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Accessing the Impact of TikTok's Algorithm on Regional Inequality in Health Information. 获取 TikTok 算法对地区卫生信息不平等的影响。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-10-14 DOI: 10.1080/10410236.2024.2414882
Jinhui Li, Wen Shi
{"title":"Accessing the Impact of TikTok's Algorithm on Regional Inequality in Health Information.","authors":"Jinhui Li, Wen Shi","doi":"10.1080/10410236.2024.2414882","DOIUrl":"10.1080/10410236.2024.2414882","url":null,"abstract":"<p><p>This study aims to audit the potential algorithmic bias in TikTok's health-related video recommendation toward geographically diverse groups in China. We employed 120 cloud phones and conducted two agent-based testing experiments simulating users' geographical locations and online behaviors. The results indicated significant regional inequality in video sources recommended by the TikTok algorithm, <i>t</i>(118) = 3.02, <i>p</i> = .003, with users from developed cities encountering a higher proportion of professional videos than those from underdeveloped cities. However, when users from both regions expressed a similar preference for the same type of information, an equal proportion of professional videos was recommended. Our findings suggest that widely used algorithms may covertly perpetuate social inequities and reinforce preexisting class-based inequalities, particularly affecting vulnerable population from low-income regions. This study also highlights the importance of enhancing eHealth literacy among disadvantaged users to mitigate problematic outcomes in the AI-based communication landscape.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1636-1644"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Communicating Probabilities of Cervical Cancer Screening Results with Icon Arrays or Tree Diagrams: A Longitudinal Experiment. 用图标阵列或树形图传达宫颈癌筛查结果的概率:纵向实验
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-11-11 DOI: 10.1080/10410236.2024.2421612
Yasmina Okan, Eric R Stone, Dafina Petrova, Wändi Bruine de Bruin
{"title":"Communicating Probabilities of Cervical Cancer Screening Results with Icon Arrays or Tree Diagrams: A Longitudinal Experiment.","authors":"Yasmina Okan, Eric R Stone, Dafina Petrova, Wändi Bruine de Bruin","doi":"10.1080/10410236.2024.2421612","DOIUrl":"10.1080/10410236.2024.2421612","url":null,"abstract":"<p><p>Simple graphical displays such as icon arrays and tree diagrams have been proposed for communicating health risks and supporting informed decisions. The UK's National Health Service (NHS) uses tree diagrams to communicate the chances of different cervical cancer screening results, but their effectiveness has not been compared to icon arrays. We conducted a well-powered longitudinal experiment involving 3,100 UK women eligible for cervical screening (25-64 years) to examine the effectiveness of icon arrays to communicate possible cervical screening results, relative to the UK NHS's tree diagram and to a numerical-only format. We also examined whether the presence (vs. absence) of explanatory text referring to different types of results (i.e. distinguishing between HPV positive results with vs. without abnormal cervical cells) moderated effects of presentation format. Presentation format did not affect verbatim or gist knowledge of probabilities at initial assessment (i.e. immediately after participants viewed the displays), but icon arrays were associated with better gist knowledge of absolute magnitudes than tree diagrams and numerical-only formats at 1-month follow-up. Participants exposed to icon arrays also perceived lower likelihood of adverse screening results and reported stronger screening intentions at initial assessment. For displays without explanatory text, icon arrays were also associated with more positive user evaluations and less negative affective reactions than tree diagrams at initial assessment. Overall, our findings suggest that icon arrays support enduring knowledge of approximate magnitudes of probabilities and are better suited than tree diagrams for communicating possible screening results.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1757-1769"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hero-Making in Chinese and U.S. News During COVID-19: The Warrior and Leader Images of Zhong Nanshan and Anthony Fauci. COVID-19 期间中美新闻中的英雄塑造:钟南山和安东尼-福奇的战士和领袖形象。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-11-07 DOI: 10.1080/10410236.2024.2419703
Jing Jiang, Zhuo Ban, Weiwei Jiang
