SUMMARYSexual identity is an individual being aware of his/her sexuality and acting in a manner appropriate to it. With or without intellectual disability, every individual is born with his/her gender. For centuries, it was thought that individuals with intellectual disabilities were inhuman, asexual, or childish, or that they were over fond of sex and that they could not control their sexuality. However, these individuals were perceived as such because they did not know where, when and in which situations sexual behaviors were appropriate. In other words, they could not control their sexual behaviors. Just like healthy individuals, those with intellectual disabilities also have sexual needs and desires. Sex education starts at birth. It continues until reaching adulthood or beyond. Parents are the best guides for all children, either those with intellectual disability or not. The most accurate information about sex, which is an issue when there are conflicting messages from different sources, should be first provided by parents.There is no suitable model of sex education for all children with intellectual disabilities and information should be appropriate to the child's level of understanding. Those with intellectual disabilities are more at risk of sexual abuse than others in society and for this reason, it is important to adopt a multidisciplinary team (doctor, nurse, midwife, psychologist and social services specialist e.g.) approach towards the sexual health of the intellectually disabled. The most accurate information sharing about sex depends on good communication between families, schools and individuals, and by receiving professional support when needed. This review emphasizes the importance of sexual education for children with intellectual disabilities and the role of nurses in sexual education.
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The current descriptive analysis sought to identify the emotional and psychosocial problems experienced by children who have been sexually abused. Of 518 children with a history of sexual abuse who applied to the Child Protection Center, 443 were included in the study. Approximately 71.6% of children were subject to sexual abuse entailing penetration, whereas 69% were subject to sexual abuse not entailing penetration. After-effects reported included despair (46.5%), fear of reoccurrence of the incident (52.8%), distrust of others (36.8%), difficulty sleeping (32.7%), negative expectations about the future (32.1%), and self-blame (31.1%). Nurses have crucial roles and functions in the protection, improvement, treatment, and rehabilitation of the health of children who have been sexually abused. [Journal of Psychosocial Nursing and Mental Health Services, 56(2), 37-43.].
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