Cheng Mariah Mantsun, Udry J Richard
Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27516-3997, USA.
J Adolesc Health. 2002 Jul;31(1):48-58. doi: 10.1016/s1054-139x(01)00400-1.
To examine differences in some aspects of sexual behavior between physically disabled and nondisabled adolescents in the United States.
The 1994-1995 Wave I data from the National Longitudinal Study of Adolescent Health (Add Health), a stratified, multistage cluster, school-based sample of 7th to 12th graders, were used. Physical disabilities were measured in terms of functional limitation and activity restriction. A total of 1153 adolescents were identified as physically disabled, mainly with limb difficulties. We studied their exposure on school sex education, contraceptive knowledge, sex attitudes, and popularity. Their experiences in romantic attraction and sex were analyzed by multinomial logistic regression methods, controlling for age, pubertal development, and other sociodemographic variables.
Although disabled adolescents are slower in pubertal development and more socially isolated, they are as sexually experienced as their nondisabled counterparts. Their exposure to school sex education is largely similar to that of the nondisabled, yet disabled boys are somewhat less knowledgeable about birth control. Severely disabled boys who are sexually active are popular among their same-sex peers, much like nondisabled boys. Although disabled adolescents are as sexually experienced, severely disabled boys and girls have less opposite-sex romantic attraction and are less sure about their sexual preference. Adolescents with mild disabilities have a higher tendency for same-sex attraction than do the nondisabled. Adolescent girls with physical disabilities consistently have higher odds of experiencing forced sex.
Physically disabled adolescents' sexual development and their specific needs for sex education and guidance should not be overlooked. More attention should be paid to protect physically disabled girls from sexual abuses and exploitations.
研究美国身体残疾青少年与非残疾青少年在性行为某些方面的差异。
使用了青少年健康全国纵向研究（Add Health）1994 - 1995年第一波数据，该研究是一个分层、多阶段整群、以学校为基础的7至12年级学生样本。身体残疾通过功能限制和活动受限来衡量。共有1153名青少年被确定为身体残疾，主要是肢体有困难。我们研究了他们接受学校性教育的情况、避孕知识、性态度和受欢迎程度。通过多项逻辑回归方法分析了他们在浪漫吸引力和性方面的经历，并控制了年龄、青春期发育和其他社会人口统计学变量。
尽管残疾青少年青春期发育较慢且社交上更孤立，但他们在性经历方面与非残疾同龄人相当。他们接受学校性教育的情况与非残疾青少年大致相似，然而残疾男孩在节育知识方面略少。性活跃的重度残疾男孩在同性同龄人中很受欢迎，与非残疾男孩很相似。尽管残疾青少年有相同的性经历，但重度残疾的男孩和女孩对异性的浪漫吸引力较小，对自己的性取向也不太确定。轻度残疾的青少年比非残疾青少年有更高的同性吸引倾向。身体残疾的青少年女孩遭受强迫性性行为的几率一直较高。
身体残疾青少年的性发育以及他们对性教育和指导的特殊需求不应被忽视。应更加关注保护身体残疾女孩免受性虐待和剥削。
