Holland-Hall Cynthia, Quint Elisabeth H
Section of Adolescent Medicine, Nationwide Children's Hospital, The Ohio State University College of Medicine, 700 Children's Drive, Columbus, OH 43205, USA.
Obstetrics and Gynecology, University of Michigan Medical School, 1500 East Medical Center Drive, Women's L 4000, Ann Arbor, MI 48109, USA.
Pediatr Clin North Am. 2017 Apr;64(2):435-449. doi: 10.1016/j.pcl.2016.11.011. Epub 2017 Feb 13.
Healthy sexual development is important for adolescents with and without disabilities, yet the topic of sexuality is often ignored in the disabled population. Adolescents with mild or moderate degrees of disability have rates of sexual activity and reproductive health needs comparable to their typically developing peers. Their need for support, risk reduction, and education in sexual health may exceed that of their peers. The medical provider may support healthy sexual development through education, anticipatory guidance, menstrual and contraceptive management, and by expanding the notion of sexuality to include a broader conceptualization of sexual behavior and expression.
健康的性发育对有无残疾的青少年都很重要,但性取向这个话题在残疾人群体中常常被忽视。轻度或中度残疾的青少年的性活动率和生殖健康需求与发育正常的同龄人相当。他们在性健康方面对支持、降低风险和教育的需求可能超过同龄人。医疗服务提供者可以通过教育、预期指导、月经和避孕管理,以及将性取向的概念扩展到包括更广泛的性行为和表达概念化,来支持健康的性发育。