Sexual Knowledge, Experiences, and Pragmatic Language in Adults With and Without Autism: Implications for Sex Education

J Autism Dev Disord. 2023 Oct;53(10):3770-3786. doi: 10.1007/s10803-022-05659-z. Epub 2022 Aug 3.

Abstract

Autistic adults have similar levels of desire for sexual and romantic relationships as their non-autistic peers. However, autistic adults are less likely to be in relationships and have less dating experience. We compared sexual knowledge, experiences, and pragmatic language ability in a community sample of young adults with (n = 27, mean age = 22.11) and without autism (n = 122, mean age = 19.47). Receipt of sex education and sexual knowledge did not differ between groups. However, autistic adults had significantly fewer partnered experiences and impaired pragmatic language. Within both groups, pragmatic skill predicted accurate sexual knowledge above and beyond general communication abilities. Findings suggest that sex education for autistic adults must address the social communication component of healthy romantic and sexual relationships.

Keywords: Autism spectrum disorder; Pragmatic language; Sex education; Sexual health.

MeSH terms

  • Adult
  • Autism Spectrum Disorder*
  • Autistic Disorder*
  • Humans
  • Language
  • Sex Education
  • Sexual Behavior
  • Young Adult