Log in

The Perceptions and Attitudes of Undergraduate Students in Health-Related Fields Toward the Sexuality of Disabled People in Canada

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

The aim of this study was to explore the perceptions and attitudes of Canadian undergraduate students in health-related fields of study regarding the sexuality of disabled people. More specifically, we examine what is being taught to undergraduate students regarding the sexuality of disabled people, the sources of information that students rely upon to learn about this topic, and the current attitudes that these students hold. A modified version of the Attitudes to Sexuality Questionnaire was completed by 156 healthcare students from 30 different Canadian post-secondary institutions. Data analysis revealed that participants generally held non-restrictive views about parenting, sexual rights, non-reproductive sexual behavior, and sexual self-control of people with disabilities; however, over half of the participants noted that their post-secondary curriculum did not provide them with enough information regarding disability and sexuality. The results of this study speak to the need for more information about the sexuality of disabled people in healthcare education curricula.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Baines, S., Emerson, E., Robertson, J., Hatton, C.: Sexual activity and sexual health among young adults with and without mild/moderate intellectual disability. BMC Public Health 18(1), 667–667 (2018). https://doi.org/10.1186/s12889-018-5572-9

    Article  PubMed  PubMed Central  Google Scholar 

  2. Gil-Llario, M.D., Morell-Mengual, V., Ballester-Arnal, R., Díaz-Rodríguez, I.: The experience of sexuality in adults with intellectual disability. J. Intellect. Disabil. Res. Disabil. Res. 62(1), 72–80 (2018). https://doi.org/10.1111/jir.12455

    Article  Google Scholar 

  3. Santinele, M.A.: “I don’t want to get in trouble”: a study of how adults with intellectual disabilities convert and navigate intellectual disability sexual fields. Cult. Health Sex. 24(9), 1230–1242 (2021)

    Article  Google Scholar 

  4. Evlyn, D., Cayami, F.K., Hardian, H., Ediati, A., Agustini, U., Winarni, T.I.: Attitudes of Indonesian health science undergraduates toward sexuality in individuals with intellectual disabilities. Sci. Direct 118, 104082 (2021)

    Google Scholar 

  5. Santinele Martino A, Fudge Schormans A, When Good Intentions Backfire: University Research Ethics Review and the Intimate Lives of People Labeled with Intellectual Disabilities. Forum Qualitative Sozialforschung Forum: Qualitative Social Research, 2018; 19(3).

  6. United Nations. Convention on the Rights of Persons with Disabilities. https://www.un.org/disabilities/documents/convention/convoptprot-e.pdf (2006). Accessed January 25, 2023.

  7. Medina-Rico, M., López-Ramos, H., Quiñonez, A.: Sexuality in people with intellectual disability: review of literature. Sex. Disabil. Disabil. 36(3), 231–248 (2018). https://doi.org/10.1007/s11195-017-9508-6

    Article  Google Scholar 

  8. Santinele Martino, A.: The intersection of sexuality and intellectual disabilities. In: Fischer, N.L., Westbrook, L., Seidman, S. (eds.) Introducing the New Sexuality Studies: Original Essays, pp. 460–469. Routledge, London (2022). https://doi.org/10.4324/9781003163329-57

    Chapter  Google Scholar 

  9. Liddiard, K., Slater, J.: “Like, pissing yourself is not a particularly attractive quality, let’s be honest”: learning to contain through youth, adulthood, disability and sexuality. Sexualities 21(3), 319–333 (2018)

    Article  Google Scholar 

  10. Azzopardi-Lane, C., Callus, A.M.: Constructing sexual identities: people with intellectual disability talking about sexuality. Br. J. Learn. Disabil.Disabil. 43(1), 32–37 (2015). https://doi.org/10.1111/bld.12083

    Article  Google Scholar 

  11. MailhotAmborski, A., Bussières, E.-L., Vaillancourt-Morel, M.-P., Joyal, C.C.: Sexual violence against persons with disabilities: a meta-analysis. Trauma Violence Abuse 23(4), 1330–1343 (2022)

    Article  Google Scholar 

  12. Ledingham, E., Wright, G.W., Mitra, M.: Sexual violence against women with disabilities: experiences with force and lifetime risk. Am. J. Prev. Med. 62(6), 895–902 (2022). https://doi.org/10.1016/j.amepre.2021.12.015

    Article  PubMed  Google Scholar 

  13. Brennand, E.A., Martino, A.S.: Disability is associated with sexually transmitted infection: severity and female sex are important risk factors. Can. J. Human Sex. 31(1), 91–102 (2022). https://doi.org/10.3138/cjhs.2021-0053

    Article  Google Scholar 

  14. Cuskelly, M., Gilmore, L.: Attitudes to sexuality questionnaire (individuals with an intellectual disability): scale development and community norms. J. Intellect. Dev. Disabil.Disabil. 32(3), 214–221 (2007). https://doi.org/10.1080/13668250701549450

    Article  Google Scholar 

  15. Dağlı, E., Uçtu, A.K., Reyhan, F.A., Özerdoğan, N.: Opinions of students in the field of health about the sexuality of individuals with disability. Sex. Disabil.Disabil. 38(1), 173–184 (2020). https://doi.org/10.1007/s11195-019-09613-3

    Article  Google Scholar 

  16. Valvano, A.K., West, L.M., Wilson, C.K., Macapagal, K.R., Penwell-Waines, L.M., Waller, J.L., Stepleman, L.M.: Health professions students’ perceptions of sexuality in patients with physical disability. Sex. Disabil. Disabil. 32(3), 413–427 (2014)

