In this thesis, I explore sexual health outcomes within a sample of HIV-infected men.  The extant research on sexual health within this population has primarily focused on sexual risk and disease transmission.  While these topics are of critical importance, they provide limited insight into the meanings of sexuality and contexts in which sexual interactions occur for HIV-infected men.  In this thesis, I address sexuality as being normative to HIV-infected men’s existences and critical to their perceptions of themselves along lines of age, race/ethnicity, gender, and sexual orientation.  I specifically examine the role of sociodemographic, health-related, and substance use correlates in the distribution of sexual health outcomes for this sample.  I analyze baseline, 12-month, and 24-month data collected within a prospective cohort study, “Predictors of Outcomes in HIV-Infected Men.”  I use four self-reported indicators of sexual health:  sexual activity, erectile function, sexual drive, and sex life satisfaction.  Bivariate analyses are conducted to measure aggregate change for both cross-sectional and longitudinal phases.  For longitudinal analyses, however, I utilize transition matrices in order to depict individual-level change.  Analyses indicate that indicators of sexual health are consistently related to one another.  At the individual-level, sexual health change is not likely for the majority of men.  When change occurs, however, it tends to be for the worse.  This pattern is consistent across sexual health indicators, despite men with worse sexual health outcomes being lost to attrition.  Men who experience better sexual health are those who are younger, cohabiting, heterosexual, physically and mentally healthier, and moderately using chemical substances.  These patterns are also consistent over time.  I conclude by articulating the role of sexual health correlates in the distribution of sexual health outcomes.  I also discuss implications of this study for clinical and public health practitioners who work with populations of HIV-infected men.