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To meta-synthesize the qualitative evidence on individuals' subjective experiences of sexual health following a spinal cord injury (SCI). PubMed, EMBASE, CINAHL, and PsycInfo were searched from 1960 to 2021 for qualitative research articles that examined sexual health (i.e., sex, sexuality, reproductive health, etc.) in adults with SCI. Only studies published in English, including first-person accounts of living with a SCI were included. Using qualitative meta-synthesis methodology, data (reported results) from each selected study were coded line-by-line to develop descriptive and analytical themes by two investigators. A total of 22 studies met inclusion criteria. Some articles inquired about specific aspects of sexual health (e.g., how their sexual experiences are affected by urinary incontinence), and others inquired broadly about the experience of sexual relationships (e.g., how people engage in sexual relationships after their SCI). The themes identified in each study were positioned within the Sexual Rehabilitation Framework (Elliott 2017) composed of eight domains: sexual drive/interests, partnerships, self-image, bowel/bladder, sexual function, motor/sensory, fertility/contraception, and secondary complications. Sexual health was shown to be a significant priority for individuals after a SCI and they are impacted in a multitude of ways. Individuals report wanting education and knowledge on sexual health post SCI. Health care professionals were perceived to lack the ability to meet their needs and resources were inadequate. Further, providers' approach, attitude, and insensitivity to patient needs were perceived barriers to adequate sexual health rehabilitation post SCI. The collective findings can inform (a) rehabilitation professionals' awareness of patients' sexual needs after SCI; (b) the development of SCI programming or services for sexual health rehabilitation; and (c) the design of future research studies (e.g., interventions for specific sexual issues). [ABSTRACT FROM AUTHOR]

Disability is a varied experience resulting from the interaction of multiple factors: health conditions, personal, and environmental factors. People with Disabilities face various forms of discrimination within the healthcare sector, including the lack of accessible and appropriate services; information in accessible formats; coverage of communication needs; and access to information and communication technologies. Another area of hindrance is accessing sexual and reproductive health (SRH) services. This scoping review aims to identify facilitators and barriers related to accessing SRH services and the experiences of people with sensory impairment (PwSI) in them. The review includes 37 articles reporting on facilitators and barriers to SRH services. Findings include less access to SRH and awareness in how to access SRH services, mainly among young people, and less comprehensive knowledge about modern contraceptive methods possibly determined by the lack of adequate and inclusive sexual information. These results support the idea of including accessible SRH materials, training providers on the needs of people with sensory disabilities, removing barriers to sexuality education and health services, to address the disadvantages faced by PwSI and provide them with access to health care which is a basic right. [ABSTRACT FROM AUTHOR]

The sexual agency of youth with physical disabilities is often unacknowledged and underdeveloped. Concerned adults often make decisions about sexual and reproductive care for youth with physical disabilities to protect them from adverse outcomes, such as sexual abuse. Additionally, sexuality resources available to youth with physical disabilities are often not specific to their disability, which may limit their ability to foster positive sexuality. We conducted a systematic review to understand the knowledge created through qualitative inquiry on the sexuality of youth with physical disabilities. We considered qualitative or mixed-method studies published between 1999 and 2021. The electronic databases MEDLINE, PsycINFO, CINAHL, Dissertations and Theses Global were searched, as well as the DuckDuckGo search engine for grey literature. Nineteen peer-reviewed studies and 10 grey literature sources were included. Six themes were identified: (1) Sexuality resources did not adequately support the sexual rights of youth with physical disabilities, (2) Parents of youth with disabilities feared their child was sexually vulnerable, (3) Many healthcare providers felt unprepared to discuss sexuality with youth with disabilities, (4) Youth with physical disabilities experienced discrimination related to their sexuality, (5) The sexual agency of youth with physical disabilities was often unrecognized, and (6) Youth with physical disabilities had diverse sexual experiences and identities. This review revealed the complex, intersecting, and diverse experiences of youth with physical disabilities when it comes to their sexuality. Recommendations call on parents/caregivers, healthcare providers, researchers, and society at large, to combat systemic misconceptions and recognize the sexual agency of youth with physical disabilities. [ABSTRACT FROM AUTHOR]

