{"title":"Fecal Immunochemical Tests (FIT) and Focus Groups: Tailoring Bilingual Cancer Screening Education.","authors":"Arman Haveric, Fiyinfolu Balogun, Jaime Gilliland, Bharat Narang, Francesca Gany","doi":"10.1007/s10900-025-01454-w","DOIUrl":"10.1007/s10900-025-01454-w","url":null,"abstract":"<p><p>Virtual focus groups were conducted in English and in French to gather community feedback on colorectal cancer screening education materials, designed for use among immigrant and non-immigrant Black/African-American men in New York City. Participants were recruited from community health fair events, religious and cultural organizations, and an existing Community Advisory Board. Six total focus groups were conducted, four in English and two in French, with a total of 25 participants, until data saturation. Focus groups were audio recorded, transcribed, two were translated from French into English, and analyzed in NVivo software to develop and consolidate themes in participant responses. Focus groups revealed key knowledge gaps about colorectal cancer screening protocols and cancer risk heritability. Discussing racial health disparities may cause offense to some readers. Participants were interested to see root causes for racial health disparities discussed in health promotion material. Virtual focus groups can be used to gather community member feedback on health promotion materials. Real-time simultaneous language interpreting can be used if facilitator and audience do not speak the same language. Health educators should be mindful that the recommended screening age of 45 years for colorectal cancer is not generally known, and that individuals may believe that cancer is contagious. Readers may be offended by references to health disparities. Health educators should test health promotion materials with target audiences to ensure appropriateness and cultural sensitivity.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"712-724"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624946","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}
Nadine Odo, Alyssa Ruffa, Ralph A Gillies, Darra Ballance, Denise Kornegay, Vahé Heboyan
{"title":"Assessing Factors that Influence the Satisfaction of Community-Based Faculty with Precepting Health Professions Students in the State of Georgia.","authors":"Nadine Odo, Alyssa Ruffa, Ralph A Gillies, Darra Ballance, Denise Kornegay, Vahé Heboyan","doi":"10.1007/s10900-025-01464-8","DOIUrl":"10.1007/s10900-025-01464-8","url":null,"abstract":"<p><p>Community-based preceptors provide the clinical training necessary to prepare health professions students for clinical practice. The number of students in need of clinical placement is growing as the number of preceptors declines. The mission of the Georgia Area Health Education Centers is to increase access to primary care services in underserved rural and urban areas by recruiting, training, and retaining health professionals. A survey of preceptors in the State of Georgia was conducted in 2023 to gain insight into motivations for, satisfaction with, and barriers to precepting. Of 11,174 clinicians who had precepted within the past 5 years, 1,270 completed the survey (11% response rate). The survey revealed that, while preceptors reported satisfaction with the precepting experience and impact of students on their practice, they were less satisfied with the incentives provided. Current preceptors were younger, male, and precepted for a longer period of time and for more rotations per year. A regression analysis revealed that satisfaction with precepting was somewhat higher among preceptors who were 60 years old or older, a physician or PA, and practicing in a nonrural clinical site. Satisfaction was also somewhat higher among those who precepted for 2 or fewer years, for 10 or more rotations per year, and intended to continue teaching over the next 5 years. An analysis 114 free-text comments revealed themes that reinforce the concepts of teaching as an enjoyable and rewarding endeavor, the effect of teaching on clinical productivity, and a desire for better compensation for their efforts.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"742-749"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752979","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}
Razan Wibowo, Tobias Weinmann, Dennis Nowak, Yayi Suryo Prabandari
{"title":"Exploring E-Cigarette Use Among Indonesian Youth: Prevalence, Determinants and Policy Implications.","authors":"Razan Wibowo, Tobias Weinmann, Dennis Nowak, Yayi Suryo Prabandari","doi":"10.1007/s10900-025-01442-0","DOIUrl":"10.1007/s10900-025-01442-0","url":null,"abstract":"<p><p>The growing popularity of electronic cigarettes (e-cigarettes) among Indonesian youth presents a new public health challenge in a country with one of the highest tobacco burdens globally. While tobacco control regulations have been implemented, e-cigarettes remain largely unregulated, raising concerns about their health impacts and youth appeal. This study explores the prevalence, determinants and perceptions of e-cigarette use among high school and university students in Indonesia, providing critical insights to inform effective policymaking. A cross-sectional online-based survey was conducted in 2019 among 158 students aged 15-30 years across 17 provinces in Indonesia. Data on tobacco use behaviours, socioeconomic background, social influences and health perceptions were collected. Descriptive and inferential statistical analyses identified key determinants of e-cigarette use. Among the participants, 36.2% reported ever smoking, and 65.2% of these had tried e-cigarettes. Key determinants of e-cigarette use included male gender, urban residency, peer smoking and social acceptance of smoking (all p < 0.05). Notably, participants commonly perceived e-cigarettes as less harmful than combustible cigarettes and helpful for smoking cessation, despite conflicting scientific evidence. Overall, e-cigarette use is prevalent among Indonesian youth, driven by social and environmental factors, as well as misconceptions about safety. Strengthened regulations and targeted public health campaigns are essential to mitigate the health risks posed by e-cigarettes and enhance tobacco control efforts.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"585-595"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374229","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}
