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You have full access to this open access article. This study explores how attitudes toward talking about sex and sexual matters influence practices regarding sexuality, sexual rights, and sexual abuse in residential institutions for people with disabilities in Greenland. While some managers and staff are quite comfortable talking to residents and each other about sex, boundaries, and the body, others find it extremely difficult and some even reject the thought of sex as a relevant topic for the residents.

Regardless of the level of openness about sexual matters in the residential institutions, staff and managers express a need for more sex education with a focus on how they can best help, guide, and protect residents, but guidance about sex is much more available for residents when staff feel comfortable talking about sex.

Sexual violations and illegal sexual contact might take place in residential institutions regardless of the local practices regarding sex and sex education. However, openness about sexual matters might help detect overstepped sexual boundaries and stop sexual harassment and violations earlier. How does a person who is paralysed and uses a wheelchair have sex?

Do people with disabilities PWD have different sexual needs and desires than people without disabilities? These are only some of the questions that many people without disabilities ask about the sexuality of PWD [ 1 ]. PWD all over the world often face obstacles to maximising their potential as fully sexual human beings [ 2 ]. For most people, with or without disabilities, sexuality and its expression are a natural and important component of self-concept, emotional well-being, and overall quality of life [ 3 ].