Experiences of people with disabilities regarding dating applications and websites is sparsely addressed in the literature. Objectives of this scoping review were to ascertain the factors influencing the experiences of people with disabilities in relation to their use of dating apps and websites, as well as to identify solutions to improve their participation in online dating. All references in French or English published since 1993, reporting the experience of at least one person with a disability or a potential partner concerning the use of dating applications and websites to develop intimate relationships were included. Selection and extraction were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis- Extension for Scoping Reviews criteria by two independent reviewers. Data were analyzed by coding according to the main categories of the International Classification of Functioning. Fifteen peer-reviewed studies and 51 Gy literature references were selected from a search of Medline, Embase, PsycInfo, CINAHL and Google. Thematic analysis revealed important themes, such as the Person Beyond Disability, Elicited Emotions, Self-Stigmatization, Safety Concerns with Online Dating, Potential Partner's Perception, Online Environment, Type of Applications and Websites, Compatibility Between Applications or Websites and Adaptive technology, Initiating Contact: for better or for worse, Using Applications and Websites Safely, Dating Online versus In-Person, Disclosing the Disability. Themes could be facilitators and barriers to online dating. Disclosure of disability is at the heart of the experiences reported. Possible solutions to improve social participation included education, improvements for applications and websites, and enhancing accessibility and security. [ABSTRACT FROM AUTHOR]

Sexuality and intimate relationships are topics of interest to adolescents and young adults with Autism Spectrum Disorder (ASD). Given their relative difficulties to the social dimension, several intervention programs have been developed to meet this demand, but the complexity of the reality experienced by these young people limits the effectiveness of these intervention programs. To find the effects of different intervention programs to influence the development of sexuality and sexual health of adolescents with ASD and determine the impact of these interventions on the parents, through a systematic review. Literature review conducted on November 27, 2019 in the psycINFO, Pubmed, web of science and CINAHL databases. Intervention programs consisting solely of teaching sessions improve the knowledge of the youth. However, when they also included a direct approach or homework, behavioral effects were also observable. Parent-focused intervention programs resulted in a slight increase in parents' comfort level and ability to interact well with their youth. Intervention programs targeting school-based workers appear to have a limited effect, having good concrete results with youth for some workers and no results for others, while intervention programs targeting health professionals have no conclusive results. The results of the literature review are not very transferable to practice because of the low level of evidence in the articles included, however, they offer an interesting starting point. Further research is needed to equip health professionals to intervene in sexuality after youth with ASD. [ABSTRACT FROM AUTHOR]

A scoping review was conducted to identify how peer-education models are being used in sexuality and respectful relationship education for people with a disability. The search was conducted in August 2021 using the Joanna Briggs framework to scope and map the literature and research activity. Using strict criteria, 7 online databases, grey literature and reference lists were searched for resources written or published in the last 15 years (2006–2021). Relevant sources were shortlisted and assessed by the two authors. Six sources met the criteria for inclusion in this review. In total, four educational programs are described and discussed. The results identify four sexuality and respectful relationship programs that met screening criteria: (1) "Telling it like it is!", (2) "Sexual Lives and Respectful Relationships", (3) "Talking about sex and relationships: the views of young people with learning disabilities", and (4) "Health, Safety & Sexuality Training for You & Me". Peer-educators experienced increased confidence and feelings of empowerment, while people without an intellectual disability reported a greater understanding of the challenges and experiences of people with a disability. The use of peer educators to deliver sexuality and respectful relationship education for people with intellectual disability is a promising education model with multiple potential benefits for participants. However, more research is needed to understand the consequences and limitations of such programs. [ABSTRACT FROM AUTHOR]