Baderinwa Omolade Abatan, Tobiloba Oyejide Alex Omotosho, Paul Bass
{"title":"Prevalence and Factors Associated With Consistent Contraceptive Use among Female Sex Workers in the Greater Banjul Area, The Gambia.","authors":"Baderinwa Omolade Abatan, Tobiloba Oyejide Alex Omotosho, Paul Bass","doi":"10.1007/s10900-025-01455-9","DOIUrl":"10.1007/s10900-025-01455-9","url":null,"abstract":"<p><p>Consistent contraceptive use (CCU) is an important public health intervention for the prevention and spread of STIs, as well as unintended pregnancies and abortions, especially among female sex workers (FSWs). This study determines the prevalence and identifies factors influencing CCU among FSWs in The Gambia. Utilizing a cross-sectional study design with a snowball sampling technique, respondents were recruited from various locations within the Greater Banjul Area. Data was collected using a structured questionnaire with the Research Electronic Data Capture application. Descriptive and logistic regression analyses were used to determine the prevalence and examine factors associated with CCU among FSWs. In total 429 respondents were recruited. More than 23% of FSWs reported CCU with majority being male condoms (95.3%), followed by oral contraceptive pills (56.9%), and Intra-Uterine Contraceptive Devices (54%). Results of the multivariate logistic regression analysis showed that having a boyfriend (aOR = 12.44, 95%CI: 4.30 ~ 35.94), obtaining contraceptives from Worldview International Foundation (aOR = 6.34, 95%CI: 2.21 ~ 18.14) and local pharmacy (aOR = 4.83, 95%CI: 1.75 ~ 13.32), ever used OCP (aOR = 5.82, 95%CI: 2.91 ~ 11.67), ever used natural methods (aOR = 2.26, 95%CI: 1.06 ~ 4.84), negative attitude of boyfriend toward contraceptives (aOR = 0.06, 95%CI: 0.03 ~ 0.13), and having a negative HIV test result (aOR = 0.14, 95%CI: 0.02 ~ 0.80) were significantly associated with CCU among FSWs. The study revealed a low prevalence of CCU among female sex workers in GBA. Associated factors with CCU identified in this study as well as increasing access to and education on the importance of contraceptive use should be considered when planning targeted interventions for increase in CCU uptake.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"682-693"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624953","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}
{"title":"The Role of Family as a Source of Health Information Among College Students.","authors":"Karthika S Cohen, Dawn Fallik, Anne R Cappola","doi":"10.1007/s10900-025-01448-8","DOIUrl":"10.1007/s10900-025-01448-8","url":null,"abstract":"<p><p>The internet has increasingly become a major source of health information, especially for college-age adults, who spend a significant amount of time online. This article investigates sources used by US college students to acquire health information. College students aged 18-25 years old (n = 189) from 18 colleges were surveyed between November 2022 and February 2023. The survey was conducted using the online survey platform SurveyMonkey. Participants were asked to select their main sources of health information under three different categories: general medical, mental health, and Covid-19 related information. Survey data were analyzed using Microsoft Excel. The survey found that parents/guardians, the internet, and medical providers were the top information sources in each category. Although previous surveys have shown that the internet is the main source of health information for most adults, when asked about their primary source of information, college-age adults reported predominantly relying on family for general medical information. However, they turned to online sources for mental health information, with Instagram as the top social media resource. The internet was the primary source for Covid-19 information. These data suggest that including parents in health messaging for college- age adults could help with dissemination of health information to this age group particularly when addressing general medical information such as vaccines, medical care and seasonal illnesses like flu. They also suggest that this group seeks alternative sources-like peers and social media- for topics that have associated stigma, such as mental health. Providing shareable resources with mental health information through college communication programs and networks may help disseminate accurate information to students.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"613-622"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476645","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}
Katherine A Lewis, Protim Ray, Emma Janibekyan, Niharika Kaushik, Darshna Anigol, Denise Tieu, Zhenyi Luo, Leonel Hernandez, Asim Sen, Suchith Kumar, Anne E Fehrenbacher, Dallas Swendeman
