Wazakili M, Mpofu R, Devlieger P
Department of Physiotherapy, University of the Western Cape, South Africa.
Disabil Rehabil. 2009;31(1):32-41. doi: 10.1080/09638280802280619.
Although rehabilitation is an integral part of the lives of many young people with physical disabilities, sexuality education and HIV and AIDS prevention services are not. The purpose of this study was to record the voices of disabled young people regarding their experiences of sexuality and HIV and AIDS and to determine the role of rehabilitation professionals in this regard.
Sixteen young people with physical disabilities, aged 15-24 years participated in the study. Individual in-depth interviews were conducted with each participant, followed by focus group discussions comprising four to six participants. Responses were audiotaped and transcribed verbatim. Textual and contextual features of the Atlas.ti computer programme were used to support the thematic analysis of the data.
The results indicated that most participants had received some form of rehabilitation for their physical impairment, yet sexuality and HIV and AIDS matters were not part of the rehabilitation process. Although the majority were aware of sexuality and HIV and AIDS issues, their limited factual knowledge did not persuade them to change their sexual behaviour or take preventive measures against contracting HIV infection.
Rehabilitation professionals need to widen their scope of practice to include the promotion of good sexual and reproductive health for disabled young people.
尽管康复是许多身体残疾的年轻人生活中不可或缺的一部分，但性教育以及艾滋病毒和艾滋病预防服务却并非如此。本研究的目的是记录残疾青年关于他们性经历以及艾滋病毒和艾滋病的看法，并确定康复专业人员在这方面的作用。
16名年龄在15至24岁之间的身体残疾青年参与了该研究。对每位参与者进行了个人深度访谈，随后进行了由四至六名参与者组成的焦点小组讨论。回答内容被录音并逐字转录。使用阿特拉斯.ti计算机程序的文本和上下文特征来支持对数据的主题分析。
结果表明，大多数参与者因身体损伤接受了某种形式的康复治疗，但性以及艾滋病毒和艾滋病问题并非康复过程的一部分。尽管大多数人了解性以及艾滋病毒和艾滋病问题，但他们有限的实际知识并未促使他们改变性行为或采取预防感染艾滋病毒的措施。
康复专业人员需要拓宽其业务范围，将促进残疾青年良好的性健康和生殖健康纳入其中。
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