{"title":"Hero-Making in Chinese and U.S. News During COVID-19: The Warrior and Leader Images of Zhong Nanshan and Anthony Fauci.","authors":"Jing Jiang, Zhuo Ban, Weiwei Jiang","doi":"10.1080/10410236.2024.2419703","DOIUrl":"10.1080/10410236.2024.2419703","url":null,"abstract":"<p><p>The COVID-19 pandemic posed significant challenges to global health and raised important questions about social coordination. Amidst the crisis, discursive constructions of national heroes proliferated in Chinese and U.S. mainstream news media and played a crucial role in exercising social control and influence. From a comparative perspective, this article examines the structure and functions of heroic discourses and explores the similarities and differences of heroism across national borders. Specifically, we interrogate news reports on Zhong Nanshan and Anthony Fauci, two medical experts who emerged as prominent heroes in China and the U.S. respectively. Adopting a qualitative approach, we identify two central images in the construction of Zhong and Fauci as national heroes. One is \"the warrior,\" which illuminates the heroic qualities of determination, bravery, altruism, and perseverance. The other is \"the leader,\" which shows Zhong and Fauci's pioneering roles and abilities in attracting followers. Intermingled with these two images are themes of moral excellence and exceptionalism. The most salient difference in the hero-making is that Zhong assumes a \"supported hero\" while Fauci assumes a \"contested hero.\" Overall, despite nuances shaped by socio-political contexts, Chinese and U.S. media share quite similar narrative structures in making national heroes during the pandemic.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1721-1731"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uncertainty Management in Chinese Mainstream Media's Health Communication on Weibo After COVID-19 Policy Shifts: A Discursive Exploration. 新冠肺炎政策转变后中国主流媒体微博健康传播的不确定性管理:话语探索
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-12-12 DOI: 10.1080/10410236.2024.2423113
Jie Xia
{"title":"Uncertainty Management in Chinese Mainstream Media's Health Communication on Weibo After COVID-19 Policy Shifts: A Discursive Exploration.","authors":"Jie Xia","doi":"10.1080/10410236.2024.2423113","DOIUrl":"10.1080/10410236.2024.2423113","url":null,"abstract":"<p><p>Given the influence of emotional management on social media in public health communication, examining the discursive strategies employed in health-crisis communication is crucial. Using the Weibo posts of the <i>People's Daily</i> as a data source, this study analyzes the discursive strategies and resources employed by the mainstream media to address uncertainties pertaining to a 2022 shift in COVID-19 policy. The findings reveal that the mainstream media use both informational and emotional strategies, expressing various epistemic stances and promoting positivity while countering negativity. This study recommends that, in health-crisis contexts, mainstream media actively manage uncertainty by expressing their epistemic stance while also employing emotional governance techniques to provide reliable information and emotional support on social media. The present research broadens the understanding of uncertainty management in the context of the mainstream media's public health communication on social media and provides innovative crisis communication recommendations to enhance the effectiveness of health communication and risk management.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1782-1809"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Health Communication and Conversation Analysis: A Scoping Review. 膳食健康交流与对话分析:范围综述》。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-10-16 DOI: 10.1080/10410236.2024.2414154
Heidi M Meyer, Katie Ekberg, Genevieve N Healy, Germaine Stockbridge, Sjaan R Gomersall
{"title":"Dietary Health Communication and Conversation Analysis: A Scoping Review.","authors":"Heidi M Meyer, Katie Ekberg, Genevieve N Healy, Germaine Stockbridge, Sjaan R Gomersall","doi":"10.1080/10410236.2024.2414154","DOIUrl":"10.1080/10410236.2024.2414154","url":null,"abstract":"<p><p>Globally, many people don't eat a healthy diet despite policies and public health frameworks deployed to improve dietary status. Healthy diets can prevent, manage, and even reverse chronic disease, highlighting the importance of health professionals addressing healthy diets in clinical consultations. Conversation analysis (CA) is a method that can be used to understand dietary talk in these clinical consultations; however, it is unclear to what extent CA has been used for this purpose. Using PRISMA guidelines, a scoping review was conducted with the aim of identifying and summarizing research where CA was used to examine the dietary health conversations between health professionals and adults. A systematic search resulted in 4161 articles retrieved, with 13 studies meeting inclusion criteria. Included studies used CA to examine a variety of phases of dietary health encounters, including dietary assessment, advice-giving and resistance to this dietary advice, and dietary (lifestyle) behavior change negotiations, with <i>n</i> = 6 using audio or video recording, respectively. Studies were conducted in seven countries and across primary, secondary, and tertiary settings. We highlighted that dietary talk, irrespective of purpose (e.g., evaluation, assessment, or persuasion [e.g., behavior change]), is under-researched within the CA field. This is a need for further research using CA on dietary talk across a range of settings, conditions, populations, and talk purposes to understand how health professionals impact patient dietary behaviors. Such understanding has the potential to contribute to the improvement of dietary health communication approaches and patient outcomes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1626-1635"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Family Caregiver's Self-Initiated Expressions of Concern: Prevalence, Content, Emotional Implication, and Opportunity for Doctor's Empathic Responses in Chinese Pediatric Primary Care. 