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Disability & the Media

Sex Education & Disability

Key topics include:

Overview of Murphy & Young’s article

Sex Education in the U.S.

Video: Sex Ed for People with Disabilities

Overview of Article: Sexuality in Youth with Disabilities

Disabled youth participate in sexual relationships & often do not have the adequate knowledge and skills to promote sexual health, safety, and sexual satisfaction

Disabled youth may need specific information or specific teaching modes that are specific to their disability

Some disabled youth may have fewer opportunities for experimenting sexually or romantically

Body Structure & Function

Physical Changes & Puberty

Onset of puberty can vary by disability

Gynecological Issues

Pelvic exams can be uncomfortable

Positioning during pelvic exams may need to be accommodated

Individual Activities

Developmental Process

Role of parental and caregiver help versus taking increased responsibility and opportunities to experiment

Depending on the disability, some people may struggle with self-care and hygiene tasks

Menstruation

Sexual Activities

Sexual self-image influenced by societal attitudes

Sexual sensation and function can vary depending on disability

Erections and fertility

Social Perspectives

Myths & Social Barriers

Common misconceptions:

Child-like

Asexual

In need of protection

Sexual Victimization

More likely to be sexually abused than non-disabled children

Dependence on caregivers

Educational Rights

Disabled children have the right to the same sex education as their peers

Learning opportunities may be missed if caregivers wait for children to ask questions

May not understand the information taught if it is not taught in an accessible way

Overview of Sex Education in the U.S.

Sex education is not required in all public school curriculum in the U.S.

Debate: what type of sex education should be taught

Abstinence only

Comprehensive sex education

Watch the PBS video “Why do schools teach sex education?” (11 minutes, closed captions included)

Abstinence Only Sex Education

U.S. government has spent over $2.2 billion in federal funds since 1981

1981: first federal abstinence-only program enacted

Goals

Pregnancy prevention programs that promote “chastity” and “self-discipline”

1996: shift to also prohibiting sex outside of marriage at any age

Ineffective at achieving their goals

No effect on adolescent birthrates overall

Increased adolescent birthrates in conservative states

By 2004 government reports confirm programs have false, misleading and distorted information

By 2009 almost ½ of states have declined to participate in the abstinence-only program due to research showing they are ineffective

2010: funding is reinstated for abstinence-only programs

Part of negotiations for the Affordable Care Act

2015: attempt to rebrand the programs by renaming them “Sexual Risk Avoidance Education” programs

https://siecus.org/new-study-abstinence-only-programs/

https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2018.304896

https://siecus.org/resources/a-history-of-abstinence-only-federal-funding/

https://siecus.org/wp-content/uploads/2019/05/AOUM-Funding-History-Report-5.2019.pdf

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Comprehensive sex education

Teaches that sexuality is natural, normal, and healthy part of life

Abstinence is most effective at preventing unintended pregnancy and STIs

Incorporates student values (individual, family, and community)

Religion’s role in an individual’s decisions

Intended to be free of stigma and shame

Variety of sexuality related topics

Human development

Relationships

Interpersonal skills

Sexual expression

Sexual health

Society and culture

Accurate information about abortion, masturbation, and sexual orientation

Teaches unintended pregnancy has options

https://siecus.org/wp-content/uploads/2018/07/Guidelines-CSE.pdf

https://siecus.org/resources/national-sexuality-education-standards/

https://siecus.org/wp-content/uploads/2018/10/if-then-lgbtq-7.pdf

https://advocatesforyouth.org/resources/fact-sheets/sex-education-programs-definitions-and-point-by-point-comparison/

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Comprehensive Sex Education

Research has found:

Does not encourage teens to start having sexual intercourse

Does not increase the frequency that teens have intercourse

Does not increase the number of sexual partners

Does delay sexual initiation

Reduces the frequency of sex

Reduces the number of sexual partners

Increases condom or contraceptive use

Reduced unprotected sex

Significant declines in teen pregnancy, HIV, or other STIs

https://www.advocatesforyouth.org/wp-content/uploads/storage/advfy/documents/fscse.pdf

https://www.guttmacher.org/fact-sheet/facts-american-teens-sources-information-about-sex

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What are schools actually doing?

Sexual health topics is more commonly required in high school than in middle or elementary schools

Formal instruction may not be skills-based (i.e. how to use a condom, etc)

There are gender differences in content that is formally taught to students

Declines in formal sex education for students in rural areas

https://www.cdc.gov/healthyyouth/data/shpps/pdf/shpps-508-final_101315.pdf

https://www.guttmacher.org/fact-sheet/facts-american-teens-sources-information-about-sex

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Barriers to Sex Education for Disabled People

Sexuality of individuals with a disability is viewed as deviant vs. natural

Lack of teaching education programs

Lack of teacher knowledge and confidence in teaching sexual health education resulting in concern, anxiety, and fear

Parental anxiety and fear

Need for school, teacher, and parent partnerships

Lack of valid and reliable sexual health education for individuals with disabilities

Lack of federal funding specifically designed for students with disabilities based on comprehensive sex education

Sex Education for Disabled People

Sex education is often inaccessible, can spread misinformation, and at times not even given to disabled students

One study found that for students with intellectual disabilities (ID):

Students labeled as having moderate to profound ID received significantly lower sex education

The majority of teachers reported that they did not perceive that students with moderate to profound ID would benefit from sex education

Review the Respect Ability resources on sexual education

Listen to Disability Visibility Project’s podcast episode 39 Sex Education

Video: Disability and Sexuality

Dating & Marriage

Key topics include:

Online Dating

Marriage Equality

Video: Online Dating with a Disability

Marriage

Disabled people are less likely to be married

Marriage equality still doesn’t exist for disabled people

Yes, they can choose to get married BUT this is not without potential consequences

Marriage can penalize disabled people

Being married or making too much money can result in being removed from programs such as SSI, SSDI, Medicare, Medicaid, etc. that many disabled people rely on

Marriage can increase a couple’s income and disqualify them for programs

Beauty Standards & Disability

Beliefs about what is “normal” and beliefs about what is “beautiful” and “attractive” affect disabled people

Can lead some people to not want to date disabled people

Can also lead some people to fetishize disabled people

How do you think society’s standards of what is considered beautiful, sexy, and normal affect disabled people’s experiences with dating and marriage?

#DisabledAndCute