(PM-07) Sexuality of people with physical disabilities: integrative review

Abstract Introduction Sexuality is a central component of quality of life, but for people with physical disabilities, it remains permeated by social, cultural, and structural barriers that limit its full expression. Objective To identify the main sexual difficulties faced by people with physical disabilities. Materials and Methods A search was conducted in PubMed and MEDLINE, covering publications from 2015 to January 2025. The descriptors “sexuality,” “disabled persons,” “sexual function,” and their combinations (“sexuality AND disabled persons”; “sexual function AND disabled persons”) were used. Of the 24 studies initially identified, eight met the inclusion criteria regarding topic, study type, and methodological quality. Results Evidence indicates that the sexuality of people with physical disabilities is often neglected by society and health services. The main barriers identified were lack of professional training, social stigma, lack of targeted public policies, and obstacles to physical and communication accessibility. Conversely, high-level physical activity, especially in the Paralympic context, was found to have a protective effect on sexual function, suggesting benefits from inclusive sports programs. Conclusion The sexuality of people with physical disabilities remains underexplored in the literature, perpetuating stigma and gaps in care. The urgent need for multidisciplinary interventions that address cultural and structural barriers, coupled with the implementation of inclusive public policies and the technical and ethical training of health professionals, is highlighted. Such measures are essential to ensure sexual and reproductive rights, promote dignity, and improve the quality of life of this population. Financing No conflict.