Department of Developmental and Educational Psychology, University of Valencia, Valencia, Spain.
Department of Developmental and Educational Psychology, University of Valencia, Valencia, Spain.
Res Dev Disabil. 2022 Feb;121:104157. doi: 10.1016/j.ridd.2021.104157. Epub 2021 Dec 28.
The prevention of HIV or other STIs in people with intellectual disabilities (ID) is a rarely studied subject even though this population group is at the same risk of infection as the general population.
The present study aims to conduct a descriptive analysis of sexual behaviours and condom use frequency in Spanish men and women with intellectual disabilities and identify the combination of variables that best explain condom use in vaginal intercourse.
The sample consisted of 253 people (56.1 % male and 43.9 % female) aged between 20 and 64 years (M = 38.52; SD = 10.48). Participants completed the Sexuality Questionnaire for People with Intellectual Disabilities and the Sexual Abuse Risk Screening Scale.
The percentage of consistent condom use is 27.7 % for vaginal intercourse. Lack of knowledge about body boundaries constitutes a risk factor contributing to risky sexual behaviour. Knowledge of HIV-transmitting fluids and perceived self-efficacy are protective factors. The proposed model explains between 35.5 % and 46.6 % of the variance.
The results highlight the importance of considering the judgements people make about their ability to perform preventive behaviour and the provision of information on sexuality adapted to cognitive abilities to minimise the engagement in risky behaviours.
尽管智障人士（ID）与普通人群一样面临感染风险，但针对 ID 人群预防艾滋病毒或其他性传播感染（STI）的研究却很少。
本研究旨在对西班牙智障男性和女性的性行为和 condom 使用频率进行描述性分析，并确定可最佳解释阴道性交中 condom 使用的变量组合。
样本包括 253 名年龄在 20 至 64 岁之间的人（56.1%为男性，43.9%为女性）（M = 38.52；SD = 10.48）。参与者完成了《智障人士性行为问卷》和《性虐待风险筛查量表》。
阴道性交中 condom 持续使用的比例为 27.7%。缺乏对身体界限的认识是导致危险性行为的风险因素。对 HIV 传播体液的了解和感知的自我效能是保护因素。提出的模型解释了 35.5%至 46.6%的方差。
研究结果强调了考虑人们对预防性行为能力的判断的重要性，以及提供适应认知能力的性知识，以减少危险行为的发生。
