{"title":"Time to act: dismantling social barriers to healthy sleep across the life-course.","authors":"Dayna A Johnson, Saverio Stranges","doi":"10.1093/eurpub/ckaf093","DOIUrl":"10.1093/eurpub/ckaf093","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 4","pages":"593-594"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento
{"title":"Digital health literacy among the Spanish population: a descriptive and latent class analysis study.","authors":"Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento","doi":"10.1093/eurpub/ckaf016","DOIUrl":"10.1093/eurpub/ckaf016","url":null,"abstract":"<p><p>Spain has been consolidating the implementation of digital healthcare. However, there is not a comprehensive picture of the digital health literacy of the population in relation to existing policies and practices. To identify different profiles of people by analysing their digital health literacy, with the ultimate goal of providing healthcare organizations with indications to improve the relationship between people and the healthcare system. This cross-sectional survey study included 400 people aged ≥18 years from May 2021 to May 2022 in Spain. Participants were stratified by gender, age range, and residential area mirroring the Spanish population, and were recruited by an online panel and in community settings. A self-administered online survey was used, including the eHLQ questionnaire as a main measure and sociodemographic information. The digital health literacy level was medium and balanced among the seven eHLQ dimensions (ranging from 2.60 to 2.77 out of 5). The latent class analysis revealed five profiles based on the scores of the dimensions of the eHLQ questionnaire and taking into account age, technology use, and educational level. Access to digital services that work, together with using digital technology to process health information, is the main challenge identified by the participants. National health institutions and policies should focus not only on educating and training in digital skills but also on providing reliable and useful digital health services. This is the first study to provide a comprehensive digital health literacy profile of the Spanish population using the eHLQ questionnaire.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"617-623"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Yacaman Mendez, Ylva Trolle Lagerros, Antonio Ponce de Leon, Per Tynelius, Stefan Fors, Anton Lager
{"title":"Behavioural and metabolic mediators of socioeconomic inequalities in type 2 diabetes: comparing counterfactual and traditional mediation analysis.","authors":"Diego Yacaman Mendez, Ylva Trolle Lagerros, Antonio Ponce de Leon, Per Tynelius, Stefan Fors, Anton Lager","doi":"10.1093/eurpub/ckaf056","DOIUrl":"10.1093/eurpub/ckaf056","url":null,"abstract":"<p><p>There is a well-established social gradient in the occurrence of type 2 diabetes, but the extent to which behavioural or metabolic risk factors explain these inequalities remains unclear. Leveraging data from 7123 adults and over 20 years of follow-up, we used counterfactual mediation analysis to estimate the direct effect of low socioeconomic status (measured as educational attainment and occupational class) on the risk of type 2 diabetes, and the indirect effect through behavioural and metabolic risk factors. Mediators included were smoking, high alcohol consumption, low physical activity, diet low in vegetables or fruits, high body mass index (BMI), high fasting glucose, and hypertension. We compared the results to mediation analysis using the difference and the product of coefficients methods. We found an association between low educational attainment 1.31 (95% CI 1.16, 1.45) and low occupational class 1.24 (95% CI 1.09, 1.38) with future risk of type 2 diabetes. In the counterfactual mediation analysis, behavioural and metabolic risk factors explained 60% (95% CI 41%, 75%) of the effect of low educational attainment and 42% (95% CI 19%, 65%) of the effect of occupational class on the risk of type 2 diabetes. The difference and product of coefficients methods yielded similar results. Well-established behavioural and metabolic mediators explained roughly half of the health inequalities in the incidence of type 2 diabetes. Public health interventions should consider alternative mechanisms to reduce disparities in the incidence of type 2 diabetes.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"605-610"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Riccardo Mazzoli, Anna Laura Santunione, Francesca Marezza, Alessandra Sannella, Francesca Berghenti, Tommaso Filippini, Marco Vinceti, Rossana Cecchi
