The Social Determinants of Sexual and Reproductive Health in Integrative Sex and Couples Counseling: A Structural Competence Perspective

The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts et al., 2015) call for counselors to address equity issues via social justice and advocacy. One equity issue relevant to counseling sexology is sexual and reproductive health inequities. This article applies the social determinants of sexual and reproductive health (SDSRH) to counseling sexology, specifically integrative sex and couples counseling, to address health inequities. A fictional case study incorporates the SDSRH from a cross-theoretical structural competence perspective. Future research should further elaborate SDSRH frameworks and evaluate the efficacy of their clinical applications.