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Gay men across a variety of countries label themselves by their preferences for
     insertive anal intercourse or receptive anal intercourse.



      A "top" is defined as someone who prefers the insertive role, a "bottom" as

     someone who prefers the receptive role, and "versatile" as someone who has no
     preferences regarding anal sex role.



     Previous studies documented that tops showed a masculine profile and bottoms

     showed a feminine profile in gendered personality traits.



      In this study, we examined the association among sexual self-label groups and
     empathizing-systemizing (E-S) cognitive styles among 509 gay men across

     multiple cities in China.



     There were significant differences in systemizing among sexual self-label groups,
     with tops scoring higher on systemizing than bottoms and versatiles.



     Tops were more likely to have S > E and high E and S cognitive styles than

     bottoms. Bottoms were more likely to have E > S and low E and S cognitive
     styles than tops.



     There was a significant indirect effect of systemizing on sexual self-label through

     Self-MF. There was also a significant indirect effect of sexual self-label on
     systemizing through Self-MF.



      The findings suggest that sexual self-labels among adult gay and bisexual men

     may reflect more than preferences for anal sex.



      The influence of physical body traits and

     masculinity on anal sex roles in gay and bisexual men




     Sociological, psychological, and public health studies document that many gay

     and bisexual men may self-label by their anal penetrative role



     (i.e., bottom or exclusively receptive; top or exclusively insertive; or versatile,
     both receptive and insertive during anal intercourse)
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