Welcome to the Center for Sexual Health Promotion. Our Center is a collaborative of sexual health scholars from across the campuses of Indiana University and strategic partner academic institutions around the globe who, in partnership with practitioners from community-based health organizations, government and industry, work toward advancing the field of sexual health through our research, education and training initiatives. At our core is a commitment to the active engagement of graduate students in our work; we view this as essential to growing the next generation of sexual health scholars and practitioners. The Center for Sexual Health Promotion is based in the Department of Applied Health Science, in the School of Public Health-Bloomington.
Following are the primary goals of the Center for Sexual Health Promotion:
- To conduct research in sexual health that:
- is consistent with the sexual health objectives established by leading public health entities
- is guided by the principles of community-based participatory research
- strives to be progressive with regard to scope, methodologies, and application.
- To facilitate research training to future sexual health scholars and practitioners through both research experience and linkages to strategic partners on campus and in the community.
- To work toward a more seamless continuum between sexual health research and the development of effective public health interventions and policies.
- To partner with community-based organizations and governmental entities both domestically and abroad to foster participatory and mutually beneficial research, education, and service.
- To provide education on sexual health topics to students and community-based health and education professionals through a variety of creative and collaborative mechanisms and in ways that consider the benefits of technology-based and distance learning methods.
- To provide a forum for discussion and debate related to issues associated with public health approaches to sexual health.
- To support a sustainable climate within public health that recognizes the importance of sexual health to the well-being and productivity of humans.
- To serve as a collaborative partner to other academic departments, institutes, and centers.
- To serve as a collaborative partner with faculty from both domestic and international academic institutions in order to play a supportive role in the ongoing development of the field of sexual health.
Although significant efforts have been devoted to the development, implementation, and evaluation of sexual health promotion initiatives, the U.S. continues to struggle with high rates of unintended pregnancy, sexually transmitted disease (STD), Human Immunodeficiency Virus (HIV) infection, and the physical, mental, and social consequences of these problems (Satcher, 2001). As a result, sexual health professionals must remain committed to developing new and innovative responses to sexual health problems and their impact on society.
For several decades, sexual health researchers and practitioners have largely focused their work on the need to reduce the incidence of Human Immunodeficiency Virus (HIV) and other sexually transmitted infections (STI) and to prevent unintended pregnancies. Given the magnitude of these issues, and the extent to which they have challenged social structures and public health systems, a concentration on understanding their behavioral, social, and cultural correlates has been essential. However, one outcome of the intense focus on these issues by medical, behavioral, and social scientists is that much of our contemporary sexual health knowledge has been constructed in the context of the problems that result from sexual interactions. This has resulted in a body of research on the sexual health of communities that is very problem-oriented and resulted in a need for more innovative and effective approaches the addressing sexual health issues in societies around the globe (Reece & Dodge, 2004).
To effectively address the sexual health challenges facing society requires that researchers and practitioners attend to the social and cultural fabric of communities being studied and to understand the extent to which that fabric influences sexual behaviors of, and ultimately the health status of, a community’s members. However, situating studies and interventions within the context of a community’s social and cultural intricacies can be challenging. It necessitates that sexual health professionals acknowledge the diverse range of sexual norms, values, and behaviors of particular communities and commit to exploring, discussing, and debating topics related to the manner in which individuals and groups construct their sexual lives. The sexual health field will advance only if scholars and practitioners have informed insights and frameworks that help to structure studies and their research questions, have appropriate and progressive methods to conduct research, and are trained in the strategies through which research findings are effectively disseminated to the field, incorporated into interventions, and digested by community members themselves (Reece & Dodge, 2004).
While researchers may endorse such a call for more holistic sexual health research, they may be faced with the need to use innovative research methods and approaches in order to overcome complexities associated with designing and conducting studies consistent with such approaches. Particularly, if current and future scholars simultaneously try to apply a more holistic sexual health framework and continue efforts to engage community members, they may find the need for research training, research frameworks, and continuing education that support their ability to do so.
Our Center strives to play a valuable role in facilitating more community-based and participatory sexual health research and is committed to providing comprehensive training to graduate students and community members in order to support the dissemination of such approaches.
