An Exploration into People with Disabilities’ Access to Sex, Sexuality, and Sex Education in South Africa

Abstract

Introduction: The needs of people living with disabilities regarding sex and sexual health remain largely neglected. Knowledge and resources about disabled sexuality have emerged mainly from the global north and have centered on heteronormative ideas about sex, gender, and sexuality. Methods: An affirmative, sex positive, queer, and intersectional exploration was undertaken of the experiences and needs a group of adults with disabilities living in Gauteng, South Africa in relation to accessing information about sex, sexuality, and sexual health. Interviews were conducted with people of diverse disabilities, language groups, and cultural backgrounds. Interviews were analyzed using thematic analysis. Results: The participants revealed that sexual encounters, relationships, and dating were infused with negative experiences related to lack of understanding about sex, internalized ableism, exploitation, and physical, sexual, and emotional abuse resulting from societal stigma and ignorance regarding disability. Participants offered suggestions for how their needs could be addressed. Conclusion: Our study concludes that the denial of sexual rights is a central element of the broader forms of social exclusion that people with disabilities. In South Africa, many of these forms of exclusion have been compounded by the legacy of apartheid, and the persistence of racial inequality, taboos about sex, and stigmas associated with disability.