Abstract
Adolescents with disability like other adolescents engage in sexual relationship to express their sexuality without adequate knowledge and skill to cope with the consequences of their actions. A Cross sectional study conducted among 140 adolescents with physical disabilities in four handicapped schools in Osun state South West, Nigeria had 56.4 % male and 43.6 % female respondents. Mean age is 16 years. Poor knowledge of sexuality issues such as: unprotected sex, teenage pregnancy, STIs/HIV/AIDS and contraceptive awareness were evident. Age of sexual debut is 15 years, 54.6 % had sexual intercourse, and commonest source of sexuality information is friend, while the most preferred source is parents who are ill-equipped to play their role as educators. 70.1 % had at least one boy/girlfriend and 29.9 % had multiple sexual partners at a time and engage in multiple sexual relationships. 12.8 % do not take any action to prevent pregnancy, those who do, use male condom. 24.6 % have been forced into sex by different categories of persons with different outcomes; teenage pregnancy, abortion and life birth. A few exchange sex for gifts from strangers. No access to HIV counseling and testing, hence treatment of HIV among this group is difficult and thus posing significant public health concern.
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References
Afenyadu, D., Goparaju, L.: Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana. A survey report supported by CEDPA, USAID (2003)
Boehning, A.: Sex education for students with disability. J. Adolesc. Health 20(1997), 62–67 (2006)
Carter, J.K.: Sexuality education for students with specific learning disabilities. Interv. Sch. Clin. Spl. Educ. J. 34, 220–223 (1999)
Cheng, M., Udry, J.: Sexual behaviors of physically disabled adolescents in the United States. J. Adolesc. Health 31(1), 48–58 (2002)
Craik, J.: ‘What You Don’t Know Won’t Harm You’: A Needs Assessment about the Relationships and Sexual Wellbeing of People with Learning Disabilities. Glasgow, Greater Glasgow and Clyde NHS Health Board report (2002)
Collins, P., Geller, P., Miller, S.: Ourselves, our bodies, our realities. J. Urban Health 78(1), 162–175 (2001)
Enwereji, E.: Disabled persons and HIV/AIDS prevention: a case study of deaf and leprosy persons in Nigeria. East Afr. J. Public Health 5, 55–61 (2008)
Dawood, N., Bhagwanjee, A., Govender, K., Chohan, E.: Knowledge, attitudes and sexual practices of adolescents with mild mental retardation, in relation to HIV/AIDS. Afr. J. AIDS Res. 5, 1–10 (2006)
Groce, N.: HIV/AIDS and people with disability. Lancet 361, 1401–1402 (2003)
Hanass-Hancock, J.: Interweaving conceptualizations of gender and disability in the context of vulnerability to HIV/AIDS in KwaZulu-Natal, South Africa. Sex. Disabil. 27, 35–47 (2009)
McCabe, M.P., Cummins, R.A., Deeks, A.A.: Sexuality and quality of life among people with physical disability. Sex. Disabil. 18, 115–123 (2000)
Michelle, M.S.W.: Parents as sexuality educators for their children with developmental disabilities. SIECUS Rep. 29(3), 17 (2001)
Mulindwa, I.N.: Study on reproductive health and HIV/AIDS among persons with disabilities in Kampala, Katakwi and Rakai Districts. Sex. Disabil. 24, 112–119 (2003)
Munthali, A., Mvula, P., Ali, S.: Effective HIV/AIDS and Reproductive Health Information to People with Disabilities. University of Malawi, Center for Social Research, University Press, Zomba (2004)
Murphy, G.H., O’Callaghan, A.: Capacity of adults with intellectual disabilities to consent to sexual relationships. Psychol. Med. 34, 1347–1357 (2004)
Okonofua, F.E.: Factors associated with adolescent pregnancy in rural Nigeria. J. Youth Adolesc. 24, 419–438 (1995)
Poul, R.: Providing sex education to persons with learning disabilities in the era of HIV/AIDS tensions between discourses of human rights and restriction, deafness and HIV/AIDS: a systematic review of the Jill Hanass-Hancock, Loveness Satande. Afr. J. AIDS Res. 9, 187–192 (2010)
Rohleder, P., Braathen, S.H., Swartz, L., Eide, A.H.: HIV/AIDS and disability in Southern Africa: a review of relevant literature. Disabil. Rehabil. 31, 51–59 (2009)
Sangowawa, A.O., Owoaje, E.T., Faseru, B., Ebong, I.P., Adekunle, B.J.: Sexual practices of deaf and hearing secondary school students in Ibadan, Nigeria. Ann. Ib. Postgrad. Med. 7, 26–30 (2009)
Shapland, C.: Sexuality issues for youth with disabilities and conditions “A healthy & ready to work”. Policy Brief 4, 9–10 (2000)
Suris, J.: Global trends of young people with chronic and disabling conditions. J. Adolesc. Health 17, 17–22 (1995)
Taegtmeyer, M., Henderson, K., Angala, P., Ngare, C.: Responding to the Signs: A Voluntary Counseling and Testing Programme for the Deaf in Kenya. XVI World AIDS conference report. Toronto. Available on www.internationalaidsociety.org/. Accessed Nov 2011
UNFPA: Annual Report Addressing Access to Sexual and Reproductive Health for Vulnerable Communities in Europe, 7th edn. Available on www.unfpa.org/. Accessed July 2010
UNAIDS/WHO Epidemiological Fact Sheets on HIV and AIDS, (cited in 2008) Update. Available from www.unaids.org. Accessed 29 July 2010
UNAIDS: Data, studies, interventions and policy recommendations from UN AIDS and its affiliated organizations available on http://www.unaids.org. Accessed Aug 2011
WHO questionnaires for young person’s Sexual and Reproductive Health Survey (cited in 2006) available from http://www.who.int/reproductivehealth.org/88/11/06-076349. Accessed Nov 2008
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Oladunni, T.M. Sexual Behavior and Practices Among Adolescents with Disabilities in Southwest Nigeria. Sex Disabil 30, 289–299 (2012). https://doi.org/10.1007/s11195-012-9270-8
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DOI: https://doi.org/10.1007/s11195-012-9270-8