Abstract

BackgroundProtection and promotion of sexual health is of great importance for educable intellectually disabled adolescent girls; since they are prone to high risk sexual vulnerabilities and consequences, such as unwanted pregnancy, sexually transmitted infections, and acquired immune deficiency syndrome. Although the rights of intellectually disabled adolescents have been emphasized through the recent years, their sexual health care is still a challenge for parents, teachers, caregivers, and service providers. This study aims to present a comprehensive sexual health care program for educable intellectually disabled adolescent girls.MethodsThis study is carried out by an exploratory sequential mixed qualitative-quantitative methods approach including three sequential phases. The researcher represents sexual health state of educable intellectually disabled adolescent girls using a qualitative approach. In the onset of the second phase, a comprehensive sexual health care program is designed for educable intellectually disabled adolescent girls. In this regard, in addition to qualitative studies, some related papers and texts are used. The suggested program of expert panel is approved based on prioritization guidelines. Then, in the third phase and after different stages of finalization of the program, its affectability is evaluated regarding improvement of sexual health state of educable intellectually disabled adolescent girls.DiscussionIt is expected that from the results of the present mixed methods study, by presenting a comprehensive sexual health program for educable intellectually disabled adolescent girls, lead to improvements in the sexual health of these girls. Moreover, it wants to reduce risky sexual behaviors, sexual abuse and harassment, and their consequences in adolescent girls in order to improve sexual health state of the society. If this program works, it can become one of the leading education and care guidelines for sexual health care of intellectually disabled adolescent girls.Trial registrationIRCT20160224026756N5. Registered 22 June 2018.

Highlights

  • Protection and promotion of sexual health is of great importance for educable intellectually disabled adolescent girls; since they are prone to high risk sexual vulnerabilities and consequences, such as unwanted pregnancy, sexually transmitted infections, and acquired immune deficiency syndrome

  • In the onset of the second phase, a comprehensive sexual health care program is designed for educable intellectually disabled adolescent girls

  • Sexual abuses can be followed by long term consequences, such as incompatibility, poor sexual performance, unwanted pregnancies, sexually transmitted infections (STIs), and Human immunodeficiency virus (HIV)/Acquired immune deficiency syndrome (AIDS) [10,11,12,13]

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Summary

Introduction

Protection and promotion of sexual health is of great importance for educable intellectually disabled adolescent girls; since they are prone to high risk sexual vulnerabilities and consequences, such as unwanted pregnancy, sexually transmitted infections, and acquired immune deficiency syndrome. Cultural and social beliefs limit the sexuality of intellectually disabled adolescents [1,2,3]. The public opinion about these child-like intellectually disabled adolescents is that they are bereft of any kind of sexual desires [4]. As a consequence, they are prevented from learning the necessary skills required for making informed choices about sexual issues. They are prevented from learning the necessary skills required for making informed choices about sexual issues They are exposed to abuse and rape risks [1, 5, 6]. Frequency of the sexual abuses causes depression and anxiety in the adolescents [11]

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