性权利、生殖健康和为智障人士建立家庭的权利：系统回顾

——《国际环境研究与公共卫生杂志》2023年第20卷第2期——

<International Journal of Environmental Research and Public Health> 2023, 20 (2)

【摘要】尽管性、生殖健康和组建家庭是所有公民都应该得到保障的人权，但对于智障人士来说仍然是禁忌话题，对于智障女性来说更是如此。本文根据《残疾人权利公约》第23条（家庭权）和第25条（健康，特别是性健康和生殖健康），系统地回顾了目前关于智障人士权利的定性和定量证据（残疾人权利公约）。继 PRISMA 2020之后，在ERIC、PsychInfo、Scopus、PubMed、ProQuest 和 Web of Science中对当前文献进行了系统回顾。总共有151篇文章被纳入审查。这些研究分为六个主题：态度、亲密关系、性和生殖健康、性和性教育、怀孕和生育。当前，仍有许多障碍阻碍智障人士充分行使其性、生殖健康和生育权，最显著的是沟通和态度障碍。这些发现强调需要继续推进智障人士的权利，依靠Schalock和Verdurgo的八维生活质量模型，作为将此类抽象概念转化为实践和政策的理想概念框架。

【关键词】 残疾人权利公约（CRPD）；智力残疾; 性欲; 生育能力；为人父母; 母性；性权利；性健康；性教育

[Abstract] Although sexuality, reproductive health, and starting a family are human rights that should be guaranteed for all citizens, they are still taboo issues for people with intellectual disability (ID), and even more so for women with ID. This paper systematically reviews the current qualitative and quantitative evidence on the rights of people with ID in regard to Articles 23 (right to home and family) and 25 (health, specifically sexual and reproductive health) of the Convention on the Rights of Persons with Disabilities (CRPD). A systematic review of the current literature, following PRISMA 2020, was carried out in ERIC, PsychInfo, Scopus, PubMed, ProQuest, and Web of Science. In all, 151 articles were included for review. The studies were categorized into six themes: attitudes, intimate relationships, sexual and reproductive health, sexuality and sex education, pregnancy, and parenthood. There are still many barriers that prevent people with ID from fully exercising their right to sexuality, reproductive health, and parenthood, most notably communicative and attitudinal barriers. These findings underline the need to continue advancing the rights of people with ID, relying on Schalock and Verdurgo’s eight-dimensional quality of life model as the ideal conceptual framework for translating such abstract concepts into practice and policy.

[Key words] Convention on the Rights of Persons with Disabilities (CRPD); intellectual disability; sexuality; fertility; parenthood; motherhood; sexual rights; sexual health; sex education

论文原文：Patricia Pérez-Curiel , Eva Vicente, M. Lucía Morán and Laura E. Gómez (2023).The Right to Sexuality, Reproductive Health, and Found a Family for People with Intellectual Disability: A Systematic Review. International Journal of Environmental Research and Public Health, 2023, 20(2),

 https://doi.org/10.3390/ijerph20021587

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