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The Influence of Power and Intimacy Sexual Motives on Sexual Position Preference Among Men Who Have Sex with Men in China.

We examined the sexual motives underlying sexual self-labels among Chinese men who have sex with men. A total of 60 bottoms, 120 versatiles, and 48 tops participated in a Web-based survey. Our results showed that tops were more likely to desire exerting power over their partners during sex, while bottoms were more likely to desire being overpowered by their partners. There were no significant sexual self-label differences in the sexual motives of wanting intimacy and the desire for pleasure. The intimacy and power ratings differed across sexual activities and sex positions. There was a tendency for sexual positions in which the performer was facing the receiver to be rated as more intimate than those in which the performer was facing away from the receiver, and for individuals who preferred to be insertive to feel more powerful in sexual positions in which their partner was kneeling down or standing than those in which their partner was sitting or lying down. Tops were significantly more likely than bottoms to engage in insertive sexual positions, while bottoms were significantly more likely to engage in receptive sexual positions. Both tops and bottoms were more likely to engage in the corresponding insertive/receptive position when the insertive position was rated as more powerful than the receptive position. Our results suggest that the concordance between sexual self-labels and sexual position preferences may rely on the power difference between the insertive and receptive positions in addition to body characteristics.

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