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Adolescent sexuality and disability
Donald E Greydanus1, Mary Ellen Rimsza, Patricia A Newhouse
1College of Human Medicine, Michigan State University, East Lansing, USA.
Summary
Adolescent sexuality is a normal developmental process. Chronic illness and disability can impact sexual development, requiring specific management strategies for affected youth.
Area of Science:
- Human sexuality and adolescent development
Background:
- Sexuality is integral to human development from birth to death.
- Adolescence is a critical period for integrating sexual concepts into development.
- Chronic illness and disability can present unique challenges to sexual development.
Purpose of the Study:
- To review normal adolescent sexual development.
- To examine the impact of chronic illness and disability on adolescent sexuality.
- To discuss the management of sexual issues in chronically ill or disabled adolescents.
Main Methods:
- Literature review of adolescent development and sexuality.
- Analysis of potential effects of chronic illness and disability on sexual behaviors and outcomes.
- Consideration of management strategies for sexual health in vulnerable adolescent populations.
Main Results:
- Normal adolescent development includes the integration of sexuality.
- Chronic illness and disability can affect coital behavior, increase risks of sexual abuse, and lead to sexual dysfunction or offending.
- Specific attention to gynecologic needs of disabled girls is essential.
Conclusions:
- Adolescent sexual development is a universal process, influenced by health status.
- Healthcare providers must address sexual health comprehensively in all adolescents, including those with chronic illnesses or disabilities.
- Tailored management plans are crucial for supporting the sexual well-being of chronically ill and disabled adolescents.