Journal of Community Health最新文献

{"title":"Community Health Workers' Roles and Challenges in Wisconsin: A Mixed-Methods Study.","authors":"M Muska Nataliansyah, Ronald Anguzu, Sandra C Iregbu, Mukul Sharda, Tasmia Amjad, Pinky Jha, Harvey Padek, David Nelson, Staci Young, Sanjay Bhandari","doi":"10.1007/s10900-026-01601-x","DOIUrl":"10.1007/s10900-026-01601-x","url":null,"abstract":"<p><p>Community health workers (CHWs) play a critical role in addressing social determinants of health and bridging gaps between communities and healthcare systems, yet limited research has examined how CHWs perceive their roles, integration within healthcare systems, and implementation challenges within specific state-level contexts. We conducted a sequential mixed-methods study consisting of an anonymous statewide online survey of CHWs in Wisconsin followed by two virtual focus group discussions. Survey data were analyzed descriptively. Focus group transcripts were analyzed using team-based inductive thematic analysis. Forty CHWs completed the survey, most of whom were female (98%) and worked in community-based or nonprofit settings. Participants commonly provided advocacy, health education, referrals to services, and navigation of social needs, with focus on chronic disease, mental and behavioral health. Although 84% rated their impact on patient outcomes as high to very high, 74% reported low to neutral levels of professional recognition. Major challenges included lack of funding, limited professional recognition, and inadequate resources. Five qualitative themes emerged: multifaceted CHW roles, bridging healthcare systems and communities, persistent structural barriers, navigating professional identity and recognition, and sustaining commitment amid limited institutional support. Despite high perceived impact, CHWs in Wisconsin experience limited recognition, funding instability, and inconsistent integration into healthcare systems. Addressing these barriers through professional pathways and sustainable financing mechanisms is essential to strengthening CHW workforce integration and long-term system impact.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"828-837"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148447511","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 HIV/AIDS Epidemiological Challenges: Why is HIV Incidence Rising While AIDS Incidence and Mortality are Declining in Brazil?","authors":"Henrique Fernando Lopes-Araujo, Maria Carolina Santos Guedes, Wlisses Henrique Veloso Carvalho-Silva, Rafael Lima Guimarães","doi":"10.1007/s10900-026-01590-x","DOIUrl":"10.1007/s10900-026-01590-x","url":null,"abstract":"<p><p>HIV/AIDS remains a public health challenge in Latin America, and Brazil has emerged as a global reference for effective epidemiological control through its comprehensive public health response. This study investigated epidemiological trends in Brazil from 2015 to 2024, including HIV and AIDS incidence, AIDS-related mortality, time from diagnosis to antiretroviral therapy initiation, CD4 + T cell counts at diagnosis, and viral suppression. We aimed to evaluate progress in HIV/AIDS management, identify persistent gaps requiring improvement, and explore potential determinants associated with AIDS incidence and mortality to inform future policy and programmatic actions. During this period, AIDS incidence and AIDS-related death rates declined, but the HIV incidence rate increased. The percentage of people living with HIV initiating treatment within 30 days after diagnosis increased from 28 to 63%, while the proportion initiating treatment more than 6 months after diagnosis decreased substantially from 35 to 10%. Viral suppression among people living with HIV and CD4 + T cell counts at diagnosis remained relatively stable. Moreover, we observed a strong negative correlation between treatment initiation within 30 days and the AIDS incidence rate (r = -0.8147; p = 0.0075), as well as a very strong negative correlation with the AIDS-related death rate (r = -0.9564; p < 0.0001). Therefore, Brazil reduced AIDS incidence and mortality through earlier treatment initiation and sustained viral suppression. However, persistently high HIV incidence remains a challenge, requiring intensified prevention campaigns, stigma reduction, and targeted interventions in high-risk populations.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"785-794"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277567","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":"Trust, Participation, and Power: Community Perspectives from the Equity in Public Health Initiative.","authors":"Shaniece Criss, Roger S Abim-Karmon, Jody Teel, Vanessa Rodríguez, Adia Bennon, Sally Wills, Sarah Gonzales, Dalmondeh D Nayreau, Vaishnavi Bharadwaj, Hannah G Kim, Jennifer Woollery, Melissa L Fair","doi":"10.1007/s10900-026-01612-8","DOIUrl":"10.1007/s10900-026-01612-8","url":null,"abstract":"<p><p>Health disparities arise from unequal power relations shaping resource allocation, governance, and community agency. Community power is a key mechanism for addressing disparities. This study examines how visible, hidden, and invisible power operate within a U.S. county to inform inclusive governance. We conducted seven focus groups with Black and Hispanic residents (n = 68) and sixteen semi-structured interviews with elected officials, government staff, and advocacy leaders in Greenville County, South Carolina. Data were collected between March and December 2024. Transcripts were collaboratively coded in NVivo and analyzed using thematic analysis guided by Heller et al.'s Three Faces of Power framework. Visible power appeared through inequitable resource distribution, limited transparency, and barriers to civic participation. Hidden power functioned through faith based organizations, schools, nonprofits, and social media, connecting residents with decision makers. Invisible power reflected how socioeconomic status, race and ethnicity, immigration, and language shaped perceptions of agency and trust. Participants called for participatory structures that move beyond consultation toward shared authority and sustained engagement. Strengthening community power through structural reforms, inclusive governance practices, and targeted civic engagement may improve health outcomes and reduce disparities. Future research should examine scalable co-governance models.