EXPLORING FACTORS THAT IMPACT SEXUAL HEALTH SERVICE ACCESS FOR DISABLED SERVICE USERS IN ENGLAND: A MIXED METHODS STUDY

Abstract

This dissertation explores the intersection of disability and location concerning access to sexual health services in England, using a person-centred care approach, influenced by intersectionality theory, as the guiding framework. Mixed methods are used and their findings synthesised. Geographic location is explored through a mapping exercise of free at-home STI screening services in England. Factors impacting access to sexual health services for disabled service users is analysed through a rapid scoping review of peer-reviewed sources which are triangulated with grey literature and publicly available sources detailing individuals’ experiences which were also identified through the grey literature.

The mapping exercise highlighted inconsistencies in service coverage across England based on location. The rapid scoping review highlights that there are many factors impacting access to sexual health services for disabled service users along several themes which include: external attitudes, internal attitudes, physical access, self-sampling and testing, governance and national policy, research, information, training, and COVID-19. A dominant topic impacting the accessibility of healthcare is stigma and prejudice which prevents inclusive policies and open conversations between clinicians and service users on the intersection of their disability and sexuality

Recommendations for stakeholders are derived from both methods. Recommendations from this research involve further research on disability access to sexual health services using primary data collection and intersectionality. Additionally, local authorities and clinical commissioning groups should prioritise training staff in delivering tailored services for disabled people. Governments can focus on disability-inclusive national policies which include disabled people in the decision making process.