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Penile hygiene: puberty, paraphimosis and personal care for men and boys with an intellectual disability
Author(s) -
Wilson N. J.,
Cumella S.,
Parmenter T. R.,
Stancliffe R. J.,
Shuttleworth R. P.
Publication year - 2009
Publication title -
journal of intellectual disability research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.941
H-Index - 104
eISSN - 1365-2788
pISSN - 0964-2633
DOI - 10.1111/j.1365-2788.2008.01133.x
Subject(s) - intellectual disability , psychology , human sexuality , health care , sexual abuse , hygiene , medicine , developmental psychology , psychiatry , suicide prevention , poison control , gender studies , environmental health , pathology , sociology , economics , economic growth
Background Supporting men and boys with an intellectual disability (ID) to meet their penile hygiene needs is perhaps one of the least acknowledged but most confronting issues facing care staff. The delivery of intimate hygiene can be a challenging topic particularly as it has been drawn into the emerging sexuality discourse and the ongoing abuse narrative. Compounding this challenge is the lack of guidance in intimate care for support staff. In addition, whereas the male with an ID outnumber the female, female care staff greatly outnumber male staff. Whether this situation affects outcomes for men and boys with an ID is unknown but it is an issue which should be examined. Method This paper reports data from two separate studies, one quantitative the other qualitative, which sought to explore penile hygiene as a male health issue. Results Results show the practice of care staff to be inconsistent, the views and values of care staff to be divergent. Some patterns and contextual differences were identified depending upon the gender of care staff. An emerging dialogue described some of the positive contributions that male staff make to men and boys with an ID. Conclusions The penile health needs of men and boys with an ID are being compromised by a lack of guidance, training, knowledge and limited gender‐sensitive care.