Autism & Developmental

Brief Report: Asexuality and Young Women on the Autism Spectrum.

Bush et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Asexual autistic young women report less sex but more calm and satisfaction, so honor identity before writing goals.

✓ Read this if BCBAs writing sexuality or relationship programs for autistic women in clinic or community settings.
✗ Skip if Practitioners who only work with pre-pubescent children or clients with severe intellectual disability.

01Research in Context

01

What this study did

Researchers sent an online survey to autistic women aged 18-25. They asked about sexual desire, behavior, anxiety, and satisfaction.

The team compared women who said they were asexual with those who did not. Everyone had a formal autism diagnosis.

02

What they found

Asexual autistic women wanted and did less sex. Yet they felt calmer and happier with their sex lives than the other autistic women.

The mixed result shows low activity does not always mean low well-being.

03

How this fits with other research

Byers et al. (2013) warned not to label autistic single adults as asexual because most reported positive sexual interest. The new data seem to clash, but the 2013 sample was single adults while the 2021 study asked only people who already called themselves asexual. The gap closes when you separate identity from behavior.

Pitchford et al. (2019) found autistic females often show low interest yet high rates of unwanted sexual experiences. Bush et al. (2021) add that asexual autistic women escape that risk and feel safer, pointing to identity-based education rather than blanket safety talks.

Hartmann et al. (2019) showed parents miss their autistic adult children’s sexual activity. Pairing that with the new finding suggests clinicians should ask the client directly about identity and satisfaction instead of relying on parent guesses.

04

Why it matters

If a client says she is asexual, accept the label and ask how she feels about it. Do not assume she needs sex-ed to ‘fix’ low desire. Instead, teach safety skills that match her own goals. Add questions about identity to your intake forms so you do not overlook asexual autistic women in your caseload.

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Add an optional ‘sexual identity’ checkbox to your intake form and review it before planning any sex-ed lessons.

02At a glance

Intervention
not applicable
Design
survey
Sample size
247
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Existing research suggests that people with Autism Spectrum Disorder (ASD) are more likely than those without ASD to self-identify as asexual, or as being on the asexual spectrum. This study contributes to the literature by exploring aspects of sexuality and well-being in a large, community-based sample of young women (18-30 years old) with ASD (N = 247) and comparing the experiences of those with asexual spectrum identities and those with other sexual orientations (e.g., gay, bisexual, heterosexual). In the present sample, asexual participants reported less sexual desire and fewer sexual behaviors than those with other sexual orientations, but greater sexual satisfaction. Being on the asexual spectrum also was associated with lower generalized anxiety symptoms. Clinical and research implications are discussed.

Journal of autism and developmental disorders, 2021 · doi:10.1080/19419899.2013.774162