    Article  Google Scholar 

  17. van SchrojensteinLantman-De Valk, H.M., Metsemakers, J.F., Haveman, M.J., Crebolder, H.F.: Health problems in people with intellectual disability in general practice: a comparative study. Fam. Pract. 17(5), 405–407 (2000). https://doi.org/10.1093/fampra/17.5.405

    Article  Google Scholar 

  18. Brown, H.K., Plourde, N., Ouellette-Kuntz, H., Vigod, S., Cobigo, V.: Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy. J. Intellect. Disabil. Res.Disabil. Res. 60(1), 22–27 (2015). https://doi.org/10.1111/jir.12225

    Article  Google Scholar 

  19. Scime, N.V., Brown, H.K., Metcalfe, A., Brennand, E.A.: Prevalence of hysterectomy by self-reported disability among canadian women: findings from a national cross-sectional survey. Women’s Health Reports 2(1), 557–565 (2021). https://doi.org/10.1089/whr.2021.0069

    Article  PubMed  PubMed Central  Google Scholar 

  20. Pebdani, R.N.: Rehabilitation counselor knowledge, comfort, approach, and attitude toward sex and disability. Rehabil. Res. Policy Educ 27(1), 32–42 (2013). https://doi.org/10.1891/2168-6653.27.1.32

    Article  Google Scholar 

  21. Jonsdottir, J.I., Zoëga, S., Saevarsdottir, T., Sverrisdottir, A., Thorsdottir, T., Einarsson, G.V., Gunnarsdottir, S., Fridriksdottir, N.: Changes in attitudes, practices and barriers among oncology health care professionals regarding sexual health care: outcomes from a 2-year educational intervention at a University Hospital. Eur. J. Oncol. Nurs.Oncol. Nurs. 21, 24–30 (2016)

    Article  Google Scholar 

  22. Fronek, P., Booth, S., Kendall, M., et al.: The Effectiveness of a Sexuality Training Program for the Interdisciplinary Spinal Cord Injury Rehabilitation Team. Sex. Disabil.Disabil. 23, 51–63 (2005)

    Article  Google Scholar 

  23. Ditchman, N., Easton, A.B., Batchos, E., Rafajko, S., Shah, N.: The Impact of Culture on Attitudes Toward the Sexuality of People with Intellectual Disabilities. Sex. Disabil. Disabil. 35(2), 245–260 (2017). https://doi.org/10.1007/s11195-017-9484-x

    Article  Google Scholar 

  24. Tervo, R.C., Palmer, G., Redinius, P.: Health professional student attitudes towards people with disability. Clin. Rehabil.. Rehabil. 18(8), 908–915 (2004)

    Article  Google Scholar 

  25. Jones, L.K., Binger, T.E., McKenzie, C.R., Ramcharan, P., Nankervis, K.: Sexuality, pregnancy and midwifery care for women with intellectual disabilities: a pilot study on attitudes of university students. Contemp. Nurse 35(1), 47–57 (2010)

    Article  PubMed  Google Scholar 

  26. Pebdani, R.N.: Attitudes of group home employees towards the sexuality of individuals with intellectual disabilities. Sex. Disabil. Disabil. 34(3), 329–339 (2016). https://doi.org/10.1007/s11195-016-9447-7

    Article  Google Scholar 

  27. Winarni, T.I., Hardian, H., Suharta, S., Ediati, A.: Attitudes towards sexuality in males and females with intellectual disabilities: Indonesia Setting. J. Intellect. Disabil. Diagn. Treat. 6(2), 43–48 (2018). https://doi.org/10.6000/2292-2598.2018.06.02.3

    Article  Google Scholar 

  28. Beebe, S., Payne, N., Posid, T., Diab, D., Horning, P., Scimeca, A., Jenkins, L.C.: The lack of sexual health education in medical training leaves students and residents feeling unprepared. J. Sex. Med. 18(12), 1998–2004 (2021)

    Article  PubMed  Google Scholar 

  29. Malhotra, S., Khurshid, A., Hendricks, K.A., Mann, J.R.: Medical school sexual health curriculum and training in the United States. J. Natl. Med. Assoc. 100(9), 1097–1106 (2008)

    PubMed  Google Scholar 

  30. Warner, C., Carlson, S., Crichlow, R., Ross, M.W.: Sexual health knowledge of US medical students: a national survey. J. Sex. Med. 15(8), 1093–1102 (2018)

    Article  PubMed  Google Scholar 

  31. Komlenac, N., Siller, H., Hochleitner, M.: Medical students indicate the need for increased sexuality education at an Austrian medical university. Sex. med. 7(3), 318–325 (2019)

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This work was supported by the Alberta Innovates Summer Research Studentship.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Alan Santinele Martino, Erin Brennand and Kayley Schnare. The first draft of the manuscript was written by [Alan Santinele Martino] and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Alan Santinele Martino.

Ethics declarations

Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics Approval

Ethics approval was granted by the University of Calgary’s Conjoint Health Research Ethics Board.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Santinele Martino, A., Brennand, E. & Schnare, K. The Perceptions and Attitudes of Undergraduate Students in Health-Related Fields Toward the Sexuality of Disabled People in Canada. Sex Disabil (2024). https://doi.org/10.1007/s11195-024-09852-z

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11195-024-09852-z

Keywords

Navigation