Journal of Immigrant and Minority Health最新文献

{"title":"Effects of Socioeconomic Status on the Health of Menopausal Mothers in Multicultural Families in Korea: A Test of the Reserve Capacity Model.","authors":"Miran Park, Ju-Young Lee","doi":"10.1007/s10903-024-01662-x","DOIUrl":"10.1007/s10903-024-01662-x","url":null,"abstract":"<p><p>Based on the Reserve Capacity Model, this study examined the effect of SES(socioeconomic status) on health status on the health status of menopausal mothers of multicultural families, focusing on mediating effects of self-esteem, assimilation, integration, separation, marginalization, and daily life stress. This is a cross-sectional survey study with secondary analysis of national data on 683 perimenopausal mothers in multicultural families from the 9th Multicultural Adolescents Panel Study surveyed by the Korea Youth Policy Institute in 2019. The subjects were women aged 45-55 years and foreign nationals by origin. For path analysis using observed variables, the Mplus 8.4 program was used. Self-esteem and integration were positively related to health status and negatively related to marginalization and daily life stress. Health status was higher when self-esteem and integration were high, and work-life stress and marginalization were low. To improve the perceived health status of menopausal women in multicultural families, rather than simply focusing on SES through support for employment status and income, it is necessary to improve self-esteem by resolving difficulties caused by SES and cultural adaptation to relieve stress in daily life and to provide multidimensional coping resources that can improve health by lowering risk.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"277-285"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada.","authors":"Nathalie Auger, Marianne Bilodeau-Bertrand, Aimina Ayoub, Nahantara Lafleur, Shu Qin Wei","doi":"10.1007/s10903-024-01667-6","DOIUrl":"10.1007/s10903-024-01667-6","url":null,"abstract":"<p><p>We investigated whether ethnocultural inequality in rates of gestational diabetes was prevalent in Canada. We compared the Anglophone minority with the Francophone majority in Quebec. We conducted a retrospective cohort study of 853,595 pregnancies between 2008 and 2020 in Quebec, Canada. The exposure was ethnocultural status, with patients classified as either Anglophone or Francophone based on the maternal language. The outcome was gestational diabetes. We calculated risk ratios (RR) and 95% confidence intervals (CI) for the association between ethnocultural status and risk of gestational diabetes using log-binomial regression models adjusted for maternal age, parity, comorbidity, education, country of origin, material deprivation, urban residence, and time period. Anglophones had a higher rate of gestational diabetes compared with Francophones (99.0 vs 81.0 per 1000 pregnancies; RR 1.07, 95% CI 1.05-1.10). Anglophones aged less than 25 years (RR 1.31, 95% CI 1.21-1.41), living in rural areas (RR 1.73, 95% CI 1.64-1.82), lacking a high school diploma (RR 1.48, 95% CI 1.37-1.61), or with material disadvantage (RR 1.33, 95% CI 1.27-1.39) had greater risks of gestational diabetes compared with Francophones. Risk of gestational diabetes among Anglophones increased over time, especially among disadvantaged subgroups of the population. The findings suggest that the Anglophone ethnocultural minority in Quebec has an increasing risk of gestational diabetes over time compared with the Francophone majority. Risks are particularly elevated for Anglophones from disadvantaged subgroups of the population.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"191-199"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Mental Health Problems of Syrian People Under Temporary State Protection in Türkiye: The Role of Refugee Health Screener-15.","authors":"Fatma Kantaş Yılmaz, Ebru Şal","doi":"10.1007/s10903-025-01670-5","DOIUrl":"10.1007/s10903-025-01670-5","url":null,"abstract":"<p><p>Since the Syrian civil war, Türkiye has received more than 3.6 million Syrian people who sought protection and have been provided a temporary state protection status, making the country the largest host country in the world. This study aimed to investigate depression and anxiety levels of Syrian people accommodated in a relatively developed part of a south-eastern city, Şanlıurfa. Adaptation of the Refugee Health Screener (RHS-15) scale, an objectively designed screening tool for prevalent mental disorders among refugees, is another distinctive feature of this investigation. Using a snowball sampling method, 454 Syrian people aged 18 or older were administered four inventories in their Arabic and Turkish, including the Refugee Health Screener-15 (RHS-15), Beck Anxiety Scale (BAI), Beck Depression Inventory-II (BDI), and Post Migration Living Difficulties Checklist (PMLD). Using a path analysis model, the mediating role of the RHS-15 was examined