AutismInsights
Back to research database
EmergingReview

Sex education for adolescents with autism spectrum disorder: an integrative literature review.

Ciencia & saude coletiva2025

Lira Felipe Franklin Leite, Martins Maria Júlia Barros da Silva, Santos Ana Beatriz Salgueiro Dos, Chalegre Lucas Cavalcante, Bittencourt Ivanise Gomes de Souza

What this study means for families

This study looked at how to teach sex education to autistic teenagers. Researchers reviewed 24 studies and found four main areas that need to be covered: body changes, sexual relationships, loving relationships, and staying safe. There's confusion about who should teach these topics - parents, schools, or health professionals. The study found there aren't enough programs designed specifically for autistic teens.

More specialized sex education programs are needed to help autistic teenagers develop healthily and stay safe.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This integrative literature review examined approaches to sex education for adolescents with autism spectrum disorder (ASD). Analyzing 24 studies using the Joanna Briggs Institute methodology, researchers identified four key thematic areas: bodily changes, sexual relationships, affective relationships, and self-protection. The review revealed significant gaps in current practice, including disagreement about who should deliver sex education (parents, schools, or health professionals) and a lack of personalized, effective programs tailored to the unique needs of adolescents with ASD. The findings highlight an urgent need for specialized sexuality education initiatives that are adapted to support the healthy development and protection of autistic adolescents.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Four key thematic areas were identified for sex education in autistic adolescents: bodily changes, sexual relationships, affective relationships, and self-protection

    Confidence: moderateRelevance: Provides framework for comprehensive sexuality education curriculum development
  • 2

    Disagreement exists regarding who should deliver sexuality education to autistic adolescents (parents, schools, or health professionals)

    Confidence: moderateRelevance: Highlights need for clear guidelines on educator roles and collaborative approaches
  • 3

    Current programs lack personalization and effectiveness for the specific needs of adolescents with ASD

    Confidence: moderateRelevance: Indicates urgent need for autism-specific sexuality education interventions

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Findings emphasize the need for specialized, autism-adapted sexuality education programs. Healthcare professionals should collaborate with families and schools to develop comprehensive approaches covering the four identified themes. Training programs for educators and clear practice guidelines are needed to address role confusion and improve service delivery.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

This integrative review identifies gaps but doesn't provide outcome data on intervention effectiveness. The study doesn't report sample characteristics of the reviewed studies or specify methodological quality assessment. Limited detail on geographic or cultural contexts of included studies may affect generalizability.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

The present study aimed to identify scientific approaches to teaching sex education to adolescents with autism spectrum disorder (ASD), analyzing social implications and the roles of parents, caregivers, and professionals. This is an integrative literature review based on the Joanna Briggs Institute methodology, which allows for mapping key concepts and identifying gaps in the literature. The research question was developed using the Population, Concept, and Context (PCC) strategy for the review, as follows: P - parents, caregivers, and health professionals; C - how to adequately implement sexuality education during adolescence; C - adolescents with ASD. The final sample included 24 studies, which were organized into four thematic axes: bodily changes, sexual relationships, affective relationships, and self-protection.

The findings revealed divergences regarding who should address the topic with adolescents (parents, schools, or health professionals), in addition to the scarcity of personalized and effective programs. In this light, our study highlighted the need for initiatives that ensure sexuality education adapted to the particularities of adolescents with ASD, promoting their healthy development and protection.

View Original Paper

View original paperFull paper via publisher (may require subscription)

Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Review
Journal
Ciencia & saude coletiva
Year
2025
PMID
41337615
DOI
10.1590/1413-812320253011.10992025

MeSH Terms

HumansAdolescentSex EducationAutism Spectrum DisorderParentsHealth PersonnelCaregiversSexual Behavior