Chronic elevation of serum S100B but not neurofilament-light due to frequent choking/strangulation during sex in young adult women Article Swipe
Isabella L. Alexander
,
Megan E. Huibregtse
,
Tsung‐chieh Fu
,
Lillian M. Klemsz
,
J. Dennis Fortenberry
,
Debby Herbenick
,
Keisuke Kawata
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1101/2021.11.01.21265760
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1101/2021.11.01.21265760
Being choked/strangled during a partnered sex is an emerging sexual behavior, particularly prevalent among adolescent and young adult women, but the neurobiological impact of choking remains unknown. This case-control study aimed to test whether frequent choking during sex influences neurological health in young adult women, as assessed by serum levels of S100B and neurofilament-light (NfL). Participants who reported being choking ≥4 times during sex in the past 30 days were enrolled into a choking group, whereas those without were assigned to a control group. Serum samples were collected and assessed for S100B and NfL levels. Demographic questionnaires as well as alcohol use, depression, and anxiety scales were also obtained. Fifty-seven participants were enrolled initially. Due to voluntary withdrawal, phlebotomy difficulties, and scheduling conflicts, the final sample size of 32 subjects (choking n=15; control n=17) was eligible for analysis. After adjusting for a significant covariate (race), the choking group exhibited significantly elevated levels of S100B relative to controls (B=13.96 pg/mL, SE=5.41, p=0.016) but no significant group differences in NfL levels. A follow-up receiver operating characteristic analysis revealed that serum levels of S100B had very good accuracy for distinguishing between the choking and control groups [AUC=0.811, 95%CI (0.651, 0.971), p=0.0033]. Our S100B provide evidence of recurring astrocyte activation due to frequent choking while the NfL data indicate that axonal microstructural integrity may be resilient to these transient hypoxic stressors. Further clinical investigation is needed to clarify the acute and chronic neurological consequences of being choked during sex using a multimodal neurologic assessment.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2021.11.01.21265760
- https://www.medrxiv.org/content/medrxiv/early/2021/11/02/2021.11.01.21265760.full.pdf
- OA Status
- green
- Cited By
- 2
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3208061984
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3208061984Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2021.11.01.21265760Digital Object Identifier
- Title
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Chronic elevation of serum S100B but not neurofilament-light due to frequent choking/strangulation during sex in young adult womenWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-11-02Full publication date if available
- Authors
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Isabella L. Alexander, Megan E. Huibregtse, Tsung‐chieh Fu, Lillian M. Klemsz, J. Dennis Fortenberry, Debby Herbenick, Keisuke KawataList of authors in order
- Landing page
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https://doi.org/10.1101/2021.11.01.21265760Publisher landing page
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https://www.medrxiv.org/content/medrxiv/early/2021/11/02/2021.11.01.21265760.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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-
greenOpen access status per OpenAlex
- OA URL
-
https://www.medrxiv.org/content/medrxiv/early/2021/11/02/2021.11.01.21265760.full.pdfDirect OA link when available
- Concepts
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Choking, Medicine, Anxiety, Psychology, Physiology, Psychiatry, AnatomyTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2023: 2Per-year citation counts (last 5 years)
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47Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | https://www.medrxiv.org/content/medrxiv/early/2021/11/02/2021.11.01.21265760.full.pdf |
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| publication_year | 2021 |
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