{"title":"Health status of a migrant population: a survey within an Extraordinary Reception Centre in Parma, Northern Italy.","authors":"Riccardo Mazzoli, Anna Laura Santunione, Francesca Marezza, Alessandra Sannella, Francesca Berghenti, Tommaso Filippini, Marco Vinceti, Rossana Cecchi","doi":"10.1093/eurpub/ckaf076","DOIUrl":"10.1093/eurpub/ckaf076","url":null,"abstract":"<p><p>The steady flow of migrants is an ongoing challenge that requires health systems to adapt to unique health needs and to address inequalities. For this reason, comprehensive screening, early intervention, and culturally sensitive care are vital to improve migrants' health outcomes. We assessed migration history and health status in 536 migrants housed at \"Svoltare ONLUS\", an Extraordinary Reception Centre in Parma (Northern Italy), from 2015 to 2018. The focus was on migration journey characteristics and motivations, and testing for infectious diseases such as hepatitis B (HBV) and C (HCV), HIV, tuberculosis (TB), syphilis, and parasitosis. Migrants were overwhelmingly male (95.9%), with a mean (range) age of 26 (18-50) years. The majority originated from Sub-Saharan Africa (83.2%), with Nigeria as the predominant country. Most migrants entered via Libya (87.1%), disembarking primarily in Southern Italy, particularly Sicily (75.4%). High prevalence rates were found for HBV (48.8%), TB (27.8%), and parasitosis (23.1%), particularly among those from Western Africa. In contrast, HCV (2.61%), chronic hepatitis (5.41%), syphilis (2.99%), and HIV (1.31%) were less common. These trends are consistent with disease epidemiology in migrants' countries of origin as well those visited during the journey. Given the higher prevalence of infectious diseases among migrants compared to the general population in Italy, it is essential to enhance public health measures. This includes implementing timely screening services, targeted surveillance, and prompt treatment upon arrival at reception centers to protect both migrant and community health.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"680-686"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joël Coste, Laurence Mandereau-Bruno, Panayotis Constantinou, Valérie Olié, Anne Thuret, Mathias Bruyand, Tatjana T Makovski, Laure Carcaillon-Bentata
{"title":"Healthcare claims and health interview survey data for chronic disease surveillance: agreement and comparative validity of prevalence indicators for 20 chronic conditions in a general population sample in France.","authors":"Joël Coste, Laurence Mandereau-Bruno, Panayotis Constantinou, Valérie Olié, Anne Thuret, Mathias Bruyand, Tatjana T Makovski, Laure Carcaillon-Bentata","doi":"10.1093/eurpub/ckaf040","DOIUrl":"10.1093/eurpub/ckaf040","url":null,"abstract":"<p><p>Healthcare claims data are increasingly used to derive chronic condition (CC) surveillance indicators, although comparative evidence with self-reported data remains scarce. We explored the agreement and comparative validity (concurrent and predictive) of 20 CC prevalence indicators independently constructed using the French National Health Data System (SNDS) and Health, Health Care, and Insurance Survey (ESPS 2010-2014). Individual data from 5039 ESPS participants aged ≥25 years, representative of the 2010 French general population, were linked to the SNDS. Follow-up data included a 2014 health self-assessment and 5-year mortality. We considered 20 CCs with corresponding SNDS case-identifying algorithms and self-reported information from ESPS, including most cardiovascular diseases and frequent cancers. Kappa statistics assessed agreement between CC indicators across databases. Polytomous and dichotomous logistic regression assessed determinants of disagreement between sources and associations of indicators with health outcomes (concurrent and predictive validity). Prevalence values were much higher with survey data except for hypertension, diabetes, thyroid disorders, epilepsy, and most cancers for which they were closer (±20%) to claims data. Agreement between CC indicators varied from the strongest (hypertension, diabetes, thyroid disorders, most cancers) to the weakest (cardiac rhythm disorders, peptic ulcer, chronic liver diseases). Sex, age, and multimorbidity strongly influenced agreement. Most claims database indicators were more strongly associated with health outcomes. Health interview surveys and healthcare claims-derived indicators are not interchangeable given their specific determinants. Since no general rule applies to all CCs, the advantages and disadvantages of each data source should be closely considered in case-to-case analysis.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"624-634"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tit Albreht, Charlotte Marchandise, Hans Henri P Kluge, Margrieta Langins, Sulakshana Nandi, Melanie Hyde, Tomas Zapata, Ilmo Keskimäki, Floris Barnhoorn