{"title":"The Impact of the COVID-19 Pandemic and Lockdowns on Sex Workers in West Bengal, India.","authors":"Katherine A Lewis, Protim Ray, Emma Janibekyan, Niharika Kaushik, Darshna Anigol, Denise Tieu, Zhenyi Luo, Leonel Hernandez, Asim Sen, Suchith Kumar, Anne E Fehrenbacher, Dallas Swendeman","doi":"10.1007/s10900-025-01452-y","DOIUrl":"10.1007/s10900-025-01452-y","url":null,"abstract":"<p><p>India's COVID-19 lockdowns were among the strictest globally, and sex workers were uniquely impacted. Extremely limited literature has examined pandemic consequences on sex workers. We use a qualitative approach to examine the impact of the COVID-19 pandemic and lockdowns on the lives and livelihoods of sex workers in urban West Bengal, India. Cisgender female and male, and transgender female sex workers (N = 40) participated in individual in-depth interviews. Interviews were coded using inductive thematic coding. Nine themes arose from the data: (1) COVID-19 pandemic and lockdowns, (2) Social isolation, (3) Lack of customers, (4) Financial stress, (5) Decreased negotiating power, (6) Food insecurity, (7) Receiving support, (8) Providing support, and (9) Mental health. We propose a Gendered Stress Proliferation Model incorporating Pearlin et al.'s 1997 conceptualization of stress proliferation and Swendeman, Fehrenbacher et al.'s 2018 gendered stress process model. In this model, primary stressors of COVID-19 pandemic and lockdowns proliferated into secondary stressors across multiple domains (social isolation, lack of customers, financial stress, food insecurity, reliance on support, decreased negotiating power). All of these pathways were shaped by pre-existing vulnerabilities and systems of intersectional marginalization. These stressors had significant mental health impacts including feelings of depression and anxiety. Food insecurity has implications for physical health outcomes, and financial stress coupled with decreased negotiating power has implications for sexual health, potentially placing sex workers at increased risk of sexually transmitted infections and HIV. Gendered Stress Proliferation may be a useful framework to examine how marginalized populations uniquely experience population-level crises.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"668-681"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597117","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}
Ashley Sherrill, Kimberly Wiggins, Tristen L Hall, Douglas H Fernald, L Miriam Dickinson, Gillian Grant, Hannah M Groves, Sarah Lampe, W Perry Dickinson, Matthew J Simpson
{"title":"Colorado's Health Extension Response to the COVID-19 Pandemic: A Multi-method Evaluation.","authors":"Ashley Sherrill, Kimberly Wiggins, Tristen L Hall, Douglas H Fernald, L Miriam Dickinson, Gillian Grant, Hannah M Groves, Sarah Lampe, W Perry Dickinson, Matthew J Simpson","doi":"10.1007/s10900-025-01458-6","DOIUrl":"10.1007/s10900-025-01458-6","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the activities and impact of Colorado's health extension agents' Regional Health Connectors (RHC) in response to the COVID-19 pandemic. Health extension is gaining momentum across the U.S. with a focus on primary care practice transformation, quality improvement, and broader community health. RHCs aim to increase clinical-community alliances, particularly related to the social determinants of health. During the COVID-19 pandemic, RHC roles drastically shifted, prompting quick responses to address community needs in a public health crisis. We conducted longitudinal, twice-monthly surveys with both quantitative and qualitative responses to better understand which needs RHCs were responding to and how they were responding in communities, primary care practices, and public health organizations. Nine electronic surveys were sent to RHCs from April to August 2020: eight standardized questionnaires administered every two weeks and one final retrospective questionnaire. Analyses using mixed effects logistic model and grounded theory approaches explored the nature of RHC-partner interactions and perceived impacts. Within each region, RHCs worked with primary care practices, local public health agencies, and community organizations to help coordinate the COVID-19 response. Broadly speaking, RHCs assisted with COVID-19 testing and contact tracing, communicated the latest information and recommendations to numerous partners, assisted practices and organizations in addressing social needs, and worked to enhance access to mental health and telehealth services. Partner needs were significantly related to the RHCs host organization. This highlights the roles that health extension programs may play during a public health emergency, such as the COVID-19 pandemic.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"700-711"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624942","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}
Rovingaile Kriska M Ponce, Karina Verma, Katherine Gergen-Barnett, Kimberly Brimhall, Naomi Y Ko
