Narratives of Personal Health and Sexual Education Experiences of Emerging Adults with Disabilities

IF 1.1 4区 医学 Q3 REHABILITATION
Madelyn Toman, Rose Wesche, Carolyn M. Shivers
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Abstract

Disabled communities’ sexualities have been historically oppressed. Currently in the U.S., public school curricula do not include inclusive sexual education and students with disabilities are often left out of classrooms that discuss any amount of personal health and sexual education (PHSE). Research on the disabled population is filled with samples of non-disabled individuals imposing their opinions on a population that they do not belong to. The purpose of this study was to capture lived experiences of ways emerging adults with disabilities learned about PHSE. Individuals with varied disabilities were intentionally included to add breadth to the research field. The final sample consisted of eight individuals (75% female, 87% White, mean age of 21.5). After conducting narrative interviews and analyses, four story types were generated: (1) “The Self-Guided Journey”, (2) “Experience is the Best Teacher”, (3) “Personal Health Matters More”, and (4) “Two Ears, One Mouth”. Our findings highlighted the lack of formal support and access to adequate, relevant information about sexuality for disabled communities. Informal sources, like families and media, sometimes served as helpful resources for PHSE and disabilities. Individuals’ disability symptoms and personal characteristics need to be considered when crafting universally applicable personal health and sexuality education.

新近成年残疾人的个人健康和性教育经历叙事
残疾人群体的性行为历来受到压制。目前在美国,公立学校的课程不包括包容性教育,残疾学生往往被排除在讨论个人健康和性教育(PHSE)的课堂之外。有关残障人群的研究充斥着非残障人士的样本,他们将自己的观点强加给不属于他们的人群。本研究的目的是捕捉新兴残疾成年人学习 PHSE 的生活经验。为了增加研究领域的广度,我们有意纳入了不同残疾的个人。最终样本由八个人组成(75% 女性,87% 白人,平均年龄 21.5 岁)。在进行了叙事访谈和分析后,产生了四种故事类型:(1)"自我引导之旅",(2)"经验是最好的老师",(3)"个人健康更重要",以及(4)"两耳不闻窗外事"。我们的调查结果表明,残疾人群体缺乏正规的支持,也无法获得充分、相关的性知识。非正式来源,如家庭和媒体,有时会成为健康、性教育和残疾方面的有用资源。在设计普遍适用的个人健康和性教育时,需要考虑个人的残疾症状和个人特征。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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