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Sexuality Education Curriculum Content for Malaysian Students with Learning Disabilities

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Sexuality education for students with learning disabilities has not been formally established in Malaysia. This study aimed to identify special education teachers’ acceptance of sexuality education content for secondary school students with learning disabilities. A nation-wide survey was conducted with 314 heads of the integrated program for students with learning disabilities. They rated the appropriateness of 42 sexuality education topics for students with learning disabilities. A principal component analysis revealed three distinct dimensions: human development and interpersonal skills; sexual behavior; and, social-sexual health, society and culture. Topics in the human development and interpersonal skills as well as the sexual health, society and culture dimensions were rated higher than topics in the sexual behavior dimension. This empirical finding was reflective of typical beliefs about sexuality in a conservative society. The practitioners perceived sexuality education for students with learning disabilities from a socialized biological perspective, with medical and social-based topics clustered under similar dimensions. Results also did not differ across gender. In conclusion, cultural context contributed to the acceptability of sexuality education content. We advocate that teachers be provided with more exposure and support to teach topics deemed more sensitive in a conservative society.

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  1. 1.

    Lee, L.W., Low, H.M.: The evolution of special education in Malaysia. British J. Special Educ. 41(1), 42–58 (2014)

  2. 2.

    Government of Malaysia. P.U. [A]. 230: Education (Special Education) Regulations 2013. Attorney General’s Chambers, Kuala Lumpur (2013)

  3. 3.

    Wah, L.L.: Different strategies for embracing inclusive education: a snap shot of individual cases from three countries. Int. J. Special Educ. 25(3), 98–109. (2010). Accessed 16 June 2016

  4. 4.

    Sex Education Council of the United States (SIECUS): Guidelines for comprehensive sexuality education: Kindergarten-12th grade, 3rd edn. Sex Education Council of the United States, New York (2004)

  5. 5.

    Sinkinson, M.: Sexuality isn’t just about sex’: pre-service teachers’ shifting constructs of sexuality education. Sex Educ. 9(4), 421–436 (2009)

  6. 6.

    Department of Special Education: Syllabus of Learning Disabilities for Primary and Secondary School (In Malay). Ministry of Education, Putrajaya (2004)

  7. 7.

    Division of Special Education: Standard Curriculum for Primary Schools (In Malay). Ministry of Education, Putrajaya (2010)

  8. 8.

    Blanchett, W.J., Wolfe, P.S.: A review of sexuality education curricula: meeting the sexuality needs of individuals with moderate and severe intellectual disabilities. Res. Pract. Pers. Sev. D 27(1), 43–57 (2002)

  9. 9.

    Mohd, K.R.: Yunus: Sex education for teenagers with special needs (mental retardation): a needs analysis. In: Pa, Nik Aziz Nik, Idris, Noraini (eds.) Struggle to Empower the Education in Malaysia: 50 years Experience of Independence (In Malay), pp. 308–335. Utusan Publications, Kuala Lumpur (2008)

  10. 10.

    Miles, M.: Disability in an eastern religious context. J. Relig. Disabil. Health 6, 53–76 (2002)

  11. 11.

    Eisenberg, M.E.: Barriers to providing the sexuality education that teachers believe students need. J. School Health. 83(5), 335–342 (2013)

  12. 12.

    Kazdin, A.E.: Acceptability of child treatment techniques: the influence of treatment efficacy and adverse side effects. Behav. Ther. 12, 493–506 (1981)

  13. 13.

    Florian, L., Hollenweger, J., Simeonsson, R.J., Wedell, K., Riddell, S., Terzi, L., Holland, A.: Cross-cultural perspectives on the classification of children with disabilities: part I. J. Spec. Educ. 40(1), 36–45 (2006)

  14. 14.

    Reindal, S.G.: A social relational model of disability: a theoretical framework for special needs education? Eur. J. Spec. Needs Educ. 23(2), 135–146 (2008)

  15. 15.

    Rembis, M.A.: Beyond the binary: rethinking the social model of disabled sexuality. Sex. Disabil. 28, 51–60 (2010)

  16. 16.

    Ministry of Education Malaysia: Family health/sexuality education: modul 1-6 l (In Malay). Ministry of Education Malaysia, Putrajaya, Kuala Lumpur (2004)

  17. 17.

