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Abstract
As we enter the second decade of the 21st century, the United States continues to face significant challenges in terms of the sexual and reproductive health of its population. With the Human Immunodeficiency Virus (HIV) continuing to have considerable and disproportionate impacts on diverse communities, high rates of other sexually transmissible infections and high numbers of unintended pregnancies each year, those on the front lines of public health and medicine are challenged to implement appropriate and effective strategies in response. While sexual health problems such as these have driven much of the nation’s social and health priorities and research agendas in the past, it remains the case that sexual behaviors, and the associated behaviors that occur within the context of a sexual event (e.g., condom use), continue to garner significant interest among both scientific and lay communities. However, the delivery of sexual health services and the conduct of sexual health research remain challenging and, at times, controversial.
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