Ride Georgia, Newton Danielle C
Melbourne School of Population & Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, VIC 3010 Melbourne, Vic., Australia.
Sex Health. 2018 Jul;15(4):312-317. doi: 10.1071/SH17106.
Background There is a lack of research on young people with physical disabilities' access to sexual and reproductive health (SRH) services in Australia. Research has found that there are attitudinal, physical and communication barriers for people with disability, in general, accessing health services, including SRH services. This paper explores key informant perceptions of the barriers and enablers to young people with physical disabilities accessing SRH services in Australia.
This research used a qualitative approach and involved semi-structured interviews with key informants. Key informants were identified using purposive and snowball sampling, and included health professionals working in SRH services and disability-focussed organisations. Thematic analysis was used to analyse the data.
Key informant interviews were carried out with nine health professionals and professionals from disability-focussed organisations. Key themes were: attitudes, role and capacity of health professionals; and additional supports. These three broad areas can either act as barriers or enablers for young people with physical disabilities to access SRH services. This research highlighted that heterosexual and gender bias creates additional barriers for young women with physical disabilities and young people with physical disabilities who identify as lesbian, gay, bisexual, queer, transgender or intersex (LGBQTI).
Young people with physical disabilities face barriers accessing SRH services. Additional barriers are faced by young women and LGBQTI young people with physical disabilities. This paper suggests strategies to overcome these barriers.
背景 在澳大利亚，针对身体残疾的年轻人获得性与生殖健康（SRH）服务的研究较少。研究发现，一般而言，残疾人在获得包括SRH服务在内的医疗服务时存在态度、身体和沟通方面的障碍。本文探讨了关键信息提供者对澳大利亚身体残疾的年轻人获得SRH服务的障碍和促进因素的看法。
本研究采用定性方法，对关键信息提供者进行了半结构化访谈。通过目的抽样和滚雪球抽样确定关键信息提供者，包括在SRH服务机构工作的卫生专业人员和专注于残疾问题的组织。采用主题分析法对数据进行分析。
对9名卫生专业人员和来自专注于残疾问题组织的专业人员进行了关键信息提供者访谈。关键主题包括：卫生专业人员的态度、角色和能力；以及额外的支持。这三个广泛领域既可能成为身体残疾的年轻人获得SRH服务的障碍，也可能成为促进因素。本研究强调，异性恋和性别偏见给身体残疾的年轻女性以及认同女同性恋、男同性恋、双性恋、酷儿、跨性别或双性人（LGBQTI）的身体残疾年轻人带来了额外障碍。
身体残疾的年轻人在获得SRH服务方面面临障碍。身体残疾的年轻女性和LGBQTI年轻人面临更多障碍。本文提出了克服这些障碍的策略。
