Archives of Sexual Behavior

, Volume 33, Issue 3, pp 189–195 | Cite as

Defining Sexual Health: A Descriptive Overview

  • Weston M. Edwards
  • Eli ColemanEmail author


This paper examines the historical events that have contributed to evolving definitions of sexual health. Through a review of the literature, eight definitions of sexual health were identified from the original 1975 World Health Organization (WHO) definition up until the most recent definition in 2002. Each of these definitions is reviewed for the context in which they were developed and the particular contributions they have played in the development of the understanding of sexual health. The more recent definitions have built upon the essential elements provided in the original WHO definition but have added concepts of mental health, responsibility, and sexual rights. Although similarities exist in the definitions, they are not all alike. The importance of defining sexual health in the discussion of promoting sexual health is illustrated. The concept and definition of sexual health will continue to evolve shaped by historical events.

public health reproductive health sexual health sexual rights World Health Organization 


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  1. Chowdhury, A. (2001). Notions for mental health: A WHO public health initiative. Journal of the Indian Medical Association, 99, 18-19.Google Scholar
  2. Coleman, E. (1997). Promoting sexual health: The challenges of the present and future. In J. J. Borras-Valls & M. Perez-Conchillo (Eds.), Sexuality and human rights: Proceedings of the XIIIth World Congress of Sexology (pp. 25-29). Valencia, Spain: Scientific Committee, Instituto de Sexologia y Psicoterapia Espill.Google Scholar
  3. Coleman, E. (1999, August). Revolutionary changes in sexuality in the new millennium: Sexual health, diversity and sexual rights. Presidential Address presented at the 14th World Congress of Sexology, Hong Kong.Google Scholar
  4. Giami, A. (2002). Sexual health: The emergence, development, and diversity of a concept. Annual Review of Sex Research, 13, 1-35.Google Scholar
  5. Jenkins, R. (2001). World Health Day 2001: Minding the world's mental health. Social Psychiatry and Psychiatric Epidemiology, 36, 165-168.Google Scholar
  6. Langfeldt, T., & Porter, M. (1986). Sexuality and family planning: Report of a consultation and research findings. Copenhagen: World Health Organization, Regional Office for Europe.Google Scholar
  7. Lottes, I. (2000). New perspectives on sexual health. In I. Lottes & O. Kontula (Eds.), New views on sexual health: The case of Finland (pp. 7-29). Helsinki, Finland: Population Research Institute.Google Scholar
  8. Mace, D. R., Bannerman, R. H. O., & Burton, J. (1974). The teaching of human sexuality in schools for health professions (WHO Public Health Papers, No. 57). Geneva: World Health Organization.Google Scholar
  9. Mark, M., & Levav, I. (2001). World Health Day on April 7, 2001: The theme is mental health. Israel Journal of Psychiatry and Related Sciences, 38, 79-80.Google Scholar
  10. Mateo Alonso, A. (1961). Who is mentally healthy? World Mental Health, 13(1), 21-25.Google Scholar
  11. National Commission on Adolescent Sexual Health. (1995). Facing facts: Sexual health for America's adolescents. New York: Sexuality Information and Education Council of the United States.Google Scholar
  12. Promotion of Sexual Health. (2001). Proceedings of a Regional Consultation convened by Pan American Health Organization, World Health Organization in collaboration with the World Association for Sexology, Antigua, Guatemala.Google Scholar
  13. Robinson, B., Bockting, W., Rosser, B., Miner, M., & Coleman, E. (2002). The Sexual Health Model: Application of a sexological approach to HIV prevention. Health Education Research, 17, 43-57.Google Scholar
  14. Saracci, R. (1997). The World Health Organisation needs to reconsider its definition of health. BMJ, 314(1409), 1409-1410.Google Scholar
  15. Schmidt, G. (1987). Sexual health within a societal context. In Concepts of sexual health: Report of a working group. Copenhagen: World Health Organization, Regional Office for Europe.Google Scholar
  16. The National Strategy for Sexual Health and HIV. (2001). London, England: Department of Health.Google Scholar
  17. United Nations. (1994). International Conference on Population and Development Programme of Action. Report on the International Conference on Population and Development, Cairo, September 5-13 (United Nations: Sales No. E.95.XIII.18).Google Scholar
  18. U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author.Google Scholar
  19. U.S. Department of Health and Human Services. (2001). The Surgeon General's call to action to promote sexual health and responsible sexual behavior. Rockville, MD: Author.Google Scholar
  20. Wig, N. N. (2000). WHO and mental health—A view from developing countries. Bulletin of the World Health Organization, 8, 502-503.Google Scholar
  21. World Association of Sexology's Declaration of Sexual Rights. (1999). First declared at the 13th World Congress of Sexology, 1997, Valencia, Spain. Revised and approved by the General Assembly of World Association for Sexology on August 26, 1999, during the 14th World Congress of Sexology, Hong Kong, People's Republic of China.Google Scholar
  22. World Health Organization. (1946). Official records of the World Health Organization. Geneva: Author.Google Scholar
  23. World Health Organization. (1975). Education and treatment in human sexuality: The training of health professionals (Technical Report) Series No. 572). Geneva: Author.Google Scholar
  24. World Health Organization. (2002). Gender and reproductive rights, glossary, sexual health. Retrieved July 11, 2003, from Scholar
  25. World Health Organization Regional Office for Europe. (1987). Concepts on sexual health: Report on a working group. Copenhagen: Author.Google Scholar

Copyright information

© Plenum Publishing Corporation 2004

Authors and Affiliations

  1. 1.Program in Human SexualityUniversity of Minnesota Medical SchoolMinneapolis

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