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As is true for everyone, it is important that individuals with spina bifida have opportunities to acquire developmentally appropriate, relevant and accurate sexual health knowledge. Those with spina bifida need to be able to negotiate sexual desire, intimacy and sexual expression. They also need education about their sexual health and how to limit the negative outcomes of sexual activity related to sexually transmitted infections, unplanned pregnancy or sexual coercion, violence, abuse or exploitation. This article discusses the Spina Bifida Sexual Health and Education Healthcare Guidelines from the 2018 Spina Bifida Association\u2019s Fourth Edition of the Guidelines for the Care of People with Spina Bifida using the World Health Organization\u2019s framing of sexual health and reviews the literature on sexual health and education for individuals with spina bifida.<\/jats:p>","DOI":"10.3233\/prm-200743","type":"journal-article","created":{"date-parts":[[2020,12,25]],"date-time":"2020-12-25T04:33:06Z","timestamp":1608870786000},"page":"611-619","source":"Crossref","is-referenced-by-count":15,"title":["Sexual health and education guidelines for the care of people with spina bifida"],"prefix":"10.1177","volume":"13","author":[{"given":"Amy","family":"Houtrow","sequence":"first","affiliation":[{"name":"Pediatrics and Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Roland","sequence":"additional","affiliation":[{"name":"University of Southern California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"6","key":"10.3233\/PRM-200743_ref1","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1038\/sj.sc.3101705","article-title":"High prevalence of incontinence among young adults with spina bifida: description, prediction and problem perception","volume":"43","author":"Verhoef","year":"2005","journal-title":"Spinal Cord"},{"issue":"2","key":"10.3233\/PRM-200743_ref2","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1017\/S0012162206000259","article-title":"Functional independence among young adults with spina bifida, in relation to hydrocephalus and level of lesion","volume":"48","author":"Verhoef","year":"2006","journal-title":"Dev Med Child Neurol."},{"issue":"6","key":"10.3233\/PRM-200743_ref3","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1017\/s0012162204000684","article-title":"Secondary impairments in young adults with spina bifida","volume":"46","author":"Verhoef","year":"2004","journal-title":"Dev Med Child Neurol."},{"issue":"3-4","key":"10.3233\/PRM-200743_ref4","doi-asserted-by":"publisher","first-page":"165","DOI":"10.3233\/PRM-170469","article-title":"Spina Bifida","volume":"10","author":"Brei","year":"2017","journal-title":"J Pediatr Rehabil Med."},{"issue":"1","key":"10.3233\/PRM-200743_ref5","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1624\/105812402X88579","article-title":"Sexuality issues in adolescents with a chronic neurological condition","volume":"11","author":"Sawin","year":"2002","journal-title":"J Perinat Educ. 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