Publication:

Sexual and reproductive health experiences of young adult women with hearing impairment: a qualitative study

Background Adolescence is a time of rapid change. For young people who are deaf or hard of hearing, this period can be even more challenging. The aim of this study is to understand the sexual and reproductive health experiences of young women with hearing impairment.

Methods A qualitative exploratory study was conducted using in-depth interviews with 53 participants including young adult women with hearing impairment, their mothers, teachers, psychologists, and healthcare providers. Data were collected using category-specific interview guides. Thematic analysis was used to identify barriers in accessing sexual and reproductive health (SRH) knowledge and services.

Results The study identified several challenges. Young women in our study struggle to communicate, preventing them from asking questions and understanding answers. Many times, they get no information about their bodies, health or relationships. However, this study shows that when young people receive accessible language, guidance and encouragement, their confidence and ability to seek help improve greatly. Many feel alone or left out. But the study also found that when young people are given the right words, signs and support, they start to feel better about themselves. We identified four central themes namely, communication barriers; information gaps; physical, emotional, social consequences and systemic challenges.

Conclusion The findings highlight the urgent need for SRH education and services for hearing-impaired people. There is a need to ensure that young people have the right language, information, and support, as this is fundamental to equity, wellbeing, and human rights.