación de la Encuesta Nacional de Salud Sexual (2009) para personas con discapacidad física. Andrés López de la Llave. En Sexología Positiva, placer, salud y bienestar (pp.287-295) Madrid, España: Universidad Nacional de Educación a Distancia
Robinson, KH., Smith, E., y Davies, C. (2017). Responsibilities, Tensions and Ways Forward: Parents’ Perspectives on Children’s Sexuality Education. Sexual Education: Sexuality, Society and Learning, 17(3), 333-347.
Shindel, A. W., Baazeem, A., Eardley, I., y Coleman, E. (2016). Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms. Journal of Sexual Medicine, 13,
-1026.
Tepper MS. (2000). Sexuality and disability: The missing discourse of pleasure. Sexuality and Disability, 18(4), 283–290.
Waite, L.J., Laumann, E. O., Das, A., y Schumm, L.P. (2009). Sexuality: measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study. The journals of gerontology. Series B, Psychological sciences and social sciences, 64 Suppl 1(Suppl 1), 56-66.