Abstract
Background
Due to numerous social, economic, and cultural barriers, the sexual health needs of women with physical disabilities are not prioritized. The aim of this scoping review is to identify the unmet sexual health needs of women with physical disabilities.
Methods
Scopus, Cochrane Library, Pub Med, Google Scholar, and Web of Science were searched from 2006 to March 2023. English peer-reviewed and grey literature sources were included. The primary search yielded 73 articles. Finally, 20 articles were analyzed using narrative synthesis for qualitative appraisal and data analysis.
Results
From the 20 selected articles, four unmet sexual health needs were identified: (1) unmet need for family planning and prevention of unplanned pregnancy, (2) unmet need related to genital tract infections, sexually transmitted infections, and HIV/AIDS, (3) unmet need related to sexual dysfunction, and (4) unmet need related to exposure to sexual violence.
Conclusion
In many comprehensive health centers, which are supposed to provide reproductive and sexual health services, the needs of patients with physical disabilities are not specifically considered. Instead, their needs are treated like any other woman's. Because there is no integrity in the provision of health services to women with physical disabilities, there is a gap in the identification of needs and provision of sexual health services to these women. Evidence shows that physical disability can affect a woman's whole sexual life and that patients need specific sexual health services.
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Data sharing not applicable. No data are available
References
Akhavan Amjadi M, Simbar M, Hosseini SA (2016) Review paper: sexual and reproductive health challenges in women with physical-motor problems and their solutions. J Rehab 17(3):260–275. https://doi.org/10.21859/jrehab-1703260
Amjadi MA, Simbar M, Hosseini SA et al (2017) The sexual health needs of women with spinal cord injury: a qualitative study. Sexual Disabil 35(3):313–330
Aragão JD, França IS, Coura AS, Medeiros CC, Enders BC (2016) Vulnerability associated with sexually transmitted infections in physically disabled people. Ciencia Saude Coletiva 21:3143–3152. https://doi.org/10.1590/1413-812320152110.20062016
Arksey H, O'Malley L (2005) Scoping studies: towards a methodological framework. Int J Social Res Methodol 8(1):19–32. https://doi.org/10.1080/1364557032000119616
Barthélémy TU, Yves ST (2013) Reproductive health needs of physical handicapped females in Kinshasa, DR Congo. Open J Obestet Gynecol 3(1):180–183. https://doi.org/10.4236/ojog.2013.31A033
Brennand EA, Santinele Martino A (2022) Disability is associated with sexually transmitted infection: severity and female sex are important risk factors. Can J Human Sexual 31(1):91–102. https://doi.org/10.3138/cjhs.2021-0053
Calabrò RS, Russo M, Naro A (2017) Discussing sexual health after traumatic brain injury: an unmet need! Innov Clin Neurosci 14(1-2):11
Dammeyer J, Chapman M (2018) A national survey on violence and discrimination among people with disabilities. BMC Public Health 18(1):1–9
Esmaeilipour M, Naghavi A (2020) Untold stories of people living with a disability: the perspective of girls with a physical disability about sex. Res Cognitive Behavior Sci 21 10(1):47–58. https://doi.org/10.22108/cbs.2021.126600.1476
Fleming PS, Koletsi D, Pandis N (2014) Blinded by PRISMA: are systematic reviewers focusing on PRISMA and ignoring other guidelines? PLoS One 9(5):e96407. https://doi.org/10.1371/journal.pone.0096407
Ghasemi V, Nabavi SM, Simbar M, Ozgoli G, Alavi Majd H, Mirshafaei MS, Mohammadsoori B, Banaei M (2022) The effect of sexual health promotion package on sexual life in women with multiple sclerosis: designed based on the results of a mixed method study. Sexual Disabil 40(1):57–75
Girma Garo M, Garoma Abe S, Dugasa Girsha W, Daka DW (2021) Unmet need for family planning and associated factors among currently married women of reproductive age in Bishoftu town, Eastern Ethiopia. PLOS One 16(12):e0260972. https://doi.org/10.1371/journal.pone.0260972
Hong QN, Fàbregues S, Bartlett G et al (2018) The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Educ Inform 34(4):285–291
