Autism & Developmental

Brief Report: Sexual Attraction and Relationships in Adolescents with Autism.

May et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Autistic girls in middle school already report more bi and unsure attraction than peers—update sex-ed scripts now.

✓ Read this if BCBAs writing social-skills or sex-ed lessons for autistic middle-schoolers.
✗ Skip if Clinicians serving only preschool or fully non-verbal clients.

01Research in Context

01

What this study did

May et al. (2017) asked autistic teens about who they like and if they have dated. They compared answers to non-autistic teens in the same schools.

The team used a short survey. Kids marked boxes for straight, gay, bi, or unsure. They also wrote how many boyfriends or girlfriends they had before.

02

What they found

Girls with autism picked 'bi' or 'not sure' far more often than other girls. Boys with autism said they had fewer past relationships than other boys.

The pattern was strong enough that the authors call it 'markedly different.' It shows up early, right in middle school.

03

How this fits with other research

Stevens et al. (2018) saw the same thing in 47,000 adults. People with autistic traits were also more likely to pick bi or 'none of the above.' The teen data now prove the trend starts young.

Cohen et al. (2018) asked autistic adults online. About 70% said they are not straight. Tamara’s numbers look lower, but both studies agree that non-straight IDs are common in ASD. The teen sample is just smaller and earlier.

van Timmeren et al. (2016) reviewed earlier papers. They warned that autistic girls know the words yet still face more bad sexual experiences. Tamara’s finding helps explain why: if girls are still figuring out who they like, standard ‘boy-girl’ safety lessons may not fit.

04

Why it matters

When you teach relationship skills, drop the guess about ‘he’ll like girls.’ Ask each autistic teen directly who they are into. Build safety lessons around bi, unsure, or fluid labels. Start early—attraction diversity shows up by middle school.

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Add a blank line on intake forms that asks, ‘Who are you attracted to?’ and give choices: boys, girls, both, not sure, other.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
94
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Past research suggests more variation in sexual attraction in Autism Spectrum Disorder (ASD) using clinical samples. This study utilised a population representative group of 14/15 year olds from the Longitudinal Study of Australian Children. Ninety-four adolescents (73 males, 21 females) with ASD and 3454 (1685 males, 1675 females) without self-reported on sexual attraction and past sexual relationships. Females with ASD reported lower rates of heterosexual preference (adjusted odds ratio: 0.14, p < .001), higher rates of bisexuality (adjusted odds ratio: 6.05, p < .001) and uncertainty in attraction (adjusted odds ratio: 10.44, p < .001) compared with non-ASD females. ASD males reported fewer prior boyfriends/girlfriends. Findings confirm female adolescents with ASD have differences in sexual attraction compared with non-ASD females.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3092-6