in the effect of the PMLD, which is considered one-dimensional, on the BAI and BDI variables. The study showed low levels of depression (8.51 ± 2.96) and anxiety (7.86 ± 2.43) that corresponded well to low RHS-15 (6.36 ± 2.31) and PMLD (15.64 ± 2.83) scores. In path analysis, the RHS variable has a significant direct effect on the BAI and BDI variables, with an increase in the RHS variable correlated with an increase in the BAI variable and BDI variable, respectively. The RHS-15 scores were significantly higher among married participants, those with poor financial status, those having 3-4 children and those with physical problems. A more reflective population sample would provide better insight into depression and anxiety levels of Syrian people accommodated in Türkiye.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"242-250"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familial Educational Factors and COVID-19 Vaccine Beliefs Among Mexican-Origin Youth.","authors":"Tianlu Zhang, Wen Wen, Kiera M Coulter, Hin Wing Tse, Su Yeong Kim","doi":"10.1007/s10903-025-01678-x","DOIUrl":"https://doi.org/10.1007/s10903-025-01678-x","url":null,"abstract":"<p><p>Mexican-origin youth, a substantial and expanding demographic among U.S. youth, were disproportionately affected by COVID-19. Understanding the factors shaping their COVID-19 vaccine beliefs is crucial for informing future pandemic preparedness and vaccination promotion efforts targeting this vulnerable population. While previous research has established links between education and health literacy (i.e., COVID-19 vaccine beliefs), most studies focus solely on educational attainment. Given that most youth have not yet fully realized their educational attainment, this study further investigates how youth's educational expectations and parents' educational levels influence their COVID-19 vaccine beliefs. Using data from 229 Mexican-origin youth, along with 224 of their mothers and 100 of their fathers, this study assesses the impact of youth's educational expectations, educational attainment, and their parents' educational attainment on their COVID-19 vaccine beliefs including motivation, attitudes, information access, and hesitancy. Regression analyses suggests a significant influence of youth's educational expectations on their attitudes toward COVID-19 vaccines, surpassing the impact of the youths and their parents' educational attainment. These results underscore the importance of fostering and nurturing educational aspirations among minority youth. Future studies should acknowledge the multifaceted nature of education as a determinant of youth's COVID-19 vaccine beliefs, encompassing not only attainment but also educational expectations and parents' educational attainments.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to Lead, Cadmium, Mercury and Arsenic Among Asian and Non-Asian Children and Adolescents in the United States: NHANES 2015-2018.","authors":"Lanxin Song, Ondine S von Ehrenstein","doi":"10.1007/s10903-024-01634-1","DOIUrl":"10.1007/s10903-024-01634-1","url":null,"abstract":"<p><p>Higher concentrations of heavy metals were reported mainly among adult Asian persons compared to other racial/ethnic groups in earlier NHANES cycles' studies. We aimed to examine concentrations of metals among Asian children/adolescents compared to children/adolescents identifying with other racial/ethnic groups, considering socio-demographic factors and potential mediation by fish/shellfish consumption. Using NHANES data (2015-2018), 5293 participants (1-19 years) with blood/urinary measurements of lead, cadmium, mercury and arsenic were included. Survey-weighted adjusted generalized linear models assessed differences in log-transformed metal concentrations between Asian and non-Asian participants, considering potential effect measure modification by parental education. Causal mediation effects of recent fish/shellfish consumption were estimated. Log-transformed metal concentrations were higher among Asian than among non-Asian children/adolescents. Lower parental education was associated with higher concentrations of cadmium and methylmercury among Asian participants, and effect measure modification was suggested. Proportions of the mercury exposure disparity mediated by recent fish/shellfish consumption were 9.1% (95% CI 2.6, 17.3%) for fish, and 5.7% (0.5, 12.0%) for shellfish, with similar findings for methylmercury. Overall, Asian identification was associated with higher toxic metal exposure, and among Asian children/adolescents those with parents with lower education were particularly affected. Dietary fish/shellfish intake explained a portion of the disparities. Prevention efforts should identify sources of elevated metal exposure focusing children and adolescents while considering diverse backgrounds and dietary habits including high fish consumption.