Horner-Johnson W, Klein KA, Campbell J, Guise JM (2021) Experiences of women with disabilities in accessing and receiving contraceptive care. J Obstet Gynecol Neonatal Nurs 50(6):732–741. https://doi.org/10.1016/j.jogn.2021.07.005
Ledingham E, Wright GW, Mitra M (2022) Sexual violence against women with disabilities: experiences with force and lifetime risk. Am J Prev Med 62(6):895–902. https://doi.org/10.1016/j.amepre.2021.12.015
Mailhot Amborski A, Bussieres EL, Vaillancourt-Morel MP, Joyal CC (2022) Sexual violence against persons with disabilities: a meta-analysis. Trauma Violence Abuse 23(4):1330–1343
Niazi M, Ganji M (2013) Cultural assessment and pattern prioritization among Kashan peoples. Socio-Cult Dev Stud 2(1):37–70
Plummer SB, Findley PA (2012) Women with disabilities’ experience with physical and sexual abuse: review of the literature and implications for the field. Trauma Viol Abuse 13(1):15–29. https://doi.org/10.1177/1524838011426014
Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M et al (2006) Guidance on the conduct of narrative synthesis in systematic reviews. Prod ESRC Methods Prog Vers 1:b92
Rahmanian F, Simbar M, Ramezankhani A, Zayeri F (2014) Gender sensitive STIs/HIV/AIDS prevention policies: a qualitative study. Health 6(1):1246–1254 http://www.scirp.org/journal/PaperInformation.aspx?PaperID=46141
Rezapour A, Mahmoudi M, Abolghasem Gorji H, Bagheri Faradonbeh S, Asadi S, Yusef Zadeh N et al (2014) A survey of unmet health needs and the related barriers to access them. J Health Admin 17(57):87–98
Rostamian A, Rahmani Firouzjah A, Abbasi Asfajir AA (2021) Sociological study of sexual harassment of disabled women in Mazandaran province. Strat Res Social Probl Iran 10(4):69–90. https://doi.org/10.22108/srspi.2022.131625.1755
Rowen TS, Stein S, Tepper M (2015) Sexual health care for people with physical disabilities. J Sexual Med 12(3):584–589. https://doi.org/10.1111/jsm.12810
Rugoho T, Maphosa F (2017) Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: the case of Chitungwiza town. Afr J Disable 6:252. https://doi.org/10.4102/ajod.v6i0.252
UNFPA (2018) Women and young persons with disabilities. Guidelines for providing right based and gender-responsive services to address gender-based violence and sexual and reproductive health and rights. United Nations Population Fund, New York. Available at: UNFPA-WEI_Guidelines_Disability_GBV_SRHR_FINAL_19-11-18_0.pdf
Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, Reno H, Zenilman JM, Bolan GA (2021) Sexually transmitted infections treatment guidelines, 2021. MMWR Recommend Rep 70(4):1. https://doi.org/10.15585/mmwr.rr7004a1
World Health Organization (2016) Disability and health: fact sheet. WHO, Geneva. Available at: http://www.who.int/mediacenter/factsheets/fs352/en/ [29. Jan.2022]
World Health Organization (2022) World reports on disability. WHO, Geneva. Available at: https://www.who.int/news-room/fact-sheets/detail/disability-and-health [7 March 2023]
Acknowledgements
This research is the outcome of a project at the Tarbiat Modares University. We appreciate the participation of the staff of Tarbiat Modares university.
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PND: reviewing texts, collecting and organizing data, analyzing data and preparing the draft of the article, correcting the final version of the article
SS: supervisor, research design, literature review, data analysis, modification and approval of the final version of the article
AM: Consultant professor, data analysis and cooperation in compiling the final report, reviewing the article, correcting and approving the final version of the article
FA: consultant professor, data analysis and cooperation in compiling the final report, reviewing the article, correcting and approving the final version of the article
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Naghdi-Dorabati, P., Shahali, S., Montazeri, A. et al. The unmet need for sexual health services among women with physical disabilities: a scoping review. J Public Health (Berl.) (2024). https://doi.org/10.1007/s10389-024-02191-5
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DOI: https://doi.org/10.1007/s10389-024-02191-5