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Sexual Health Concerns (SHC) are subjective experiences related to sexual function, shaped by cultural norms and social expectations, and perceived as concerns rather than clinically diagnosed diseases or dysfunctions. In contrast, Psychological Distress (PSD) refers to a state of emotional suffering characterised by symptoms of depression (e.g., loss of interest, sadness, hopelessness), anxiety (e.g., restlessness, tension), and stress (e.g., life adversity, trauma) that impair daily functioning.In severe and persistent cases, PSD increases the risk of psychological disorders such as major depressive disorder, generalised anxiety disorder, schizophrenia, and somatisation.