From the Department of Anesthesiology at Wake Forest Baptist Medical Center, Winston-Salem, NC.
Department of Health Education and Behavior, University of Florida, Gainesville, FL.
Sex Transm Dis. 2021 Nov 1;48(11):851-854. doi: 10.1097/OLQ.0000000000001443.
In the past 20 years, there has been an increase in the number of college students with disabilities (SWDs) in the United States. Students with disabilities may have not received relevant, or accessible, sexual health education from medical providers, parents, or school health educators. Because of the lack of this education, the college social environment, and developmental timing of traditional college aged students, SWDs are at risk of engaging in health compromising sexual behavior.
We conducted a secondary data analysis of traditionally aged (18- to 24-year-olds) college students who completed the National College Health Assessment administered in Fall 2017 and Spring 2018 (N = 95,119). We use prevalence and generalized linear models to describe self-reported sexual health behavior and outcomes among college students without disabilities and SWDs, by disability category.
Findings indicate that college students with disabilities-particularly students with attention-deficient hyperactivity disorder, psychiatric conditions, and multiple disabilities-are at higher risk than students without disabilities to engage in health compromising sexual health behavior and that students with multiple disabilities have higher adjusted prevalence ratios of being diagnosed and/or treated for a sexually transmitted infection.
Students with disabilities are not a monolithic population and there is cross-disability variability of engaging in health compromising and health promoting behavior. These findings highlight the need for college health promotion specialists and clinicians to advocate for accessible, sex positive, disability inclusive sexual health education.
在过去的 20 年中，美国的残疾大学生（SWD）人数有所增加。残疾学生可能没有从医疗服务提供者、家长或学校健康教育者那里获得相关的或可访问的性健康知识。由于缺乏这种教育，大学的社会环境以及传统大学生的发展时机，SWD 存在参与危害健康的性行为的风险。
我们对在 2017 年秋季和 2018 年春季完成全国大学生健康评估的传统年龄（18 至 24 岁）大学生进行了二次数据分析（N=95119）。我们使用患病率和广义线性模型，按残疾类别描述无残疾和残疾大学生的自我报告性健康行为和结果。
研究结果表明，残疾大学生——尤其是注意力缺陷多动障碍、精神疾病和多重残疾的学生——比非残疾大学生更有可能从事危害健康的性行为，并且多重残疾的学生更有可能被诊断和/或治疗性传播感染。
残疾学生不是一个同质的群体，残疾学生之间存在着从事危害健康和促进健康行为的交叉残疾差异。这些发现强调了需要大学健康促进专家和临床医生倡导可访问、性积极、包容残疾的性健康知识教育。
