Sexual Experiences of Adolescents with Low Cognitive Abilities in the U.S

Article

Abstract

This study explores differences in sexual behaviors between adolescents with low and with average cognitive abilities in the U.S. Using data from Wave I of the National Longitudinal Study of Adolescent Health (Add Health), we identified 422 respondents who had low cognitive abilities. Logistic and multinomial logistic regression methods were used to compare their experiences of romantic attraction, coital sex, contraceptive use, STDs, and pregnancy with those of respondents who were mentally average. Results show that adolescents with low cognitive abilities had fewer experiences of romantic attraction and coital sex. Given romantic-attraction experience, these boys had higher odds for same-sex (vs. opposite-sex) attraction compared with average boys. Among non-virgins, mentally disadvantaged adolescents were less likely to use contraceptives and had higher risks of STDs and pregnancy. More attention is needed to guide and protect them in their sexual understanding and development.

KEY WORDS

adolescents low cognitive ability sexual behaviors birth control 

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References

  1. Berstein, N. R. (1985). Sexuality in mentally retarded adolescent. Med. Aspects Hum. Sexuality 19(11): 50–61.Google Scholar
  2. Carmody, M. (1991). Invisible victims: Sexual assault of people with an intellectual disability. Aust. N. Z. J. Dev. Disabil. 17: 229–236.Google Scholar
  3. Chamberlain, A., Rauh, J., Passer, A., McGrath, M., and Burket, R. (1984). Issues in fertility control for mentally retarded female adolescents: I. Sexual activity, sexual abuse, and contraception. Pediatrics. 73: 445–450.PubMedGoogle Scholar
  4. Colwell, S. O. (1984). The adolescent with developmental disorders. In Blum, R. W. (ed.), Chronic Illness and Disabilities in Childhood and Adolescence, Grune & Stratton, Orlando, pp. 327–346.Google Scholar
  5. Craft, M., and Craft, A. (1978). Sex and the Mentally Handicapped, Routledge & Kegan Paul, London.Google Scholar
  6. Dunn, L. M. (1981). Peabody Picture Vocabulary Test–Revised: Manual for Forms L and M, American Guidance Service, Circle Pines, NM.Google Scholar
  7. Fegan, L., and Rauch, A. (1993). Sexuality and People with Intellectual Disability, 2nd edn., Paul H. Brookes, Baltimore.Google Scholar
  8. Fidone, G. S. (1987). Homosexuality in institutionalized retardates. Infect. Control. 8: 231.PubMedGoogle Scholar
  9. Gebhard, P. H. (1973). Sexual behavior of the retarded. In Cruz, F. F. de la, and LaVeck, G. D. (eds.), Human Sexuality and the Mentally Retarded, Brunner/Mazel, New York, pp. 29–49.Google Scholar
  10. Gilby, R., Wolf, L., and Goldberg, B. (1989). Mentally retarded adolescent sex offenders. A survey and pilot study. Can. J. Psychiatry 34: 542–548.PubMedGoogle Scholar
  11. Goldman, R. L. (1994). Children and youth with intellectual disabilities: Targets for sexual abuse. Int. J. Disabil. Dev. Edu. 41: 89–102.Google Scholar
  12. Griffiths, D. M., Quinsey, V. L., and Hingsburger, D. (1989). Changing Inappropriate Sexual Behavior: A Community-based Approach for Persons with Developmental Disabilities, Paul H. Brookes, Baltimore.Google Scholar
  13. Guralnick, M. J. (1999). Family and child influences on the peer-related social competence of young children with developmental delays. Ment. Retard. Dev. Disabil. Res. Rev. 5: 21–29.CrossRefGoogle Scholar
  14. Hakim-Elahi, E. (1982). Contraceptive of choice for disabled (handicapped) person. N. Y. State J. Med. 82: 1601–1608.Google Scholar
  15. Halpern, C. T., Joyner, K., Udry, J. R., and Suchindran, C. (2001). Smart teens don’t have sex (or kiss much either). J. Adolesc. Health. 26: 213–225.CrossRefGoogle Scholar
  16. McCabe, M. P., and Cummins, R. A. (1996). The sexual knowledge, experience, feelings and needs of people with mild intellectual disability. Edu. Training Mental Retard. Dev. Disabil. 31: 13–21.Google Scholar
  17. McCabe, M. P., Cummins, R. A., and Reid, S. B. (1994). An empirical study of the sexual abuse of people with intellectual disability. Sexuality Disabil. 12: 297–306.Google Scholar
  18. Painsky, A., Katz, S., and Kravetz, S. (1986). Sexual behavior patterns of institutionalized mentally handicapped persons. Int. J. Rehabil. Res. 9: 276–279.Google Scholar
  19. Rowitz, L. (1988). The forgotten ones: Adolescence and mental retardation. Ment. Retard. 26: 115–117.PubMedGoogle Scholar
  20. Schor, D. P. (1987). Sex and sexual abuse in developmentally disabled adolescents. Semin. Adolesc. Med. 3: 1–7.Google Scholar
  21. Simonds, J. F. (1980). Sexual behaviors in retarded children and adolescents. J. Dev. Behav. Pediatr. 1: 173–179.PubMedGoogle Scholar
  22. Sobsey, D. (1994). Sexual abuse of individuals with intellectual disability. In Craft, A. (ed.), Practice Issues in Sexuality and Learning Disabilities, Routledge, London and New York, pp. 93–115.Google Scholar
  23. Sobsey, D., Gray, S., Wells, D., Pyper, D., and Reimer-Heck, B. (1991). Disability, Sexuality, and Abuse: An Annotated Bibliography, Paul H. Brookes, Baltimore.Google Scholar
  24. Szollos, A. A., and McCabe, M. P. (1995). The sexuality of people with mild intellectual disability: Perceptions of clients and caregivers. Aust. N. Z. J. Dev. Disabil. 20: 205– 222.Google Scholar
  25. Tenbrinck, M. S. (1975). Sexuality and the retarded. Arizona Med. 32: 936–938.PubMedGoogle Scholar
  26. Udry, J. R., and Bearman, P. S. (1998). New methods for new research on adolescent sexual behavior. In Jessor, R. (ed.), New Perspectives on Adolescent Risk Behavior, Cambridge University Press, Cambridge, UK, pp. 241–269.Google Scholar
  27. West, R. (1978). Sex and the retarded (editorial). Med. J. Aust. 2: 360–362.PubMedGoogle Scholar
  28. Wilgosh, L. (1990). Sexual assault and abuse of people with disabilities: Parents’ concerns. Dev. Disabil. Bull. 18: 44–50.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Carolina Population CenterThe University of North CarolinaChapel Hill
  2. 2.Carolina Population CenterChapel Hill

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