Cathy M Grant, Kevin J Riggs, Jill Boucher
Counterfactual and mental state reasoning in children with autism
Journal of autism and developmental disorders
people disabilities pwds constitute large diverse group within global population however sexual reproductive health srh needs often neglected particularly lowand middleincome countries may result adverse outcomes sexually transmitted infections stis unintended pregnancies experience interpersonal violence iv study aimed assess factors influence sexual lives pwds two districts ghana sequential explanatory mixedmethods study design used collect data pwds quantitative data obtained 402 respondents using pretested questionnaire qualitative data gathered 37 participants using indepth interviews quantitative data analysed using descriptive inferential statistics qualitative data analysed using inductive thematic analysis pwds 91 reported ever sex associated age disability severity household size prevalence poor srh status stis unintended pregnancy pregnancy termination unsafe abortion 105 57 64 216 369 respectively outcomes influenced education income health insurance subscription proximity health facility prevalence iv 65 related disability type severity qualitative data revealed five main themes curiosity engage sexual activities feelings despair insecurity abled partners preference sexual relationships pwds iv perpetrators adverse srh outcomes study findings indicate adult pwds ever sex face various challenges sexual lives experience multiple forms abuse neglect different perpetrators different levels society negative impacts wellbeing need comprehensive inclusive interventions address srh needs pwds well underlying social structural factors contribute vulnerability research recommended explore perspectives stakeholders improve srh outcomes pwds