Sexual and reproductive health services for autistic young people in the United States: A conceptual model of utilization.
Background: Sexual and reproductive health services promote the ability of people to have safe, satisfying, non‐coercive sexual experiences and make informed decisions about pregnancy. Stakeholder input is needed to understand barriers or facilitators to service access for autistic people, who repor...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 55; no. 1; pp. 49 - 62 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162707130&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162707130 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Mar2023 vid: 55 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162707130 161734336 162707130 162707130 10.1363/psrh.12221 162707130 ppf: 49 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Sexual and reproductive health services for autistic young people in the United States: A conceptual model of utilization. aug: au: Holmes, Laura Graham Anderson, Kristy Sieber, Greg S. Shattuck, Paul T. affil: A.J. Drexel Autism Institute, Drexel University, Philadelphia Pennsylvania,, USA sug: subj: Sexual Health United States Reproductive Health Autism Spectrum Disorder United States Health Services Accessibility Conceptual Framework Persons with Intellectual Disabilities United States Safe Sex Interviews Surveys Funding Source Health Services Needs and Demand Stakeholder Participation Neurodiversity Attitude to Sexuality Communication Patient Centered Care Appointments and Schedules Human Male Female Infant Child, Preschool Child Adolescence Delphi Technique Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Sexual and reproductive health services promote the ability of people to have safe, satisfying, non‐coercive sexual experiences and make informed decisions about pregnancy. Stakeholder input is needed to understand barriers or facilitators to service access for autistic people, who report unmet needs. Methods: We recruited 18 autistic people, 15 parents, and 15 service providers in the United States to participate in an interview and two surveys. Using their input, we created a conceptual model of sexual and reproductive health service needs, access barriers, and facilitators. Results: Stakeholders rated a variety of sexual and reproductive health services as important for autistic people, including those with intellectual disability or minimal verbal language. Stakeholders identified barriers to sexual and reproductive health service utilization including lack of service availability, lack of service providers with autism or neurodiversity training, lack of accurate information about autism and sexuality, verbal and communication differences that are not accommodated by service providers, and socio‐cultural attitudes about sexuality. Stakeholders identified facilitators to service access including person‐centered, trauma‐informed care, service accommodations such as clear and detailed expectations, and long‐enough appointments. We created a conceptual model based on the social ecological model of health to organize these utilization factors and support future research, provider, and policy action. Stakeholders provided feedback and responded favorably on the model's accuracy, utility for spurring research, practice, and policy improvements, and application to diverse groups of autistic people. Conclusions: The model shows the many feasible ways to support equitable access to services for autistic people. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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