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Description: Autistic people face more social barriers to, and experience greater anxiety around, intimate relationships than the general population in our majority neurotypical society, leading to increased loneliness and social isolation. National health and social care policies and publications should recognise these inequalities and guide service systems in reducing them. In this paper, we employ a document analysis design to analyse a cross-section of English national health and social care publications to investigate how autistic adults’ intimate lives are represented and prioritised in these publications. Most publications do not adequately and proportionally recognise or prioritise autistic people’s intimate lives. They focus on the risks associated with sex and relationships and overlook autism-specific intimacy needs. They prioritise participation in the workforce while renouncing government responsibility for supporting intimate relationships which can reduce loneliness and alienation. We offer recommendations to ensure that health and social care publication processes better recognise intimate lives.

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www.autlives.com

Supporting Autistic Adults’ Intimate Lives (SAAIL) is a qualitative research project based at Manchester Metropolitan University that explores how adult social care in England can better support autistic adults to enjoy fulfilling intimate lives. SAAIL is funded by the NIHR School for Social Care Research.

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Adult health and social careautismintimate livesneurodiversityopen datarelationshipssexsexuality

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