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"905-919"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578673","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":"Social Identities and Vaccine Exemptions in the United States: The Role of Religiosity, Partisanship, and Vaccine Hesitancy.","authors":"Matthew R Boyce, Christine Crudo Blackburn, Syeda Sharmin Duza","doi":"10.1007/s10900-026-01597-4","DOIUrl":"10.1007/s10900-026-01597-4","url":null,"abstract":"<p><p>Nonmedical vaccine exemptions are increasingly common in the United States and threaten population immunity levels in children. While vaccine hesitancy and pediatric vaccination coverage in the United States have been extensively researched, work focused on vaccine exemptions remains relatively limited. The objectives of this study are to examine associations between parental religious, partisan, and vaccine-hesitant social identities and vaccine exemptions. A national, cross-sectional survey was conducted from August 20 through September 9, 2025. Parents and legal guardians of children five years of age or younger were recruited from an online panel and asked if their child had ever missed a vaccination due to a medical or nonmedical vaccine exemption. A total of 1,042 respondents were included in the data analysis, 72 of whom reported that their child did not receive a vaccine due to a nonmedical exemption. The prevalence of nonmedical vaccine exemptions differed significantly according to respondent race, partisanship, religiosity, and vaccine-hesitant identity. Multiple logistic regression modeling produced significant associations between nonmedical exemptions and race, education, religiosity, and vaccine-hesitant identity. These findings reinforce previously identified predictors of vaccine hesitancy in the United States but also extend the evidence base by explicitly examining predictors of vaccine exemptions.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"865-876"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578854","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":"Online Information as a Double-Edged Sword: A Multilevel Analysis of Vaccination Skepticism Based on ISSP 2021.","authors":"Alexander Helbing, Juliane Heise, Sophie Redlin, Peter Kriwy","doi":"10.1007/s10900-026-01599-2","DOIUrl":"10.1007/s10900-026-01599-2","url":null,"abstract":"<p><p>This study examines the relationship between internet use and vaccine scepticism, focusing on the ambivalent role of digital information environments and digital health literacy (DHL). While the internet provides easy access to vaccination-related information, frequent internet use may also increase exposure to misinformation and disinformation. Accordingly, both positive and negative effects of internet-based information seeking are hypothesized. In contrast, higher levels of DHL are expected to reduce vaccine scepticism. The study also investigates the influence of healthcare system quality, measured through both subjective satisfaction with the healthcare system and an objective indicator of healthcare quality. The hypotheses are tested using data from the International Social Survey Programme (ISSP) 2021, employing multilevel logistic regression models based on N = 48,538 respondents. The results reveal a non-linear relationship between internet use and vaccine scepticism. Individuals without internet access as well as those who search very frequently for vaccination-related information online exhibit higher levels of scepticism. In addition, low DHL is consistently associated with greater vaccine scepticism, suggesting that the ability to critically evaluate online health information is as important as access itself. Furthermore, dissatisfaction with the healthcare system and lower national healthcare quality are linked to more sceptical attitudes toward vaccination. These findings highlight the internet as both an opportunity for health education and a potential source of misinformation. Public health strategies should therefore ensure equitable access to reliable vaccination information while strengthening digital health literacy and individuals' critical evaluation skills.