An Exploration into People with Disabilities’ Access to Sex, Sexuality, and Sex Education in South Africa

IF 1.1 4区 医学 Q3 REHABILITATION Sexuality and Disability Pub Date : 2024-01-22 DOI:10.1007/s11195-023-09827-6
Joanne Neille, Haley McEwen, Victor de Andrade
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Abstract

Introduction

The needs of people living with disabilities regarding sex and sexual health remain largely neglected. Knowledge and resources about disabled sexuality have emerged mainly from the global north and have centered on heteronormative ideas about sex, gender, and sexuality.

Methods

An affirmative, sex positive, queer, and intersectional exploration was undertaken of the experiences and needs a group of adults with disabilities living in Gauteng, South Africa in relation to accessing information about sex, sexuality, and sexual health. Interviews were conducted with people of diverse disabilities, language groups, and cultural backgrounds. Interviews were analyzed using thematic analysis.

Results

The participants revealed that sexual encounters, relationships, and dating were infused with negative experiences related to lack of understanding about sex, internalized ableism, exploitation, and physical, sexual, and emotional abuse resulting from societal stigma and ignorance regarding disability. Participants offered suggestions for how their needs could be addressed.

Conclusion

Our study concludes that the denial of sexual rights is a central element of the broader forms of social exclusion that people with disabilities. In South Africa, many of these forms of exclusion have been compounded by the legacy of apartheid, and the persistence of racial inequality, taboos about sex, and stigmas associated with disability.

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探索南非残疾人获得性、性和性教育的途径
导言残疾人在性和性健康方面的需求在很大程度上仍然被忽视。关于残疾人性行为的知识和资源主要来自全球北方,并以关于性、性别和性行为的异性恋观念为中心。方法:我们对生活在南非豪登省的一群成年残疾人在获取关于性、性行为和性健康信息方面的经历和需求进行了平权、性积极、同性恋和交叉性探索。对不同残疾、语言群体和文化背景的人进行了访谈。结果参与者发现,性接触、性关系和约会中充满了负面体验,包括对性缺乏了解、内化的能力歧视、剥削,以及因社会对残疾的污名化和无知而导致的身体、性和情感虐待。我们的研究得出结论,剥夺性权利是残疾人遭受更广泛形式的社会排斥的核心要素。在南非,种族隔离制度的遗留问题、种族不平等、性禁忌以及与残疾有关的污名的持续存在加剧了许多此类形式的排斥。
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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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