{"title":"Trust, Democracy and Public Health: a fragile pact under pressure.","authors":"Tit Albreht, Charlotte Marchandise, Hans Henri P Kluge, Margrieta Langins, Sulakshana Nandi, Melanie Hyde, Tomas Zapata, Ilmo Keskimäki, Floris Barnhoorn","doi":"10.1093/eurpub/ckaf111","DOIUrl":"10.1093/eurpub/ckaf111","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 4","pages":"806-808"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl
{"title":"Sexually transmitted infections among pre-exposure prophylaxis users in a Swedish multi-centre cohort.","authors":"Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl","doi":"10.1093/eurpub/ckaf034","DOIUrl":"10.1093/eurpub/ckaf034","url":null,"abstract":"<p><p>An additional upsurge in bacterial STIs has been observed in Sweden following HIV pre-exposure prophylaxis (PrEP) implementation. From a prevention perspective, it is of relevance to optimize testing strategies within PrEP programmes to identify those most at risk. An open retrospective longitudinal observational cohort study was performed at three STI clinics in Uppsala, Gothenburg, and Malmö. A questionnaire and journal data regarding STI were collected from a sample of 199 MSM enrolled in the PrEP programmes and providing informed consent. Incident bacterial STIs during follow-up were analyzed with descriptive statistics, Poisson regression, and Cox regression. Median follow-up time was 632 days. A total of 270 gonorrhoea or chlamydia infections were recorded during PrEP follow-up, compared to 194 cases in the 2-year period prior to enrolment, giving an incidence rate ratio (IRR) of 1.56 (CI 95% 1.30-1.89). The testing frequency increased by 75% (IRR 1.69, CI 95% 1.60-1.90). For diagnoses of active syphilis, the increase was 108% (IRR 2.08. CI 95% 1.04-4.06), compared with a 5-year period preceding enrolment. The hazard ratio of time (days) until a first STI after PrEP initiation was 2.87 (CI 95% 1.72-4.80) for those having had a STI prior to PrEP initiation and 2.06 (CI 95% 1.03-4.13) for those reporting experience of group sex in the past year compared with those who had not. STI prior to PrEP initiation and group sex were associated with STI after initiation of PrEP, factors that could be considered if needing prioritizing the frequency of STI screening.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"752-759"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karin Hyland, Anders Hammarberg, Erik Hedman-Lagerlöf, Olle Wiklund, Ingvar Rosendahl, Sven Andreasson, Per Nilsen
{"title":"Addressing alcohol dependence in primary care: longitudinal registry-based study of practitioner activity following new policy and access to training.","authors":"Karin Hyland, Anders Hammarberg, Erik Hedman-Lagerlöf, Olle Wiklund, Ingvar Rosendahl, Sven Andreasson, Per Nilsen","doi":"10.1093/eurpub/ckaf060","DOIUrl":"10.1093/eurpub/ckaf060","url":null,"abstract":"<p><p>The present study aimed to investigate the extent to which two new implementation strategies-a new policy mandating alcohol interventions in primary care and access to online training, impacted alcohol-related clinical activities in primary care in Stockholm. This was a prospective longitudinal register-based study. One hundred twenty-nine primary care clinics in Region Stockholm agreed to provide data. The new healthcare policy was introduced in February 2021. A brief digital training for primary care professionals on managing harmful alcohol use and dependence was launched 10 months later. Seven indicators that reflect alcohol-related clinical activities were obtained from electronic case files: structured documentation on alcohol habits, the AUDIT instrument, ordering of blood tests for biomarkers of heavy drinking, prescription of medicines for alcohol dependence, registered alcohol-related diagnoses, completed advice regarding alcohol use disorder (AUD), and referrals to specialized care. Data from registers were collected before and after the policy and training was available. At baseline low levels of alcohol-related clinical activities were found in primary care. A modest, clinically non-significant increase was seen for all indicators except for frequency of prescription of medicines for alcohol dependence, over the whole follow-up. The digital training was not associated with an increase in alcohol-related clinical activities. While a policy making alcohol interventions mandatory, combined with a training program, has strong support from implementation science, only a modest, clinically non-significant increase in alcohol-related clinical activities was found. Stronger implementation strategies seem necessary to improve management of alcohol dependence in primary care.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"720-725"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Blomqvist, Robin S Högnäs, Kristin Farrants, Emilie Friberg, Linda L Magnusson Hanson
