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Contraceptive Choices for Women with Disabilities

Contraceptive Choices for Women with Disabilities 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sexuality and Disability Springer Journals

Contraceptive Choices for Women with Disabilities

Sexuality and Disability , Volume 17 (3) – Oct 16, 2004

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References (25)

Publisher
Springer Journals
Copyright
Copyright © 1999 by Human Sciences Press, Inc.
Subject
Psychology; Community and Environmental Psychology; Sexual Behavior; Aging; Rehabilitation Medicine; Urology
ISSN
0146-1044
eISSN
1573-6717
DOI
10.1023/A:1022124804968
Publisher site
See Article on Publisher Site

Abstract

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

Journal

Sexuality and DisabilitySpringer Journals

Published: Oct 16, 2004

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