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Sexuality and Disability

, Volume 30, Issue 3, pp 311–317 | Cite as

Counseling Young People with Physical Disabilities Regarding Relationships and Sexuality Issues: Utilization of a Novel Service

  • Omer PoratEmail author
  • Rafael Heruti
  • Hagit Navon-Porat
  • Daniel Hardoff
Original Paper

Abstract

People with disabilities are entitled to the same sexual and reproductive health services as are people without disabilities. However, physical boundaries often limit their ability to utilize these services. The present study describes a novel sexual and reproductive health service designated to address the sexual and reproductive needs of adolescents and young adults with physical or sensory disabilities. The service provides multi professional consultations from the medical and psychosocial disciplines which are accessible to physical and sensory impairments. We describe in this paper the utilization of the service by young people with physical or sensory disabilities between 2006 and 2009. Records of 1,203 patients contacting the service were reviewed for demographic data, type and onset of disability and service utilization. Of the 301 (25%) who were invited for treatment, only 74 patients (6.1%) actually arrived to the service. The reasons for drop-out were difficulties in transportation to the clinic and finding escort to aid in accessibility to public transportation (bus or train). Despite being interdisciplinary and fully accessible, the utilization of the service was highly limited. These findings emphasize the need to consider accessible transportation as an integral part of sexual and reproductive health service delivery for consumers with physical or sensory disabilities.

Keywords

Sexual Reproductive health Accessibility Disabilities Adolescents Israel 

References

  1. 1.
    United Nations: Enable—Development and human rights for all: convention on the rights of persons with disabilities. United Nations Protocol, December (2006)Google Scholar
  2. 2.
    WHO/UNFPA: Promoting sexual and reproductive health for persons with disabilities. New York (2009)Google Scholar
  3. 3.
    Wiegerink, D.J., Roebroeck, M.E., Donkervoort, M., Cohen-Kettenis, P.T., Stam, H.J.: Social, intimate and sexual relationships of adolescents with cerebral palsy compared with able-bodied age-mates. J. Rehabil. Med. 40, 112–118 (2008)PubMedCrossRefGoogle Scholar
  4. 4.
    Hwang, K., Johnston, M., Smith, J.K.: Romantic attachment in individuals with physical disabilities. Rehab. Psych. 52(2), 184–195 (2007)CrossRefGoogle Scholar
  5. 5.
    Sawyer, S.M., Roberts, K.V.: Sexual and reproductive health in young people with spina bifida. Dev. Med. Child Neurol. 41, 671–675 (1999)PubMedCrossRefGoogle Scholar
  6. 6.
    Gatti, C., Del Rossi, C., Ferrari, A., Casolari, E., Casadio, G., Scire, G.: Predictors of successful sexual partnering of adults with spina bifida. J. Urol. 182(4 Suppl), 1911–1916 (2009)PubMedCrossRefGoogle Scholar
  7. 7.
    Cardenas, D.D., Topolski, T.D., White, C.J., McLaughlin, J.F., Walker, W.O.: Sexual functioning in adolescents and young adults with spina bifida. Arch. Phys. Med. Rehabil. 89, 31–35 (2008)PubMedCrossRefGoogle Scholar
  8. 8.
    Sawin, K.J., Buran, C.F., Brei, T.J., Fastenau, P.S.: Sexuality issues in adolescents with a chronic neurological condition. J Perinat Educ 11, 22–34 (2002)PubMedGoogle Scholar
  9. 9.
    United Nations: Report of the International Conference on Population and Development, A/CONF. 171/13, 18 October (1994)Google Scholar
  10. 10.
    Hallum, A.: Disability and the transition to adulthood: issues for the disabled child, the family, and the pediatrician. Curr. Probl. Pediatr. 25, 12–50 (1995)PubMedGoogle Scholar
  11. 11.
    Wiegerink, D., Roebroeck, M., Bender, J., Stam, H., Cohen-Kettenis, P.: Sexuality of young adults with cerebral palsy: experienced limitations and needs. Sex. Disabil. 29, 119–128 (2011)PubMedCrossRefGoogle Scholar
  12. 12.
    Xenakis, N., Goldberg, J.: The young women’s program: a health and wellness model to empower adolescents with physical disabilities. Disabil. Health J. 3, 125–129 (2010)PubMedCrossRefGoogle Scholar
  13. 13.
    Augutis, M., Levi, R., Asplund, K., Berg-Kelly, K.: Psychosocial aspects of traumatic spinal cord injury with onset during adolescence: a qualitative study. J. Spinal Cord Med. 30, S55–S64 (2007)PubMedGoogle Scholar
  14. 14.
    Ide, M.: Sexuality in persons with limb amputation: a meaningful discussion of re-integration. Disabil. Rehabil. 26, 939–943 (2004)PubMedCrossRefGoogle Scholar
  15. 15.
    Low, W.Y., Zubir, T.N.: Sexual issues of the disabled: implications for public health education. Asia Pac. J. Public Health 12(Suppl), S78–S83 (2000)PubMedGoogle Scholar
  16. 16.
    Haboubi, N.H., Lincoln, N.: Views of health professionals on discussing sexual issues with patients. Disabil. Rehabil. 25(6), 291–296 (2003)PubMedCrossRefGoogle Scholar
  17. 17.
    National Information Center for Children and Youth with Handicaps (NICHCY), Washington, DC. Sexuality education for children and youth with disabilities. vol I (3), 9–13 (1992)Google Scholar
  18. 18.
    Wiegerink, D.J., Roebroeck, M.E., Donkervoort, M., Stam, H.J., Cohen-Kettenis, P.T.: Social and sexual relationships of adolescents and young adults with cerebral palsy: a review. Clin. Rehabil. 20, 1023–1031 (2006)PubMedCrossRefGoogle Scholar
  19. 19.
    Wiegerink, D.J., Roebroeck, M.E., Donkervoort, M., Cohen-Kettenis, P.T., Stam, H.J.: Social, intimate and sexual relationships of adolescents with cerebral palsy compared with able-bodied age-mates. J. Rehabil. Med. 40, 112–118 (2008)PubMedCrossRefGoogle Scholar
  20. 20.
    Blum, R.W., Resnick, M.D., Nelson, R., St. Germaine, A.: Family and peer issues among adolescents with spina bifida and cerebral palsy. Pediatrics 88, 280–285 (1991)PubMedGoogle Scholar
  21. 21.
    Verhoef, M., Barf, H.A., Vroege, J.A., Post, M.W., Van Asbeck, F.W., Gooskens, R.H., Prevo, A.J.: Sex education, relationships, and sexuality in young adults with spina bifida. Arch. Phys. Med. Rehabil. 86, 979–987 (2005)PubMedCrossRefGoogle Scholar
  22. 22.
    WHO: Disability and health. Fact sheet No. 352 June, 2011. http://www.who.int/mediacentre/factsheets/fs352/en/index.html. Accessed 24 Nov 2011

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Omer Porat
    • 1
    • 2
    Email author
  • Rafael Heruti
    • 3
    • 4
  • Hagit Navon-Porat
    • 1
    • 2
  • Daniel Hardoff
    • 1
    • 2
  1. 1.Israel Family Planning AssociationTel AvivIsrael
  2. 2.Reuth Medical Center (Reuth Open Door)Tel AvivIsrael
  3. 3.Reuth Medical CenterTel AvivIsrael
  4. 4.Sackler Faculty of MedicineTel-Aviv UniversityTel-AvivIsrael

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