The work of the Center is consistent with leading sexual health philosophies, including:
- Those offered by the World Health Organization (1986), which formulates sexual health as:
- A capacity to enjoy and control sexual and reproductive behavior in accordance with a social and personal ethic,
- Freedom from fear, shame, guilt, false beliefs, and other psychological factors inhibiting sexual response and impairing sexual relationships, and
- Freedom from organic disorders, diseases, and deficiencies that interfere with sexual and reproductive functioning.
- Those offered by Aggleston and Campbell (2000), whose principles of sexual health describe it:
- As affirmative; a state of well-being imbued with positive qualities, not merely the absence of those that are undesired,
- As focusing on more than reproductive health; being concerned with more than the procreative relationships and modes of sexual expression,
- As an expression of individual and collective needs as well as broader human rights and responsibilities, and
- As focusing on the attainment and expression of sexual pleasure, not the repression of sexual energies and desires or their denial. Those that directly inform the development of efficacious community-based sexual health interventions. To that end, we strive to adhere closely to state-of-the-art principles that guide participatory initiatives including the principles of community-based participatory researarch (CBPR) offered by Israel and colleagues (2004).
- Those that directly inform the development of efficacious community-based sexual health interventions. To that end, we strive to adhere closely to state-of-the-art principles that guide participatory initiatives including the principles of community-based participatory researarch (CBPR) offered by Israel and colleagues (2004).
- CBPR facilitates collaborative, equitable partnerships in all phases of the research.
- CBPR integrates and achieves a balance between research and action for the mutual benefit of all partners.
- CBPR recognizes community as a unit of identity.
- CBPR builds on strengths and resources within the community.
- CBPR promotes co-learning and capacity building among all partners.
- CBPR involves a long-term process and commitment.
- CBPR emphasizes local relevance of public health problems and ecological perspectives that recognize and attend to the multiple determinants of health and disease.
- CBPR disseminates findings and knowledge gained to all partners and involves all partners in the dissemination process.
- CBPR involves systems development through a cyclical and iterative process.
Special Highlight: National Institute of Child Health and Human Development (NICHD)
The Center for Sexual Health Promotion at Indiana University has received a $425,000 grant from the National Institutes of Health (NIH) for a study designed to begin filling important gaps in HIV research involving bisexual men. The study, "Sexual Health Among Bisexual Men," is sponsored by the NIH's Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) The two year exploratory research project is led by Principal Investigator Dr. Brian Dodge, CSHP, and co-investigators are Barbara Van der Pol, Department of Infectious Disease, IU School of Medicine; Michael Reece, CSHP; J. Dennis Fortenberry, Department of Pediatrics, IU School of Medicine; David Malebranche, Department of General Medicine, Emory University School of Medicine; and Omar Martinez, CSHP. Click here to view an Indiana University press release about the study.
Special Highlight: The Patty Brisben Foundation
The Patty Brisben Foundation has provided over $1.3 million dollars in research funding to the Center since 2004, including a recent grant of $1 million dollars that provides core support for the Center through 2013. The Patty Brisben Foundation is without peer in the world for its philanthropy in the area of women’s sexual health, particularly vulvovaginal health. In addition to their focus on research, the Patty Brisben Foundation is also committed to exploring and developing innovative approaches to the delivery of sexuality education to adults. Click here to view an Indiana University press release about the Patty Brisben Foundation’s latest grant to the Center.
Projects of the Center for Sexual Health Promotion have also been funded by:
- Church & Dwight, Co., Inc.
- The Bill & Melinda Gates Foundation
- The Joseph F. Miller Foundation
- The Picower Foundation
- For Goodness Sake, LLC
- U.S. Substance Abuse and Mental Health Services Administration
- National Institute of Allergy & Infectious Disease
- National Institute of Mental Health
- Friends of the Kinsey Institute
- American Insitute of Bisexuality
- The Health Foundation of Greater Indianapolis
- Marion County Health Department
- School of Public Health-Bloomington, Indiana University
- Office of the Vice Provost for International Affairs, Indiana University
- Office of the Vice Provost for Research, Indiana University
- Indiana Clinical & Translational Sciences Initiative (CTSI)
- U.S. Department of Education