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"844-853"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470962","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":"Finding Balance: Insights from Mexican Heritage Families on Living a Healthy Lifestyle in New York City.","authors":"Jennifer Leng, Linda Ivette Gonzalez-Sarinana, Stephanie Minaya, Bharat Narang, Jaime Gilliland, Francesca Gany","doi":"10.1007/s10900-026-01607-5","DOIUrl":"10.1007/s10900-026-01607-5","url":null,"abstract":"<p><p>Obesity disproportionately affects Hispanic adults and children, especially Mexican Americans. Family-centered interventions (FCIs) for weight loss and obesity prevention tailored to these populations are lacking. Our study (ClinicalTrials.gov NCT07144800) aims to develop a multicomponent culturally tailored FCI for Hispanic American families. To inform intervention development, we conducted 6 Spanish language focus groups with 31 parents/caregivers with overweight or obesity who were recruited from a Hispanic community-serving health services program in New York City. Using rapid qualitative data analysis of focus group content, 4 themes emerged: (1) Navigating a mixture of cultures: children were more rapidly acculturating to U.S. norms, resulting in tensions over food choices; (2) Family functioning and parenting styles: parents saw themselves as leaders/role models, balancing guidance with flexibility around children's preferences; (3) Challenges to maintaining healthy habits: maintaining healthy diets and regular physical activity for the family was influenced by internal factors (limited motivation, low prioritization) and external pressures (work hours/time, limited financial resources); and (4) Building on an existing foundation of knowledge: participants had knowledge and awareness of the importance of a healthy lifestyle, which they were eager to build on with additional education and peer support. Intervention refinements should focus on leveraging authoritative parenting styles and helping families establish rules and routines around healthy habits, including nutritious and culturally familiar meal planning, and navigating the acculturation gap. Information and resources on low-cost food options and low/no-cost opportunities for physical activity should be provided.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"885-895"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578929","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":"Poppers Use and Sexual Health Correlates Among Sexual Minority Men in the United States.","authors":"Alvin Tran, Theophilus Iloegbu, Mabintou Darboe, Yunan Zhao, Anthony J Santella","doi":"10.1007/s10900-026-01573-y","DOIUrl":"10.1007/s10900-026-01573-y","url":null,"abstract":"<p><p>Alkyl nitrites, commonly referred to by the slang term \"poppers,\" are widely used in sexual contexts among sexual minority men. Despite longstanding regulatory ambiguity in the United States, few contemporary studies have examined poppers use alongside sexual health behaviors and HIV prevention engagement. This study analyzed survey data from the Men's Body Project, an online survey of sexual minority men in the United States. Analyses were restricted to participants who completed poppers-related items (n = 441). Logistic regression models examined associations between past-year poppers use during sexual intercourse and sexual health behaviors, including number of sexual partners, condom use at last sexual intercourse, and current use of pre-exposure prophylaxis. Approximately 31.5% of participants reported using poppers during sexual intercourse. In adjusted analyses, participants reporting three to five sexual partners (adjusted odds ratio [aOR] = 1.22, 95% confidence interval [CI]: 1.10-1.39) and six or more partners (aOR = 1.54, 95% CI: 1.39-1.70) had higher odds of poppers use compared with those reporting one to two partners. Poppers use was also associated with current PrEP use (aOR = 1.32, 95% CI: 1.16-1.50). Poppers use remains common among sexual minority men and appears closely linked to sexual context and engagement with HIV prevention strategies. These findings highlight the importance of integrating discussions of sexualized drug use into harm reduction, sexual health care, and public health policy responses.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"819-827"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148447454","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":"Cosmetic Product Use Behaviors, Health Risk Perceptions, and Adverse Effect Experiences Among Adolescents in Türkiye.","authors":"Emine Güdek Seferoğlu, Nuriye Değirmen","doi":"10.1007/s10900-026-01606-6","DOIUrl":"10.1007/s10900-026-01606-6","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Cosmetic product use has become increasingly common among adolescents due to aesthetic concerns, self-expression, and social influences. Although previous studies have examined isolated aspects such as cosmetic use frequency or adverse effects, comprehensive evidence integrating usage patterns, motivations, safe use behaviors, adverse effect experiences, and health risk perceptions among adolescents remains limited, particularly in Türkiye. This study aimed to evaluate cosmetic product use behaviors, health risk perceptions, and adverse effect experiences among adolescents, and to identify factors associated with adverse effect experiences and predictors of hormonal disruption risk perception. This descriptive, web-based cross-sectional study was conducted among adolescents aged 12-18 years in Türkiye between June and August 2021. Data were collected using a researcher-developed 29-item questionnaire assessing sociodemographic characteristics, cosmetic product use patterns, health risk perceptions, safe cosmetic use behaviors, and adverse effect experiences. Categorical variables were analyzed using Pearson's chi-square test, Yates correction, Fisher's exact test, or exact methods, as appropriate. Multivariable logistic regression analysis was performed to identify predictors of hormonal disruption risk perception. A total of 248 adolescents participated, of whom 59.3% were female and 87.1% were aged 16-18 years. The most frequently used cosmetic products were shampoo/conditioner (95.9%), oral care products (95.5%), perfume/deodorant (89.8%), and shower gel (80.9%). Female