MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Lancet Public Health. 2021 Aug;6(8):e608-e613. doi: 10.1016/S2468-2667(21)00099-2. Epub 2021 Jun 22.
Sexual health has provided a guiding framework for addressing sexuality in public health for several decades. Although the WHO definition of sexual health is revolutionary in acknowledging positive sexuality, public health approaches remain focused on risk and adverse outcomes. The long-standing conflation of sexual health and sexual wellbeing has affected our ability to address everyday sexual issues. This Viewpoint provides a way forward to resolve this impasse. We propose sexual wellbeing as a distinct and revolutionary concept that can be operationalised as a seven-domain model. We situate sexual wellbeing alongside sexual health, sexual justice, and sexual pleasure as one of four pillars of public health enquiry. We argue that sexual wellbeing is imperative to public health as a marker of health equity, a meaningful population indicator of wellbeing, a means to capture population trends distinct from sexual health, and an opportunity to refocus the ethics, form, and practices of public health.
性健康为解决公共卫生领域的性问题提供了几十年的指导框架。尽管世界卫生组织对性健康的定义在承认积极的性方面是革命性的，但公共卫生方法仍然侧重于风险和不良后果。性健康和性幸福的长期混淆影响了我们解决日常性问题的能力。本观点提供了一种解决这一困境的方法。我们提出性幸福作为一个独特的革命性概念，可以作为一个七领域模型来运作。我们将性幸福与性健康、性公正和性愉悦一起置于公共卫生探究的四个支柱之一。我们认为，性幸福对于公共健康至关重要，它是健康公平的标志，是幸福感的有意义的人口指标，是捕捉不同于性健康的人口趋势的一种手段，也是重新关注公共卫生的伦理、形式和实践的机会。
