How to Define Sexual Health? A Qualitative Analysis of People's Perceptions.

Objectives: Sexual health is an essential aspect of overall health that affects an individual's physical, psychological, and social well-being. Understanding people's perceptions of sexual health is essential because it can impact their sexual health-related behaviors, namely, their interactions with health services, campaigns, information, and policies. Furthermore, these perceptions may have a systemic impact, as public health policies related to promoting sexual health can be influenced by social factors. Such perceptions may also influence individuals' sexual expression and interactions with sexual partners. Thus, an understanding of people's perceptions of sexual health can facilitate the appropriate seeking of sexual healthcare, inform professional interactions with patients and the community, and guide policymakers in the promotion of it.

Methods: A total of 151 people living in Portugal, aged 19 to 75, answered a cross-sectional online questionnaire with an open-ended question: "In your opinion, what is sexual health?". The data was analyzed using reflexive thematic analysis.

Results: We created four themes: (1) Let's get physical, physical, (2) I'm in charge!, (3) I am not alone in this, and (4) Sexual justice is a must!. Participants presented diverse and complex views of sexual health, considering that it includes physical and biological components, cognitive and behavioral aspects and relational factors, and it is framed by the social and political context.

Conclusions: This study emphasizes that defining and achieving sexual health goes beyond healthism and needs to be considered at multiple levels. It highlights the need for individual awareness and self knowledge, to recognize equity within relationships and the strive for social equality and sexual rights. The study also emphasizes the significance of considering and respecting sexual developmental when promoting positive attitudes toward sex in formal and informal settings, increasing education about sexual pleasure, accepting and celebrating sexual and gender diversity, recognizing consensual non-monogamous relationships, and the need for inclusivity within sexually tolerant societies. Viewing sexual health through a political lens may play a crucial role in reshaping societal norms, promoting sexual justice, and influencing policymakers to better address and support the sexual health needs of a population following their own perspectives and expressed needs.