理解家庭照顾者自我主动表达的关注:了解中国儿科初级保健中家庭照顾者自我主动表达的关注:普遍性、内容、情感暗示以及医生做出移情反应的机会。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-10-21 DOI: 10.1080/10410236.2024.2419701
Nan Christine Wang
{"title":"Understanding Family Caregiver's Self-Initiated Expressions of Concern: Prevalence, Content, Emotional Implication, and Opportunity for Doctor's Empathic Responses in Chinese Pediatric Primary Care.","authors":"Nan Christine Wang","doi":"10.1080/10410236.2024.2419701","DOIUrl":"10.1080/10410236.2024.2419701","url":null,"abstract":"<p><p>Despite the significance of patient expressions of concern in medical interaction, existing research has found that doctors often fail to respond to them or even overlook them. Based on a dataset of video-recorded naturally occurring medical conversations in Chinese pediatric primary care, this study aims to systematically investigate the expressions of concern initiated by the family caregivers of pediatric patients and the responses of doctors. The results show that family caregivers actively initiate expressions of concern, covering a wide range of topics. Doctors respond to these concerns in 68.8% of the cases, while the rest are interrupted, ignored, or minimally acknowledged. In addition, as commonly found in other clinical and cultural contexts, family caregivers rarely express their emotional distress explicitly but rather indicate their underlying emotions implicitly. These findings suggest that a better understanding of the full range of family caregiver's self-initiated expressions of concern and their complexities provide important opportunities for doctors to identify and respond to them empathically.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1710-1720"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who is Willing to Learn About Inequality? Predictors of Choice Exposure to Messaging About Racial Disparities in Air Pollution Effects Among Black and White U.S. Residents. 谁愿意了解不平等?美国黑人和白人居民选择接触有关空气污染影响种族差异信息的预测因素。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-10-28 DOI: 10.1080/10410236.2024.2419192
Cassandra L C Troy, Chris Skurka, Helen H Joo, Rainer Romero-Canyas
{"title":"Who is Willing to Learn About Inequality? Predictors of Choice Exposure to Messaging About Racial Disparities in Air Pollution Effects Among Black and White U.S. Residents.","authors":"Cassandra L C Troy, Chris Skurka, Helen H Joo, Rainer Romero-Canyas","doi":"10.1080/10410236.2024.2419192","DOIUrl":"10.1080/10410236.2024.2419192","url":null,"abstract":"<p><p>Widespread public awareness is needed to address health disparities and push for effective and equitable solutions. However, in a high choice media environment, this can only be achieved to the extent that people opt to consume disparity messaging. Drawing on theories of selective exposure, the present research uses a pre-registered online study conducted with U.S. adult participants to examine identity-based predictors of choice exposure to a racial disparity message about the health consequences of air pollution. Findings indicate that racial identity and environmental justice awareness are key predictors of disparity message selection, likely motivated by information utility and a bias toward congenial information. Altogether, results underscore the difficulty of raising awareness of disparities beyond impacted or already well-informed groups and highlight the need to examine more creative messaging strategies in order to broaden public awareness.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1672-1683"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"There's Going to be a Tipping Point Where I'm Not Gonna Be Able to Work": Communicative Resilience Amidst Precarity in the Careers of Individuals with Autoimmune Diseases. "我将面临无法工作的临界点":自身免疫性疾病患者职业生涯中的沟通抗逆力(Precarity Amidst Communicative Resilience in the Careers of Individuals with Autoimmune Diseases)。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-10-28 DOI: 10.1080/10410236.2024.2421609
Willow Craine, Bianca Siegenthaler, Jared V Worwood, Patrice M Buzzanell
