Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology

This study aims to contribute to the development of a comprehensive framework for sexual well-being of young people. By making space for diverse young people’s perspectives through co-creating the framework, we seek to enhance the understanding of sexual well-being in sexual and reproductive health...

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Main Authors: Lore Remmerie, Guncha Annageldiyeva, Kayleigh Grossman, Caesar Kaba Kogoziga, Nicole Leonetti, Ana Mosiashvili, Shreya Shrestha, Tisungane Sitima, Evi Stuckens, Michael Tetteh Doku, Aslan Temirkhanov, Diana Marcela Zambrano, Heidi Mertes, Kristien Michielsen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Sexual and Reproductive Health Matters
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Online Access:https://www.tandfonline.com/doi/10.1080/26410397.2025.2474337
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author Lore Remmerie
Guncha Annageldiyeva
Kayleigh Grossman
Caesar Kaba Kogoziga
Nicole Leonetti
Ana Mosiashvili
Shreya Shrestha
Tisungane Sitima
Evi Stuckens
Michael Tetteh Doku
Aslan Temirkhanov
Diana Marcela Zambrano
Heidi Mertes
Kristien Michielsen
author_facet Lore Remmerie
Guncha Annageldiyeva
Kayleigh Grossman
Caesar Kaba Kogoziga
Nicole Leonetti
Ana Mosiashvili
Shreya Shrestha
Tisungane Sitima
Evi Stuckens
Michael Tetteh Doku
Aslan Temirkhanov
Diana Marcela Zambrano
Heidi Mertes
Kristien Michielsen
author_sort Lore Remmerie
collection DOAJ
description This study aims to contribute to the development of a comprehensive framework for sexual well-being of young people. By making space for diverse young people’s perspectives through co-creating the framework, we seek to enhance the understanding of sexual well-being in sexual and reproductive health and rights (SRHR) research in a culturally sensitive and inclusive way. A modified Delphi study invited SRHR young professionals (aged 18–30) with different backgrounds to participate as experts in three rounds of online discussions. A framework of sexual well-being was co-created by 15 young professionals from countries across Europe, Asia, Africa, and South America. This framework recognised sexual well-being as a subjective concept with different meanings: for example, by applying an open understanding of sexual activity, and intimacy. It also acknowledged the challenges individuals face in fully understanding and achieving their sexual well-being, due to societal injustices. The framework outlined key capabilities inherent to sexual well-being, including informed decision-making, bodily autonomy, consent, exploration, self-awareness, pleasure, communication, comfort, safety, and self-esteem. Considering that these capabilities can only be realised within an enabling environment, access to sexual health information and services, as well as acceptance, respect, safety, and freedom from coercion and violence, were included as a key part of the framework. This study captured young people’s views on sexual well-being to co-create a culturally sensitive framework. This framework recognises different interpretations of sexual well-being, and focuses on supportive environments that empower individuals to define and pursue sexual well-being in a way that honours their experiences and needs.
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spelling doaj-art-5d712156cb5f41cd8e5316c438cc594c2025-08-20T02:29:55ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972024-12-0132110.1080/26410397.2025.2474337Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodologyLore Remmerie0Guncha Annageldiyeva1Kayleigh Grossman2Caesar Kaba Kogoziga3Nicole Leonetti4Ana Mosiashvili5Shreya Shrestha6Tisungane Sitima7Evi Stuckens8Michael Tetteh Doku9Aslan Temirkhanov10Diana Marcela Zambrano11Heidi Mertes12Kristien Michielsen13PhD Researcher, Institute for Family and Sexuality Studies, Department of Neurosciences, Faculty of Medicine, KU Leuven, Leuven, Belgium.Y-PEER International Coordinator, Y-PEER International Network, Ashgabat, TurkmenistanMasters by Research Candidate, School of Anthropology and Conservation, University of Kent, Canterbury, UKProgrammes Coordinator, Planned Parenthood Association of Ghana, Accra, GhanaYouth Advocate, CHOICE for Youth and Sexuality, Amsterdam, The NetherlandsSecretary-General, European Confederation of Youth Clubs, Brussels, BelgiumStudent, Erasmus+ Scholar Women and Gender Studies (GEMMA); University of lodz/ Utrecht University, Kathmandu, NepalYouth worker, Foundation for Rural Development, Blantyre, MalawiVolunteer, Sensoa VZW, Antwerp, BelgiumAdvocacy and Communications Manager, Curious Minds Ghana, Accra, GhanaIndependent Researcher, Nazarbayev University School of Medicine, Astana, KazakhstanIndependent Researcher, Research Department, Profamilia, Bogotá, ColombiaAssociate Professor, Department of Philosophy and Moral Sciences and Department of Public Health and Primary Care, Ghent University, Ghent, BelgiumAssociate Professor, Institute for Family and Sexuality Studies, Department of Neurosciences, Faculty of Medicine, KU Leuven, Leuven, BelgiumThis study aims to contribute to the development of a comprehensive framework for sexual well-being of young people. By making space for diverse young people’s perspectives through co-creating the framework, we seek to enhance the understanding of sexual well-being in sexual and reproductive health and rights (SRHR) research in a culturally sensitive and inclusive way. A modified Delphi study invited SRHR young professionals (aged 18–30) with different backgrounds to participate as experts in three rounds of online discussions. A framework of sexual well-being was co-created by 15 young professionals from countries across Europe, Asia, Africa, and South America. This framework recognised sexual well-being as a subjective concept with different meanings: for example, by applying an open understanding of sexual activity, and intimacy. It also acknowledged the challenges individuals face in fully understanding and achieving their sexual well-being, due to societal injustices. The framework outlined key capabilities inherent to sexual well-being, including informed decision-making, bodily autonomy, consent, exploration, self-awareness, pleasure, communication, comfort, safety, and self-esteem. Considering that these capabilities can only be realised within an enabling environment, access to sexual health information and services, as well as acceptance, respect, safety, and freedom from coercion and violence, were included as a key part of the framework. This study captured young people’s views on sexual well-being to co-create a culturally sensitive framework. This framework recognises different interpretations of sexual well-being, and focuses on supportive environments that empower individuals to define and pursue sexual well-being in a way that honours their experiences and needs.https://www.tandfonline.com/doi/10.1080/26410397.2025.2474337sexual well-beingpositive approachSRHRparticipatory researchyouthDelphi method
spellingShingle Lore Remmerie
Guncha Annageldiyeva
Kayleigh Grossman
Caesar Kaba Kogoziga
Nicole Leonetti
Ana Mosiashvili
Shreya Shrestha
Tisungane Sitima
Evi Stuckens
Michael Tetteh Doku
Aslan Temirkhanov
Diana Marcela Zambrano
Heidi Mertes
Kristien Michielsen
Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
Sexual and Reproductive Health Matters
sexual well-being
positive approach
SRHR
participatory research
youth
Delphi method
title Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
title_full Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
title_fullStr Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
title_full_unstemmed Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
title_short Towards an inclusive and culturally sensitive conceptualisation of sexual well-being of young people: preliminary framework development using a modified Delphi methodology
title_sort towards an inclusive and culturally sensitive conceptualisation of sexual well being of young people preliminary framework development using a modified delphi methodology
topic sexual well-being
positive approach
SRHR
participatory research
youth
Delphi method
url https://www.tandfonline.com/doi/10.1080/26410397.2025.2474337
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