adolescents reported significantly higher use of several skincare and decorative cosmetic products than males (p &lt; 0.05). The most common motivation for cosmetic product use was to look well-groomed (68.6%). Most participants believed that cosmetic product ingredients could be harmful to the body (88.3%), cause cancer (79.9%), or cause hormonal disruption (64.3%). Although several safe cosmetic use behaviors were commonly reported, only 18.0% of participants performed an allergy test before product use. Adverse effects related to cosmetic product use were reported by 26.5% of participants and were significantly associated with recent cosmetic use and the use of hair dye, eye cosmetics, facial care products, acne treatment products, facial makeup products, lip cosmetics, and foot care products (all p &lt; 0.05). Performing an allergy test (OR = 0.268, 95% CI 0.082-0.873), believing that cosmetics may cause cancer (OR = 0.108, 95% CI 0.044-0.266), and reading packaging information (OR = 0.396, 95% CI 0.177-0.883) were independently associated with higher hormonal disruption risk perception. Cosmetic product use is highly prevalent among adolescents, with notable gender differences in usage patterns. Although awareness of cosmetic-related health risks was high, this awareness did not consistently translate into safe cosmetic use behaviors. Targeted educational interventions and","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"928-938"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578884","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":"Partnership Loss and Receipt of Guideline-adherent Biennial Mammography Screening.","authors":"Demitra Canoutas, Neill Bates, Dmitry Tumin, Kelley Haven, James L Whiteside","doi":"10.1007/s10900-026-01613-7","DOIUrl":"10.1007/s10900-026-01613-7","url":null,"abstract":"<p><p>To examine the association between partnership dissolution and receipt of biennial mammography screening in a national cohort of older women. We used data from the Health and Retirement Study, a longitudinal study of older adults in the US. Our analysis used data from five waves spanning from 2004 to 2021, including women 52-76 years who were initially married/partnered. The primary outcome was receipt of mammography screening in the past two years, and the primary exposure was partnership status (partnered, divorced/separated, or widowed), assessed at the beginning of the two-year window. Fixed-effects logistic regression modeled the association between a change in partnership status and change in receipt of mammography screening. Our final sample had 5,628 respondents contributing 17,097 total observations. At their most recent wave, 76% received mammography screening, and across the study period, 3% became separated/divorced and 7% became widowed. On multivariable regression with fixed-effects specification, there was no significant change in mammography screening following separation/divorce (adjusted odds ratio [aOR]: 1.11; 95% confidence interval [CI]: 0.75, 1.64; p = 0.599), but the odds of screening decreased after becoming widowed (aOR: 0.72; 95% CI: 0.55, 0.95; p = 0.018), controlling for age and other time-varying covariates. This evidence suggests that bereaved older women may be susceptible to decreased engagement in mammography screening following the loss of a partner. Future endeavors should investigate strategies promoting re-engagement in preventive care, including breast cancer screening, among bereaved older women.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"949-956"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591948","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":"Nocturia is Associated with Biological Age not Chronological Age.","authors":"Mohammad Hazique, Louis Salciccioli, Jeffrey P Weiss, Karel Everaert, Tine DeBacker, Thomas F Monaghan, Jason M Lazar","doi":"10.1007/s10900-026-01593-8","DOIUrl":"10.1007/s10900-026-01593-8","url":null,"abstract":"<p><p>Nocturia, defined as waking at night to void during the main sleep period is among the most common and bothersome of lower urinary tract symptoms (LUTS). While widely viewed as an inevitable consequence of chronological aging, there is a considerable inter-individual variability as middle-aged adults may experience severe nocturia and older age individuals might not. Therefore, nocturia may be related to accelerated biological aging rather than simply \"getting older\". Accordingly, we sought to compare associations of chronological and biological age with relation to nocturnal voiding frequency. In this pilot study, we prospectively studied 68 patients who were evaluated for cardiovascular disease - a condition in which chronological and biological age often differ considerably. Biological age was estimated using PhenoAge, a validated composite biomarker derived from 9 clinical and laboratory parameters reflecting systemic aging processes. Mean chronological age was significantly younger than mean biological age (70.5 ± 10.2 years vs. 78.8 ± 17.8 years, p < 0.001) and the two measures of age were significantly correlated (r=0.67, p<0.001). Median number of nighttime voids was 2. On univariate and mutlivariate analyses, ANV was significantly correlated with PhenoAge (r = 0.33, p=0.006), but not chronological age (r = 0.084, p = 0.49). In conclusion, this pilot study suggests that PhenoAge may better capture the physiological processes associated with nocturia than chronological age alone.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"861-864"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562290","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}