Objective . To describe and analyze the structure and content of the social representations of sexual health in three groups of adolescents: those who are deaf, those who use Colombian sign language (SLC), those with hearing, and deaf users of spoken Spanish, with the aim of considering the sexual health of populations in conditions of vulnerability, and their application in the area of public health. Method . A process-oriented interpretative qualitative study was carried out, which employed analytical techniques using networks of associations, interviews and drawings. Results . Different representations of sexual health were found among the adolescents evaluated: those who were deaf, and users of SLC focused their representations on care of