{"title":"A Review of Medical Mistrust Across the Cancer Continuum of Care and Current Interventions.","authors":"Rovingaile Kriska M Ponce, Karina Verma, Katherine Gergen-Barnett, Kimberly Brimhall, Naomi Y Ko","doi":"10.1007/s10900-025-01462-w","DOIUrl":"10.1007/s10900-025-01462-w","url":null,"abstract":"<p><p>Cancer disparities among populations in the United States are a persistent and ongoing challenge. Medical mistrust (MM), or the tendency to distrust individuals and systems even at the cost of one's own well-being, has been implicated in contributing to worse health outcomes. Thus, understanding the relationship between MM and cancer care disparities may inform effective interventions to improve outcomes for all. We conducted a two-step review: (1) a standard review to examine the relationship between MM and the cancer continuum of care, and (2) a systematic review to assess interventions targeted to mitigate MM in cancer care. The standard review included eleven studies, which revealed that MM impacted cancer screening, treatment adherence, clinical trial participation, and access to social support. Key mediators of MM included patient-provider discordance, health-related and sociodemographic-related discrimination, perceptions of Western medicine, low quality care, and health insurance. Our systematic review yielded twelve interventions-67% tailored towards screening, 17% towards patient navigation services, and 17% towards clinical trial participation. Key methods included adapting patient-centered (e.g. gathering patient perspectives, increasing racial and ethnic representation) and community-based approaches (e.g. use of churches and training family members to disseminate patient education) to overall create culturally tailored interventions against MM across the cancer continuum of care.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"750-760"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692350","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}
{"title":"A Pioneer in Occupational Medicine and Safety: P. J. Imperato, M.D. (1894-1969).","authors":"Pascal James Imperato","doi":"10.1007/s10900-025-01478-2","DOIUrl":"10.1007/s10900-025-01478-2","url":null,"abstract":"<p><p>Occupational medicine and safety are now very well-established specialties world-wide. They bring together the essentials of clinical medicine and public health. However, the adoption of the principles of occupational medicine and safety was a long process in which both indifference and opposition had to be overcome. A leading pioneer in these fields, P.J. Imperato, MD, launched remarkable initiatives in the workplace some seventy years ago. He did so in the fields of heavy and marine construction. He first entered the field of occupational medicine in the late 1930's when he served as the physician for the Sullivan Drydock and Repair Corporation, a ship yard in Brooklyn, New York. Some ten years later he was appointed Director of the Medical and Safety Department of the Merritt-Chapman and Scott Corporation (MC&S). His comprehensive initiatives led to measurable positive outcomes through a process of formative assessment. These assessments focused on injuries and deaths. As a result of the initiatives he implemented in a high-risk heavy construction industry, injuries and deaths statistically declined leading to savings in workers' compensation and liability insurance payments. Imperato achieved all of this in the context of the high-risk construction of bridges, dams, tunnels, and housing developments by one of the leading construction companies in the United States.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"569-576"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142666","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}
{"title":"New York City Faith-Based Leaders' Views on COVID-19's Impact on the Mental Health Needs of Black/African American Communities.","authors":"Nicole Roberts-Eversley, Tecora Williams, Raúl Hernández, Kathleen A Lynch, Yumeng Wu, Gabriela Rebollo, Fariha Haider, Udeme Udom, Francesca Gany, Erica Lubetkin","doi":"10.1007/s10900-025-01443-z","DOIUrl":"10.1007/s10900-025-01443-z","url":null,"abstract":"<p><p>This investigation sought to understand the mental health needs of Black/African Americans during the COVID-19 pandemic and explore the church leaders' perspectives and experiences in supporting the mental health of their communities during this time. This exploratory qualitative study uses semi-structured interviews with 21 church leaders from predominantly Black neighborhoods in Brooklyn and Harlem, New York City (NYC), which were most adversely impacted by COVID-19. Neighborhoods were selected based on COVID-19 infection and mortality data from the NYC Department of Health. Transcripts were coded and thematically analyzed using Dedoose software. Four overarching themes and one subtheme emerged: (1) The COVID-19 pandemic amplified underlying community quality of life challenges, creating a \"downward cascade\" of mental health, (1a) COVID-19 is a source of collective grief and trauma; (2) Faith-based leaders play a key role in providing mental health support to their community; (3) Faith-based leaders seek strategies to reduce mental health stigma, normalize conversations around mental health; and (4) Faith-based leaders often operate in isolation from citywide mental health services, disconnected from existing programs and resources. Leaders anticipate a higher demand for mental health services. On the road to emotional wellness post-pandemic, public awareness of symptoms of mental health issues must be emphasized and available resources utilized to reduce stigma and encourage help-seeking behavior. Addressing these implications requires comprehensive multi-sector community driven efforts that include collaboration with faith-based communities to support community resilience and improve mental healthcare access.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"623-637"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537269","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}