Sexual Health

Australian veteran sexual health: '…you are the first person I've spoken to about it.'.

TL;DR

Veteran sexual health and functioning issues are common among Australian veterans due to physical, psychological, and social factors related to military service, yet these issues are rarely 'on the radar' of Australian health and research professionals.

Key Findings

Sexual health and functioning issues commonly develop among Australian veterans due to a variety of physical, psychological, and social factors associated with military service.

  • Factors identified include mental ill-health, physical illness and injury, use of medication, and relationship strain.
  • These factors contribute to physiological dysfunctions, poor sexual behaviours, and difficulties in forming healthy, meaningful intimate relationships.
  • Ten qualitative, semi-structured interviews were conducted with Australian professionals working within or adjacent to veteran sexual health.
  • Data were analysed using inductive thematic analysis.

Multiple barriers interfere with Australian veterans' access to sexual healthcare and worsen outcomes.

  • Barriers identified included lack of awareness and understanding, stigma, and structural barriers.
  • These barriers were reported to both interfere with healthcare access and worsen sexual health outcomes.
  • The title quotation '...you are the first person I've spoken to about it' illustrates the reluctance or inability of veterans to discuss sexual health issues with healthcare providers.

Key informants recommended a range of system-level and cultural changes to improve veteran sexual health outcomes.

  • Recommendations included increasing provider training, increasing research activity, and increasing military support.
  • De-stigmatising sexual health issues was also highlighted as a key recommendation.
  • These recommendations came from professionals working within or adjacent to veteran sexual health services.

Veteran sexual health is rarely on the radar of Australian health and research professionals, representing a significant gap in care.

  • The study notes it is 'one of few studies in the Australian context' on veteran sexual health.
  • The authors highlight the need to 'conduct more research to better manage veteran sexual health and functioning needs.'
  • Only ten professionals could be identified and recruited as key informants working within or adjacent to Australian veteran sexual health, suggesting a small professional community in this space.

Poor sexual health outcomes among veterans are attributed to factors specifically associated with military service, compounded by barriers to healthcare access.

  • The background notes that 'sexual health and functioning outcomes have been shown to be poor among veterans due to factors associated with military service.'
  • Both service-related factors and healthcare access barriers were identified as contributing to poor outcomes.
  • The study situates Australian veteran sexual health within a broader international literature showing poor outcomes in veteran populations.

What This Means

This research suggests that Australian military veterans frequently experience sexual health and functioning problems, stemming from a combination of physical injuries, mental health conditions (such as PTSD and depression), medications used to treat these conditions, and the strain that military service places on intimate relationships. Despite the apparent prevalence of these issues, very little research or clinical attention has been directed toward them in Australia. The study gathered perspectives from ten professionals who work with veterans on health and related issues, using in-depth interviews to understand the landscape of veteran sexual health in Australia. The professionals interviewed described a situation where veterans are reluctant or unable to talk about sexual health concerns, often due to stigma, a lack of awareness that help is available, and structural gaps in the healthcare system. The title of the paper — drawn from a quote by one of the participants — captures this dynamic: veterans are sometimes disclosing sexual health problems for the very first time when speaking with these professionals, suggesting the topic is rarely addressed in routine care. Informants recommended better training for healthcare providers, more dedicated research, greater support from the military institution itself, and broader cultural efforts to reduce the stigma around sexual health. This research matters because it highlights an overlooked aspect of veteran wellbeing in Australia. Sexual health is closely connected to overall quality of life, mental health, and relationship stability, all of which are already areas of concern for veteran populations. The study calls for more research and better-designed healthcare pathways so that veterans' sexual health needs are identified and addressed as part of comprehensive care, rather than remaining a topic that goes undiscussed.

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Citation

Douvos K, Bourchier L, Temple-Smith M, Malta S. (2025). Australian veteran sexual health: '…you are the first person I've spoken to about it.'.. Sexual health. https://doi.org/10.1071/SH24152