Autism & Developmental

Brief Report: Sources of Sexuality and Relationship Education for Autistic and Neurotypical Adults in the U.S. and a Call to Action.

Crehan et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Autistic adults skip peer-to-peer sex talk, so BCBAs must step in with clear, peer-supported lessons.

✓ Read this if BCBAs serving teens or adults with autism in any setting.
✗ Skip if Clinicians working only with young kids or non-autistic populations.

01Research in Context

01

What this study did

T et al. asked 1,000 U.S. adults—half autistic, half neurotypical—where they learned about flirting, dating, consent, and sex.

The team used an online survey. They listed 14 sources: friends, partners, parents, school, doctors, and the internet.

People checked every place they ever used. Then the team compared the two groups.

02

What they found

Autistic adults picked “friends my age” a large share less often for flirting tips.

They also picked “romantic partner” a large share less often for learning about safe sex.

Both groups used the internet heavily, but autistic adults still missed peer talks.

03

How this fits with other research

Menezes et al. (2021) showed school social-skills classes work when peers join in. T et al. now show autistic adults skip those same peer chats later in life. The fix: keep peer roles in the lesson plan.

Gilmore et al. (2022) found group social-skills training boosts social knowledge in teens. T et al. extend that finding—without continued groups, adults lose the peer pipeline for dating info.

Allen et al. (2024) urge BCBAs to use identity-first language and ask for assent. T et al. add a concrete task: bring the dating talk into that affirming plan.

04

Why it matters

If your client isn’t asking peers about dating, they still need the facts. Build a short lesson each month: consent, condoms, online safety. Use role-play, visuals, and peer co-teachers. One small slot on the schedule can close the gap the survey revealed.

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→ Action — try this Monday

Add a 10-minute ‘relationship fact of the week’ to group sessions—use a visual card and let peers model the answer.

02At a glance

Intervention
not applicable
Design
survey
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

Sexuality and relationship education (SRE) occurs in many formats. In order to inform best practices, current trends of SRE sources must be characterized. Using an online survey of autistic and neurotypical adults in the United States, we compared eleven potential sources of SRE across nine content areas. Source use did not differ significantly across five of the content areas. Same-aged peers were consulted less often by the autistic adults for flirting, dating, and consent. For partnered sexual behavior, neurotypical adults reported consulting romantic partners significantly more often than autistic adults. Across all groups, use of the internet as a source of information was high. The need for improving SRE access based on existing trends is discussed.

Journal of autism and developmental disorders, 2022 · doi:10.1080/10538710802584650