    Ministry of Education Malaysia: Guidelines of National Sexuality Education (In Malay). Ministry of Education Malaysia, Putrajaya (2006)

  18. 18.

    Ministry of Education Malaysia: Social and Reproductive Health Education (In Malay). Ministry of Education Malaysia, Putrajaya (2006)

  19. 19.

    Radhakrishna, R.B.: Tips for developing and testing questionnaires/instruments. J. Ext. 45(1). (2007). Accessed 11 Nov 2011

  20. 20.

    Coakes, S., Steed, L.: SPSS analysis without anguish, 10th edn. Wiley, Brisbane (2001)

  21. 21.

    Blanca, M.J., Arnau, J., Lopez-Montiel, D., Bono, R., Bendayan, R.: Skewness and kurtosis in real data samples. Methodology 9(2), 78–84 (2013)

  22. 22.

    Beyer, C.E., Ogletree, R.J.: Sexual coercion content in 21 sexuality education curricula. J. Sch. Health 68(9), 370–375 (1998)

  23. 23.

    Sobsey, D., Mansell, S.: Sexual abuse patterns of children disabilities. Int. J. Children’s Rights 2, 96–100 (1994)

  24. 24.

    Ang, C.T., Lee, L.W.: Sexuality education among secondary students with learning disabilities: Challenges and importance (in Malay). J. BITARA 6. (2013). Accessed 15 Feb 2016

  25. 25.

    Rashikj, O.: Sexual development, education and sexual abuse of persons with disabilities in the republic of Macedonia [Abstract]. J. Special Educ. Rehabil. 10(3–4), 135–138 (2009)

  26. 26.

    Garbutt, R.: Sex and relationships for people with learning disabilities: a challenge for parents and professionals. Mental Health Learn. Disabil. Res. Pract. 5, 266–277 (2008)

  27. 27.

    Skarbek, D., Hahn, K., Parrish, P.: Stop sexual abuse in special education: an ecological model of prevention and intervention strategies for sexual abuse in special education. Sex. Disabil. 27, 155–164 (2009)

  28. 28.

    Sullivan, P., Knutson, J.F.: Maltreatment and disabilities: a population based epidemiological study. Child Abuse Neglect 24, 1257–1274 (2000)

  29. 29.

    Anastasiou, D., Kauffman, J.M.: The social model of disability: dichotomy between impairment and disability. J. Med. Philos. 38, 441–459 (2013)

  30. 30.

    McNamara, P. M., Geary, T., Jourdan, D.: Gender implications of the teaching of relationships and sexuality education for health-promoting schools. Health Promot. Int. 230–237 (2011)

  31. 31.

    Suloshini J.: Implementing sexuality education in Asia and the Pacific: progress and gaps. Arrow Change 18(2), 29–31. (2012). Accessed 13 June 2016

  32. 32.

    Ang, C.T., Lee, L.W.: Application of a reproductive health education module for students with learning disabilities (in Malay). USM Press, Penang (In print)

  33. 33.

    Bartholomew, L.K., Parcel, G.S., Kok, G., Gottlieb, N.H., Fernandez, M.E.: Planning Health Promotion Programs: An Intervention Mapping Approach, 3rd edn. Jossey-Bass, San Francisco (2011)

  34. 34.

    Hays, P.A.: Addressing the complexities of culture and gender in counseling. J. Couns. Dev. 74, 332–338 (1996)

  35. 35.

    Moore, M.J., Rienzo, B.A.: Utilizing the SIECUS guidelines to assess sexuality education in one state: content scope and importance. J. School Health 70(2), 56–60 (2000)

  36. 36.

    Kaplin, D. Encouraging diversity in psychology: The RISE research award, Observer 28(8). (2014). Accessed 18 Feb 2016

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This work was partially funded by the Postgraduate Research Student Grant, Institute of Postgraduate Studies, Universiti Sains Malaysia (Grant No. 1001/PGURU/846024).

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Correspondence to Lay Wah Lee.

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Lay Wah Lee declares that she has no conflict of interest. Chai Tin Ang declares that she has no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ang, C.T., Lee, L.W. Sexuality Education Curriculum Content for Malaysian Students with Learning Disabilities. Sex Disabil 34, 255–267 (2016).

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  • Sexuality education
  • Students with learning disabilities
  • Sexuality education content
  • Sexuality education and students with disabilities
  • Culture and disabilities
  • Malaysia