Eastgate Gillian, Van Driel Mieke L, Lennox Nicholas G, Scheermeyer Elly
Queensland Centre for Intellectual and Developmental Disability, School of Medicine, The University of Queensland, Mater Hospitals, Brisbane, Queensland.
Aust Fam Physician. 2011 Apr;40(4):226-30.
Sexual abuse and abusive relationships are known to be especially common in people with intellectual disability. This study explored how women with intellectual disability understand sex, relationships and sexual abuse, the effects of sexual abuse on their lives, and how successfully they protect themselves from abuse.
Semistructured narrative interviews with nine women with mild intellectual disability in Queensland, Australia. Interviews were audio recorded, transcribed, coded and analysed qualitatively.
Major themes that emerged were: sexual knowledge and sources of knowledge; negotiating sexual relationships; declining unwanted sexual contact; self protection strategies; sexual abuse experiences; and sequelae of sexual abuse.
Most participants reported unwanted or abusive sexual experiences. They described sequelae such as difficulties with sex and relationships, and anxiety and depression. They described themselves as having inadequate self protection skills and difficulty reporting abuse and obtaining appropriate support. Their understanding of sex was limited and they lacked the literacy and other skills to seek information independently. It is important for general practitioners to be aware of the possibility of sexual abuse against women with intellectual disability, and to offer appropriate interventions.
众所周知，性虐待和虐待关系在智力残疾者中尤为常见。本研究探讨了智力残疾女性如何理解性、关系和性虐待，性虐待对她们生活的影响，以及她们如何成功地保护自己免受虐待。
对澳大利亚昆士兰州的九名轻度智力残疾女性进行半结构化叙事访谈。访谈进行了录音、转录、编码并进行定性分析。
出现的主要主题有：性知识及知识来源；协商性关系；拒绝 unwanted 性接触；自我保护策略；性虐待经历；以及性虐待的后遗症。
大多数参与者报告了 unwanted 或虐待性的性经历。他们描述了诸如性和关系方面的困难以及焦虑和抑郁等后遗症。他们表示自己自我保护技能不足，难以报告虐待行为并获得适当支持。他们对性的理解有限，缺乏独立寻求信息的读写能力和其他技能。全科医生必须意识到智力残疾女性遭受性虐待的可能性，并提供适当的干预措施，这很重要。
