Carolina Population Center, University of North Carolina, 123 West Franklin Street, 2nd Floor, Chapel Hill, NC, 27516, USA; Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, 401 Rosenau Hall, CB #7445, Chapel Hill, NC, 27599, USA.
Carolina Population Center, University of North Carolina, 123 West Franklin Street, 2nd Floor, Chapel Hill, NC, 27516, USA; Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, 3101 McGavran-Greenberg Hall, CB #7420, Chapel Hill, NC, 27599, USA.
Disabil Health J. 2019 Apr;12(2):155-163. doi: 10.1016/j.dhjo.2018.10.004. Epub 2018 Oct 24.
Timing of first sex has important implications for later sexual health, but little research has considered this in populations with physical disabilities.
The purpose of this paper was to examine timing of sexual experiences among populations with physical disabilities in the United States from adolescence to early adulthood, and how timing varies by biological sex, race/ethnicity, and sexual orientation. We hypothesized that those with physical disabilities would exhibit earlier initiation of each type of sexual activity compared to those without disabilities, but the degree of differences would depend on disability severity. We further hypothesized that these associations would be moderated by biological sex, race/ethnicity, and sexual orientation.
Data were from 13,458 respondents to Waves I and IV of the National Longitudinal Study of Adolescent to Adult Health. Cox proportional hazards models assessed differences in timing of vaginal, oral, anal, and first sex by disability severity.
Populations with the most severe physical disabilities had a significantly slower progression to first vaginal sex, oral sex, and their first sexual experience compared to those without disabilities (aHR: 0.74-0.77). Timing also differed by biological sex, race/ethnicity, and sexual orientation, though the direction and degree of these differences varied by disability severity.
Results fill an important gap in the literature by considering variations in sexual timing among populations with physical disabilities using a longitudinal, nationally representative sample. Future research should continue to promote inclusion of populations with disabilities to inform future policies and programs for healthy sexual development.
首次性行为的时间对以后的性健康有重要影响，但很少有研究关注身体残疾人群体中的这一问题。
本文旨在研究美国身体残疾人群体从青春期到成年早期的性经历的时间，以及这些时间如何因生物性别、种族/民族和性取向而有所不同。我们假设，与没有残疾的人相比，身体残疾者的每种性行为的开始时间都会更早，但差异的程度将取决于残疾的严重程度。我们进一步假设，这些关联将受到生物性别、种族/民族和性取向的调节。
数据来自青少年至成年健康全国纵向研究的第 1 波和第 4 波的 13458 名受访者。Cox 比例风险模型评估了残疾严重程度不同对阴道、口腔、肛门和首次性行为时间的差异。
与没有残疾的人相比，身体残疾最严重的人群首次阴道性交、口交和首次性经历的时间明显更慢（调整后危险比：0.74-0.77）。生物性别、种族/民族和性取向也存在差异，但这些差异的方向和程度因残疾严重程度而异。
本研究使用纵向、全国代表性样本，考虑了身体残疾人群体中性行为时间的变化，填补了文献中的一个重要空白。未来的研究应继续促进残疾人群体的纳入，以为健康性发展的未来政策和计划提供信息。
