Introduction

The lockdown due to COVID-19 affected the sexual health of the people with intellectual disabilities by differentially modifying the frequency and characteristics of people’s sexual activity depending on whether or not they lived with a partner during this period. The aim of this study was to analyze the extent to which the sexual behavior of people with intellectual disabilities (with and without a partner) was affected during the lockdown.

Methods

The sample consisted of 73 people with intellectual disabilities between 21 and 63 years old (M = 39.63; SD = 10.11). The variables analyzed were the physical, social, and technological environment during the lockdown, sexual appetite, sexual behavior, online sexual activity, and sexual abuse. The data were collected between the months of May and June of 2020.

Results

The lockdown increased the sexual appetite of a third of the sample (38%), especially the youngest participants. Sexual activity focused on autoeroticism and online behavior, particularly sending nude images of oneself (88%) and viewing pornography (83.6%). Rates of sexual abuse during this period were relatively high (6.8%).

Conclusions

The sexual activity of people with ID was important during the lockdown, and they had to adapt to the circumstances of isolation in a similar way to the general population. Technological improvements in terms of devices and connection quality at home allowed their sexual behavior to be reoriented, opening the door to new risks for the sexual health of people with ID.

Policy Implications

Cybersex and the increase in sexual abuse due to confinement are aspects that should be included in programs to improve the sexual health of this group.

中文翻译：

---

西班牙智障人士的性健康：COVID-19 封锁的影响

介绍

由于 COVID-19 导致的封锁影响了智障人士的性健康，方法是根据他们在此期间是否与伴侣一起生活，对人们性活动的频率和特征进行不同的修改。本研究的目的是分析在封锁期间智障人士（有或没有伴侣）的性行为受到的影响程度。

方法

样本包括 73 名 21 至 63 岁的智障人士（M = 39.63；SD = 10.11）。分析的变量是封锁期间的物理、社会和技术环境、性欲、性行为、在线性活动和性虐待。这些数据是在 2020 年 5 月至 6 月之间收集的。

结果

封锁增加了三分之一样本（38%）的性欲，尤其是最年轻的参与者。性活动主要集中在自体色情和在线行为上，尤其是发送自己的裸照（88%）和观看色情内容（83.6%）。这一时期的性虐待率相对较高（6.8%）。

结论

在封锁期间，ID 患者的性活动很重要，他们必须以与普通人群类似的方式适应隔离环境。在家中设备和连接质量方面的技术改进使他们的性行为得以重新定位，从而为 ID 患者的性健康带来了新的风险。

政策影响

Cyber​​sex 和因禁闭而增加的性虐待是应纳入改善该群体性健康计划的方面。