<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_sjph-2021-0013_s_006">
<h3>Background</h3>
<p>Persons with ID most often have incomplete, contradictory and imprecise knowledge of sexuality and sexual intercourse itself. They are not provided with sufficient information on their own body and sexuality, and are often discouraged from and sanctioned for trying to sexually express themselves. Sexual abuse due to low sexual assertiveness is also common.</p></sec>
<sec id="j_sjph-2021-0013_s_007">
<h3>Aim</h3>
<p>The principal aim of this study was to establish the presence or absence of sexual activity in adults with ID residing in institutional housing, as well as the level and structure of their knowledge of sexuality, their sexual assertiveness and preparedness to react in a sexually dangerous situation.</p></sec>
<sec id="j_sjph-2021-0013_s_008">
<h3>Methods</h3>
<p>The sample consisted of 100 participants with ID residing in institutional housing. The instruments used included the General Sexual Knowledge Questionnaire, What-if test and Hulbert index of sexual assertiveness. Comparative statistics included coefficient of linear correlation and multiple regression analysis.</p></sec>
<sec id="j_sjph-2021-0013_s_009">
<h3>Results</h3>
<p>The results showed that 82% of the participants are sexually active. Most participants admitted to sometimes having sexual intercourse against their wishes as well as to having difficulty asserting themselves. Their knowledge of pregnancy, contraception and sexually transmitted diseases was very low. Female participants and those that reported having sexual intercourse had more sexual knowledge and were also more sexually assertive.</p></sec>
<sec id="j_sjph-2021-0013_s_010">
<h3>Conclusion</h3>
<p>Knowledge of sexuality and sexual assertiveness of persons with ID residing in institutional housing is very low. Additional information on sexuality is necessary, as well as support in learning to express their own desires and to deal with unwanted sexual activity.</p></sec>
</abstract>

Background
Persons with ID most often have incomplete, contradictory and imprecise knowledge of sexuality and sexual intercourse itself. They are not provided with sufficient information on their own body and sexuality, and are often discouraged from and sanctioned for trying to sexually express themselves. Sexual abuse due to low sexual assertiveness is also common.

Aim
The principal aim of this study was to establish the presence or absence of sexual activity in adults with ID residing in institutional housing, as well as the level and structure of their knowledge of sexuality, their sexual assertiveness and preparedness to react in a sexually dangerous situation.

Methods
The sample consisted of 100 participants with ID residing in institutional housing. The instruments used included the General Sexual Knowledge Questionnaire, What-if test and Hulbert index of sexual assertiveness. Comparative statistics included coefficient of linear correlation and multiple regression analysis.

Results
The results showed that 82% of the participants are sexually active. Most participants admitted to sometimes having sexual intercourse against their wishes as well as to having difficulty asserting themselves. Their knowledge of pregnancy, contraception and sexually transmitted diseases was very low. Female participants and those that reported having sexual intercourse had more sexual knowledge and were also more sexually assertive.

Conclusion
Knowledge of sexuality and sexual assertiveness of persons with ID residing in institutional housing is very low. Additional information on sexuality is necessary, as well as support in learning to express their own desires and to deal with unwanted sexual activity.

Persons with intellectual disability: Sexual behaviour, knowledge and assertiveness

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Osebe z intelektualno oviro: Spolno vedenje, znanje o spolnosti in spolna asertivnost

Background
Persons with ID most often have incomplete, contradictory and imprecise knowledge of sexuality and sexual intercourse itself. They are not provided...

Domains	No of studies
	min	max	AS	SD	Sk	Ku
General sexual knowledge questionnaire	14	74	33.63	13.63	.986	.226
Physiology pictures	10	16	5.88	4.68	-.725	-.488
Physiology questions	0	17	3.92	1.72	.930	-.389
Sexual Intercourse/Sex/Masturbation	1	9	4.70	2.50	.286	-.415
Pregnancy	1	16	2.19	2.95	1.29	1.43
Contraception	0	10	1.72	2.58	1.14	-.026
Sexually transmitted diseases	0	12	0.94	0.28	1.36	1.50
Sexuality	0	2	5.88	4.68	-1.45	1.20
What-if test	7	37	19.88	5.54	.474	.875
Hulbert index of sexual assertivness	33	64	48.80	5.82	.014	-.032

Beta (β)	General Sexual Knowledge Questionnaire	What-if test	Index of sexual assertiveness
Gender	.348**	.261**	-.076
Age	.070	.360**	.050
Time spent in the institution	.006	-.165	.112
Are you having sexual intercourses?	.243**	.008	-.317**

Persons with intellectual disability: Sexual behaviour, knowledge and assertiveness

Article Category: Original scientific article

Published Online: Mar 18, 2021

Page range: 82 - 89

Received: Feb 07, 2020

Accepted: Jan 29, 2021

DOI: https://doi.org/10.2478/sjph-2021-0013

Keywords
sexuality, intellectual disability, knowledge of sexuality, sexual assertiveness

© 2021 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Correlation coefficients between the three tests and significance levels.

Average scores and basic characteristics of the distribution.

Partial contributions to the prediction of sexual knowledge and assertiveness.

	General Sexual Knowledge Questionnaire	What-if test	Hulbert index of sexual assertiveness
General Sexual Knowledge Questionnaire	1	.360**	.187
What-if test	.360**	1	-.191
Hulbert index of sexual assertiveness	.187	-.191	1

Persons with intellectual disability: Sexual behaviour, knowledge and assertiveness

Article Category: Original scientific article

Published Online: Mar 18, 2021

Page range: 82 - 89

Received: Feb 07, 2020

Accepted: Jan 29, 2021

DOI: https://doi.org/10.2478/sjph-2021-0013

Keywordssexuality, intellectual disability, knowledge of sexuality, sexual assertiveness

© 2021 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Correlation coefficients between the three tests and significance levels.

Average scores and basic characteristics of the distribution.

Partial contributions to the prediction of sexual knowledge and assertiveness.

Keywords
sexuality, intellectual disability, knowledge of sexuality, sexual assertiveness