Objective To define the concept of sexual health high-risk situations using Rodgers′evolutionary concept analysis method．Methods Databases such as CNKI，Wanfang Database, PubMed，Web of Science and CINAHL were searched systematically from the inception of the databases to December 2022．A total of 83 articles were selected according to the inclusion criteria, and the concept of sexual health high-risk situations was analyzed and defined in the framework of Rodgers′evolutionary concept analysis method．Results Sexual health high-risk situations involved five attributes，which were material conditions，antecedent states，purposes，social surroundings and timing．The antecedents include individual factors，family factors and social factors，and the outcomes include personal outcomes, family burden and social burden． Conclusion Defining sexual health high-risk situations is helpful in developing relevant evaluation tools and corresponding intervention measures to reduce the occurrence of risky sexual behaviors.