Carew Mark T, Braathen Stine Hellum, Swartz Leslie, Hunt Xanthe, Rohleder Poul
a School of Psychology , University of East London , London , United Kingdom.
b Leonard Cheshire Disability & Inclusive Development Centre , University College London , London , United Kingdom.
Glob Health Action. 2017;10(1):1337342. doi: 10.1080/16549716.2017.1337342.
Although approximately 80% of the global population of people with disabilities reside in low- and middle-income countries (LMICs), very little is known about their sexual lives due to a lack of empirical data. We aimed to provide a scoping review of English-language research conducted on disability and sexuality in LMICs.
Our research questions concerned what topics in disability and sexuality have (and have not) been investigated, where this research has been carried out, and how this research has been conducted.
A scoping review was conducted to examine the published English-language research literature on disability and sexuality within LMICs. We searched three electronic databases (PsycINFO, Web of Science, and PsycARTICLES) for research meeting these criteria published between 2000 and 2016 (inclusive). Through this search, we identified 103 articles.
It is concluded that: (a) disability and sexuality research in African countries has focused predominantly on sexual abuse and violence or HIV, (b) the sexuality of people with disabilities within many LMICs has received little or no empirical investigation, and (c) there have been very few experimental studies on disability and sexuality conducted in LMICs in general.
Much remains unknown about the sexual health and sexual lives of the majority of people with disabilities, globally. Moreover, what has been done in certain contexts has tended to focus predominantly on vulnerabilities rather than emancipatory practices. Thus, urgent action is needed within LMICs on issues related to disability and sexuality to meet the goal of global optimal sexual health.
尽管全球约80%的残疾人生活在低收入和中等收入国家(LMICs),但由于缺乏实证数据,对他们的性生活了解甚少。我们旨在对在低收入和中等收入国家开展的关于残疾与性的英文研究进行范围综述。
我们的研究问题涉及残疾与性方面哪些主题(以及哪些主题未)被研究过、这项研究在何处开展以及研究是如何进行的。
开展范围综述以审视已发表的关于低收入和中等收入国家残疾与性的英文研究文献。我们在三个电子数据库(PsycINFO、科学引文索引和PsycARTICLES)中搜索2000年至2016年(含)期间发表的符合这些标准的研究。通过此次搜索,我们识别出103篇文章。
得出以下结论:(a)非洲国家的残疾与性研究主要集中在性虐待与暴力或艾滋病毒方面;(b)许多低收入和中等收入国家残疾人的性取向很少或根本没有得到实证研究;(c)总体而言,在低收入和中等收入国家进行的关于残疾与性的实验研究非常少。
在全球范围内,大多数残疾人的性健康和性生活仍有许多未知之处。此外,在某些情况下所做的工作往往主要集中在脆弱性方面,而非解放性实践。因此,低收入和中等收入国家迫切需要就与残疾和性相关的问题采取行动,以实现全球最佳性健康的目标。