Department of Rehabilitation, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Dev Med Child Neurol. 2010 Jun;52(6):576-82. doi: 10.1111/j.1469-8749.2010.03620.x. Epub 2010 Feb 19.
The aim of this study was to describe the peer group activities, romantic relationships, and sexual activity and their interrelations of young adults with cerebral palsy (CP).
A cross-sectional study was performed in 87 participants (51 males, 36 females; mean age 20 y 4 mo, SD 1 y 3 mo range age 18-22 y) without cognitive disabilities. Ninety-four per cent had spastic CP and 49% unilateral CP, while 78% were classified at Gross Motor Function Classification System level I and 84% at Manual Ability Classification System level I. Peer group activities, dating, romantic relationships, and sexual activity were assessed with an interview and questionnaire. Associations were analysed using logistic regression analyses.
The study cohort reported having friends and participating in activities with peers; 71% had experience of dating, 23% had a current romantic relationship, and 38% had experience of intercourse. Young adults with CP had less experience in romantic and sexual relationships than an age-appropriate Dutch reference population. Peer group activities and dating favoured development of romantic relationships and sexual activity. Older age was associated with greater sexual activity. Motor functioning, education level, and gender did not correlate with romantic relationships or sexual activity.
Being involved in peer group activities and creating a context to arrange dates seems relevant for young adults with CP to develop romantic relationships and sexual activity.
本研究旨在描述脑瘫青年的同龄群体活动、浪漫关系和性行为及其相互关系。
在 87 名无认知障碍的参与者（51 名男性，36 名女性；平均年龄 20 岁 4 个月，标准差 1 岁 3 个月，年龄范围 18-22 岁）中进行了一项横断面研究。94%的人患有痉挛型脑瘫，49%的人患有单侧脑瘫，78%的人属于粗大运动功能分级系统 I 级，84%的人属于手动能力分级系统 I 级。使用访谈和问卷评估同龄群体活动、约会、浪漫关系和性行为。使用逻辑回归分析来分析关联。
研究队列报告有朋友并参与同龄群体活动；71%的人有约会经历，23%的人有当前的浪漫关系，38%的人有过性行为。与年龄相适应的荷兰参考人群相比，脑瘫青年在浪漫关系和性行为方面的经验较少。同龄群体活动和约会有助于发展浪漫关系和性行为。年龄较大与更高的性行为相关。运动功能、教育水平和性别与浪漫关系或性行为无关。
参与同龄群体活动和创造安排约会的环境似乎对脑瘫青年发展浪漫关系和性行为很重要。
