Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
J Adolesc Health. 2018 Mar;62(3):294-302. doi: 10.1016/j.jadohealth.2017.08.003. Epub 2017 Oct 19.
Few studies have sought to understand the typical sexual development of populations with physical disabilities in the United States, and those that do are often based on convenience samples or cross-sectional data. The purpose of this paper is to examine relationships between physical disability and experiences of vaginal, oral, and anal sex in a nationally representative sample of individuals in the United States who have been followed from adolescence through early adulthood.
We used data from 13,456 respondents who completed Waves I (1994-1995) and IV (2008-2009) of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Physical disabilities were identified and grouped by severity using information regarding limb difficulties, blindness, and deafness during adolescence. Analyses included bivariate statistics and adjusted logistic regression models relating physical disability and experiences of each type of sex.
Respondents with the most severe physical disabilities had significantly lower odds of experiencing vaginal sex, oral sex, and having any sexual experience compared with the odds of those without disabilities. After stratifying by biological sex, we found that males with the most severe physical disabilities had significantly lower odds of experiencing any type of sex compared with the odds of males without disabilities, whereas females with moderate and severe physical disabilities had significantly lower odds of experiencing vaginal sex compared with the odds of females without disabilities.
Our findings build on past research often conducted with convenience samples or cross-sectional data, indicating variation in sexual experiences among populations with disabilities.
很少有研究试图了解美国身体残疾人群的典型性发育情况，而那些研究往往基于方便样本或横断面数据。本文的目的是在美国具有代表性的青少年至成年早期个体样本中，检查身体残疾与阴道、口腔和肛门性行为经历之间的关系。
我们使用了 13456 名受访者在青少年期至成年早期健康纵向研究（Add Health）的第 I 波（1994-1995 年）和第 IV 波（2008-2009 年）中完成的数据。使用青少年时期关于肢体困难、失明和耳聋的信息，识别和按严重程度分组身体残疾。分析包括二元统计和调整后的逻辑回归模型，这些模型与身体残疾和每种类型的性经历相关。
与无残疾者相比，残疾程度最严重的受访者经历阴道性交、口交和任何性经历的可能性显著降低。在按生物性别分层后，我们发现最严重身体残疾的男性经历任何类型的性经历的可能性明显低于无残疾男性，而中度和重度身体残疾的女性经历阴道性交的可能性明显低于无残疾女性。
我们的研究结果建立在过去经常使用方便样本或横断面数据进行的研究的基础上，表明残疾人群的性经历存在差异。
