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Sexuality and Disability, Vol. 17. No. 3, 1999 Sandra L. Welner, M.D.1 There are roughly 15 million women with disabilities in the reproductive age groups 16 to 50 (1). These women need the same options as other women to choose to conceive or to control their fertility. Unfortunately, a number of factors have collectively led to inadequate choices for safe and effective contra- ceptive options for this population. These include physical access barriers, so- cioeconomic factors, and educational gaps on the part of medical providers and the women themselves. Physical access barriers are multifold. Affordable wheelchair accessible transportation is becoming more available in some cities, but is still not an option in all parts of the country. Although buildings were, by law, responsible for modifying their architectural structures to eliminate barriers, many small facilities have not done so under the guise of the undue hardship clause (2). This clause stipulates that if the facility would incur tremendous financial hard- ship disproportionate to the number of individuals that would visit the facility, they may be exempt from this requirement. This is especially true if the build- ing was constructed prior to 1990. Entrances to medical facilities, even though they are
Sexuality and Disability – Springer Journals
Published: Oct 16, 2004
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