Evidence map›Paper›PMID 39152319›Full record

ArticleArchives of sexual behavior2024

Anal Sexual Roles and Impacts on HIV Infection and Psychological Distress Among Men Who Have Sex With Men in China: A 14-Year Longitudinal Study.

Yong Yu, Keke Qin, Shishi Tang, Yedong Xian

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Article in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yong YuSchool of Politics and Public Administration, Guangxi Normal University, Guilin, 541006, Guangxi, China. yuyongsm@mailbox.gxnu.edu.cn.ORCID 0000-0002-9398-9000
Keke QinSchool of Politics and Public Administration, Guangxi Normal University, Guilin, 541006, Guangxi, China.
Shishi TangSchool of Politics and Public Administration, Guangxi Normal University, Guilin, 541006, Guangxi, China.
Yedong XianSchool of Politics and Public Administration, Guangxi Normal University, Guilin, 541006, Guangxi, China.

Funding

Guangxi Philosophy and Social Science Foundation Project 22FSH012
6 · The paper itself

Abstract

Previous studies have shown that men who have sex with men (MSM) with different anal sexual roles, namely bottom, versatile, and top, are at different risk of HIV infection and psychological distress. However, the evidence was primarily derived from cross-sectional designs from Western countries, and it remains unclear how anal sexual roles change over a long time and their health impacts among MSM from Eastern countries. We aimed to describe the changes in anal sexual roles among a Chinese sample of MSM over 14 years and explore their effects on HIV infection, depression, anxiety, and suicidal ideation. Between 2009 and 2023, a longitudinal study was conducted on 373 MSM in Changsha, China, to assess their anal sexual roles, HIV infection, and psychological distress, including depression, anxiety, and suicidal ideation. Generalized linear models with a binomial probability was used to analyze the predictive effect of anal sexual roles on HIV infection and psychological distress. At baseline, 30.3% of MSM self-identified as bottom, 32.2% as versatile, and 37.5% as top, and these numbers changed slightly to 35.9%, 33.0%, and 31.1%, respectively, at follow-up (p = 0.131). From baseline to follow-up, 48 (12.9%) new HIV cases were identified. The prevalence of depression increased from 23.1 to 38.1% (p < 0.001), anxiety increased from 25.5% to 35.4% (p = 0.003), and suicidal ideation increased from 30.8 to 38.9% (p = 0.021). MSM with bottom and versatile roles were more likely to have HIV infection, depression, anxiety, and suicidal ideation than those with top roles. MSM's risk of HIV infection and psychological distress varies according to their anal sexual roles, suggesting that future HIV prevention and mental health improvement programs for MSM may benefit from providing targeted and individualized support based on their anal sexual roles, with a particular focus on those with bottom and versatile roles.

Indexed as

DepressionHIV InfectionsHomosexuality, MalePsychological DistressSexual BehaviorSuicidal IdeationAdolescentAdultAnxietyChinaHumansLongitudinal StudiesMaleYoung AdultAnal sexual rolesHIVLongitudinal studyMen who have sex with menPsychological distressSexual orientation

Identifiers

PMID39152319

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.