{"title":"Exploring the link between perceived job insecurity and sickness absence for common mental disorders.","authors":"Sandra Blomqvist, Robin S Högnäs, Kristin Farrants, Emilie Friberg, Linda L Magnusson Hanson","doi":"10.1093/eurpub/ckaf023","DOIUrl":"10.1093/eurpub/ckaf023","url":null,"abstract":"<p><p>Perceived job insecurity is associated with poor mental health, but whether it affects sickness absence is not well understood. The present study examines the association between perceived job insecurity and sickness absence due to common mental disorders and whether changes in perceived job insecurity affects the risk of sickness absence due to common mental disorders. Data are from the Swedish Longitudinal Occupational Survey of Health and include those who participated at least once between 2010 and 2020 (n = 24 049). Two different types of analyses were conducted: (1) logistic regression with adjustments for baseline covariates and (2) pooled logistic regression with inverse probability weights, across 5 emulated target trials assessing onsets and/or offsets of job insecurity versus stable security or stable insecurity, on the risk of sickness absence for common mental disorders. Perceived job insecurity was associated with increased odds of sickness absence for common mental disorders over a 2-year period (odds ratio = 1.38, 95% confidence intervals (CI) 1.13-1.68). We found no statistically significant associations for an onset of job insecurity versus being stably secure (risk ratio (RR) 1.484, 95% CI 0.913-2.055) nor for offset versus stable insecurity (RR 0.855, 95% CI 0.308-1.402). The findings from our emulated target trials were, however, uncertain. Findings suggest that perceived job insecurity increases the risk of sickness absence for common mental disorders. The study implies that efforts to increase employee's sense of security may help reduce rates of sickness absence for common mental disorders if job insecurity is reduced long-term.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"650-656"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Smout, Murad Ruf, Maria Buti, Inês Vaz Pinto, Gaia Nebbia, Laura Hunter, Mark A Aldersley, Catarina Esteves, Diogo Medina, Jordi Llaneras, Sam Douthwaite, Emma E Page
{"title":"Blood-borne virus testing in European emergency departments: current evidence and service considerations.","authors":"Elizabeth Smout, Murad Ruf, Maria Buti, Inês Vaz Pinto, Gaia Nebbia, Laura Hunter, Mark A Aldersley, Catarina Esteves, Diogo Medina, Jordi Llaneras, Sam Douthwaite, Emma E Page","doi":"10.1093/eurpub/ckaf103","DOIUrl":"10.1093/eurpub/ckaf103","url":null,"abstract":"<p><p>Innovative testing approaches are needed to meet global targets for the blood-borne viruses (BBVs) HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV). We conducted a systematic review of BBV testing in emergency departments (EDs) in Europe to evaluate prevalence, effectiveness of ED testing and linkage to care (LTC). We searched PubMed, Embase and Cochrane Library for articles on ED BBV testing published between January 2012 and July 2022. Studies conducted outside Europe or prior to 2012 were excluded owing to epidemiological and healthcare service variation, together with studies that did not report core parameters. Reference lists from included articles were manually searched. Seventeen original articles met the inclusion criteria. Seven studies reported on HIV testing only. ED prevalence: HIV Ab, 0.0%-1.1%; HBsAg, 0.2%-0.9%; and HCV RNA, 0.2%-3.9%. BBV testing uptake varied by policy and offer methodology: opt-out, provider-initiated: 9.7%-44.2%; electronic health record (EHR) modification: 52.1%-88.9%; and opt-in, provider-initiated: 3.9%-37.7%. LTC rates were 8.1%-100% and varied by BBV, generally highest for HIV and lowest for HCV. There was variable detail in outcome reporting and description of clinical LTC pathways. ED BBV testing in Europe is feasible and identifies high numbers of infections (including, where reported, new diagnoses and disengaged patients), often among marginalized populations who use open-access EDs for healthcare. Factors associated with higher levels of sustained testing uptake included opt-out testing (vs opt-in), EHR (vs provider-initiated) and integration of community services. We propose a toolkit of components necessary for a high-performing ED BBV testing programme.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"766-773"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}