Eastgate Gillian
Queensland Centre for Intellectual and Developmental Disability, University of Queensland.
Aust Fam Physician. 2005 Mar;34(3):163-6.
People with intellectual disability, as well as people with dementia or mental health disability, are vulnerable to sexual abuse and may lack the capacity to give valid consent to medical treatment. Their reproductive choices may be limited by their support needs, by social pressures or by sterilisation at a young age.
This article uses case vignettes to illustrate key areas in dealing with sexual and reproductive health, and consent issues for people with intellectual disability. It also provides brief guidelines for assessing capacity to consent, and procedures to follow when there is no, or uncertain, capacity.
People with intellectual disability require education to help them resist abuse, and advocacy to ensure that their environment protects them. They require support and education when making reproductive choices and health care decisions. In cases where they do not have the capacity for informed consent, a substitute decision maker is required.
智力残疾者以及患有痴呆症或精神健康障碍者容易遭受性虐待，并且可能缺乏对医疗治疗给予有效同意的能力。他们的生殖选择可能会受到其支持需求、社会压力或年轻时绝育的限制。
本文通过案例 vignettes 来说明处理智力残疾者性健康和生殖健康以及同意问题的关键领域。它还提供了评估同意能力的简要指南，以及在没有或不确定能力时应遵循的程序。
智力残疾者需要接受教育以帮助他们抵制虐待，并需要进行宣传以确保他们的环境能保护他们。他们在做出生殖选择和医疗保健决策时需要支持和教育。在他们没有知情同意能力的情况下，需要有替代决策者。
