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Personal Assistance Services and Sexual Health in Norway—a Cross-Sectional Study of Disabled People’s Experiences and Attitudes regarding Sexuality and Personal Assistants Cover

Personal Assistance Services and Sexual Health in Norway—a Cross-Sectional Study of Disabled People’s Experiences and Attitudes regarding Sexuality and Personal Assistants

Open Access
|May 2024

Figures & Tables

Table 1

Characteristics of participants.

DEMOGRAPHIC
VARIABLEN%
Gender
      Non-binary46.0
      Female4262.7
      Male2131.3
Age
      18–25 years811.9
      26–34 years2638.8
      35–45 years2232.8
      46–55 years69.0
      56–67 years57.5
How long have you had BPA?
      Six months–less than a year34.5
      1–2 years46
      2.5–5 years2029.9
      More than five years4059.7
What BPA company do you use?
      Non-profit service provider1928.4
      Private service provider4871.6
How many hours of BPA do you have each week?
      Less than 25 hours1725.4
      25–34 Hours46.0
      35–50 Hours1217.9
      51–99 Hours1217.9
      100–168 Hours1522.4
      More than 168 hours710.4
Would you say that your disability is visible to others?
      No, not at all34.5
      Yes, in some situations1116.4
      Yes, all or most of the time5379.1
Sexual orientation
      Bisexual710.4
      Heterosexual5379.1
      Lesbian/homosexual34.5
      Queer34.5
      Do not want to answer11.5
Sexually active
      Yes, both alone and with others2131.3
      Yes, with myself (masturbation)2232.8
      Yes, with partner(s)1522.4
      No, I do not want it11.5
      No, but I wish I was811.9
Table 2

Advice and knowledge.

QUESTIONYESNO
Have you received counseling about ‘sexuality and assistance’ from your current or former service provider?11.9% (8)88.1% (59)
StatementStrongly disagreeDisagreePartially agreeAgreeStrongly agree
I believe that as a disabled person, I should be able to receive advice on sexuality and assistance from my service provider.16.4% (11)7.5% (5)26.9% (18)20.9% (14)28.4% (19)
I have sufficient knowledge about what is permissible to get help with when it comes to facilitating sexual activities (for example, masturbation and sex with partner(s))17.9% (12)13.4% (9)23.9% (16)14.9% (10)28.4% (19)
I would rather avoid sexual activities (such as sex and masturbation) than receive assistance for these tasks.13.4% (9)17.9% (12)17.9% (12)14.9% (10)34.3% (23)
I do not use personal assistants to facilitate sexual activities.4.5% (3)7.5% (5)10.4% (7)7.5% (5)68.7% (46)
If I need assistance in facilitating sexual activities, I receive this from my partner(s) or others such as a friend or a family member.34.3% (23)4.5% (3)14.9% (10)10.4% (7)35.8% (24)
I feel comfortable initiating a conversation with my BPA assistant(s) about sexual health and sexuality25.4% (17)11.9% (8)28.4% (19)19.4% (13)14.9% (10)
Table 3

Communication about sexual health.

STATEMENTSTRONGLY DISAGREEDISAGREEPARTIALLY AGREEAGREESTRONGLY AGREE
I feel comfortable discussing my facilitation needs for specific sexual activities with my personal assistant(s)31.3% (21)19.4% (13)26.9% (18)10.4% (7)11.9% (8)
I have enough knowledge to talk about my sexual health and any facilitation needs around sexuality with my personal assistants(s)16.4% (11)16.4% (11)25.4% (17)20.9% (14)20.9% (14)
I believe that I may feel uncomfortable if the personal assistant(s) ask questions about my sexuality and/or sexual health.20.9% (14)13.4% (9)23.9% (16)20.9% (14)20.9% (14)
I am worried that the BPA assistant(s) may feel uncomfortable if I talk about sexual health and any facilitation needs around sexuality7.5% (5)16.4% (11)25.4% (17)20.9% (14)29.9% (20)
Table 4

Specific sexual activities and experiences.

STATEMENTNONEONE ASSISTANTA SELECT FEW ASSISTANTSALMOST ALL ASSISTANTSALL ASSISTANTS
If you have received assistance with sexuality, how many of the current employees assist with this?58.2% (39)4.5% (3)17.9% (12)10.4% (7)1.5% (1)
QuestionYesNo
Have you received assistance with romantic activities from your BPA assistants?47.8% (32)52.2% (35)
Have you received assistance from your BPA assistants with facilitating masturbation?20.9% (14)79.1% (53)
Have you received assistance from your BPA assistant(s) with facilitating sex with your partner(s)?20.9%(14)79.1%(53)
StatementStrongly disagreeDisagreePartially disagreeAgreeStrongly agree
Consider the following statement: I think it is unproblematic to get BPA assistance with romantic activities (dating, swiping on dating apps (Tinder, etc.), making a move, or finding a partner(s))16.4% (11)10.4% (7)35.8% (24)13.4% (9)23.9% (16)
Consider the following statement: I do not care if the BPA assistant(s) handle my sexuality aids.41.8% (28)20.9% (14)14.9% (10)9.0% (6)13.4% (9)
Consider the following statement: I think it is unproblematic to receive assistance with practicing sexuality with a partner(s)41.8% (28)16.4% (11)26.9% (18)6.0% (4)9.0% (6)
I think it is unproblematic to receive assistance with facilitation when it comes to masturbation/self-pleasure47.8% (32)17.9% (12)19.4% (13)6.0% (4)9.0% (6)
Table 5

worries and fears.

STATEMENTSTRONGLY DISAGREEDISAGREEPARTIALLY AGREEAGREESTRONGLY AGREE
I am worried that the personal assistant(s) may develop sexual and/or romantic feelings for me if they assist with tasks related to sexuality.71.6% (48)16.4% (11)6.0% (4)3.0% (2)3.0% (2)
I am worried that I will develop sexual and/or romantic feelings for the personal assistant(s) if they assist with tasks related to sexuality.59.7% (40)19.4% (13)13.4% (9)4.5% (3)3.0% (2)
I am worried that I may be subjected to sexual assault and/or sexual abuse if I receive assistance related to sexuality68.7% (46)13.4% (9)13.4% (9)1.5% (1)3.0% (2)
DOI: https://doi.org/10.16993/sjdr.1090 | Journal eISSN: 1745-3011
Language: English
Page range: 173 - 188
Submitted on: Oct 12, 2023
Accepted on: Apr 22, 2024
Published on: May 8, 2024
In partnership with: Paradigm Publishing Services

© 2024 Ingrid Thunem, Anna Chalachanová, Kristina Areskoug Josefsson, published by Stockholm University Press
This work is licensed under the Creative Commons Attribution 4.0 License.