{"title":"\"There's Going to be a Tipping Point Where I'm Not Gonna Be Able to Work\": Communicative Resilience Amidst Precarity in the Careers of Individuals with Autoimmune Diseases.","authors":"Willow Craine, Bianca Siegenthaler, Jared V Worwood, Patrice M Buzzanell","doi":"10.1080/10410236.2024.2421609","DOIUrl":"10.1080/10410236.2024.2421609","url":null,"abstract":"<p><p>Throughout their career, people living with autoimmune diseases must navigate workplace precarity amidst ongoing disruptions to health and wellbeing. Informed by the communication theory of resilience (CTR), we conduct semi-structured, narrative interviews with 25 individuals living with autoimmune diseases to examine their career-related disruptions and communicative resilience enactments. Data analysis reveals two major themes: (1) disability as a discursive-material disruption and (2) career-triggering illness complications. Theoretically, our findings extend anticipatory and adaptive-transformative CTR tensions through the moment-to-moment disruptions that intersect this community's careers and health journeys. Practically, we seek to re-imagine workplace accommodations and disability to better meet both the health and work needs of stigmatized and chronically ill individuals, such as individuals with autoimmune diseases.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1744-1756"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Narrative Force: How Science and Storytelling Impact Parental Concussion Beliefs and Intentions Through Transportation and Trust. 叙事力量:科学和故事如何通过交通和信任影响家长的脑震荡信念和意向。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-11-05 DOI: 10.1080/10410236.2024.2424054
Jesse Abdenour, Autumn Shafer
{"title":"Narrative Force: How Science and Storytelling Impact Parental Concussion Beliefs and Intentions Through Transportation and Trust.","authors":"Jesse Abdenour, Autumn Shafer","doi":"10.1080/10410236.2024.2424054","DOIUrl":"10.1080/10410236.2024.2424054","url":null,"abstract":"<p><p>Although news and entertainment coverage of sports concussions has increased in recent years, many parents of adolescent athletes remain indifferent to or unaware of practices that would mitigate concussion harm. This experiment with U.S. parents of 10- to 17-year-olds (<i>N</i> = 502) explores how narratives and expository concussion science could be used together to increase concussion risk assessments, mitigation intentions, and support for sports concussion policy. Direct and indirect relationships through narrative transportation and trust are explored.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1837-1850"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Do You Yourself Have Any Idea What is Going On?": Invitations for Lay Diagnosis in Dutch Primary Care Physiotherapy. "你自己知道发生了什么吗?荷兰初级医疗物理治疗中的非专业诊断邀请函》。
IF 3 3区 医学
Health Communication Pub Date : 2025-08-01 Epub Date: 2024-11-07 DOI: 10.1080/10410236.2024.2423115
Lourens E Kraft van Ermel, Jana H M Declercq, Mike Huiskes
{"title":"\"Do You Yourself Have Any Idea What is Going On?\": Invitations for Lay Diagnosis in Dutch Primary Care Physiotherapy.","authors":"Lourens E Kraft van Ermel, Jana H M Declercq, Mike Huiskes","doi":"10.1080/10410236.2024.2423115","DOIUrl":"10.1080/10410236.2024.2423115","url":null,"abstract":"<p><p>Lay perspectives are important in the recovery of patients with nonspecific pain as they influence levels of pain and patients' pain experiences. Although previous interactional research has focused on patients' unsolicited attempts to share their perspectives, health professions also employ specific techniques to solicit them. Physiotherapists are recommended to assess lay perspectives and include them in treatment. One way to do so is through invitations for lay diagnosis (this paper). However, little is known about how lay perspectives are constructed through these invitations and how physiotherapists follow up on them. In this study, physiotherapy intakes were analyzed using conversation analysis. We found that invitations for lay diagnosis are frequently embedded in previous health care visits or patients' knowledge gathering activities. Patients often express low epistemic status when they construct their lay perspectives and engage in lay diagnostic activity in response to these invitations. Additionally, physiotherapists' responses in the third position, such as follow-up questions, may influence the further development of patients' lay perspectives. These invitations provide patients an opportunity to share their views on their health issues, but also create an interactional challenge due to the reversal of usual epistemic dynamics. The study highlights the complexity of doing lay diagnosis, which can include diagnoses or explanations of varying specificity. The specificity and elaboration of these perspectives are influenced by the physiotherapists' subsequent responses. We provide recommendations for healthcare professionals to facilitate lay diagnosis, and our findings contribute to the discussion around patient empowerment, shared decision making, and patient centered care.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1823-1836"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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