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"258-267"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between the Mental Health of Refugee Parents and Their Children: An Investigation of Australian Longitudinal Data.","authors":"Katie Tills, Justine Dandy","doi":"10.1007/s10903-024-01657-8","DOIUrl":"10.1007/s10903-024-01657-8","url":null,"abstract":"<p><p>We investigated the relationship between parent and child mental health, including parents' general psychological distress, among refugees resettled in Australia. We utilised longitudinal data from a sample (N = 602 children and 377 parents) of recently settled refugees from the Building a New Life in Australia Survey). Parent psychological distress and post-traumatic stress symptoms (PTSS) were measured by the Kessler 6 and PTSD-8, respectively. Harsh and Warm parenting behaviours were also measured to explore the mechanisms underlying the parent-child mental health relationship. Child mental health was measured using the SDQ. Using path analysis, we found that increases in parent psychological distress directly contribute to harsher parenting practices, which in turn increase child mental health difficulties as reported by parents. Parent psychological distress at Waves 1 and 3 also directly impacted child emotional and conduct difficulties, whilst parent PTSS was indirectly associated with all measured child mental health problems. While both parent PTSS and psychological distress indirectly impacted child mental health, only psychological distress directly impacted on any area of child mental health difficulty and overall explained more variance in the final model. Our findings highlight that non-trauma specific symptoms warrant attention in refugee parents' and children's mental health. Clinicians should assess for general psychological symptoms in addition to trauma-specific symptoms, and we recommend that parental mental health is assessed and treated simultaneously when working with refugee children. Moreover, to reduce the impact of other stressors in refugees' lives, community sector organisations should be resourced adequately to support refugee families in settlement.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"200-207"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Access to Contraception Care at a Local Nonprofit Clinic: A Quality Improvement Project.","authors":"Olivia Croskey, Cecilia Norris","doi":"10.1007/s10903-024-01660-z","DOIUrl":"10.1007/s10903-024-01660-z","url":null,"abstract":"<p><p>One Midwest, non-profit clinic aimed to increase access to contraceptive services by improving their care delivery process through the implementation of a population-specific, contraception education program. The program included patient education, timely follow-up appointments, and free contraception. In this quality improvement project, a total of twenty-two mostly Spanish-speaking women signed up for a group education session that lasted thirty minutes and was offered monthly. The session was led by a female, bilingual provider and focused on contraception benefits, side effects, and common myths. After the session, the clinic offered same-day initiation of contraception for oral contraceptives, Depo-Provera injections, and Nexplanon implants. In this clinic, offering the class in conjunction with immediate initiation of the chosen birth control method decreased the average time to care delivery, showing a positive impact on access to these essential services.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"286-293"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Practices of Healthcare Providers and Healthcare Experiences of Women Regarding Female Genital Mutilation/Cutting (FGM/C): A Scoping Review of Evidence from Canada and the United States.","authors":"Apekshya Dhakal, Jacob Albin Korem Alhassan","doi":"10.1007/s10903-025-01671-4","DOIUrl":"10.1007/s10903-025-01671-4","url":null,"abstract":"<p><p>Healthcare providers (HCPs) play a critical role in the care of women with experience of FGM/C although there is limited research on knowledge about FGM/C among HCPs in Canada and USA. Research evidence suggests that many women with experience of FGM/C have negative care experiences. We sought to investigate the knowledge, attitudes, and practices of Canadian and USA HCPs regarding FGM/C, along with women's healthcare experiences with FGM/C in both countries. We conducted a scoping review guided by Arksey & O'Malley's framework. We exported 4054 peer-reviewed records from Embase, Global Health PubMed, Medline, and Scopus databases. After screening titles, abstracts and full texts using inclusion criteria such as publication between 2000 and 2023, a focus on FGM/C and studies conducted in USA and Canada, we included 13 articles in the final review. Care provider studies revealed that HCPs reported a desire for more knowledge and training to enable them to provide high-quality care for women with FGM/C. Majority of the studies have revealed reliance of HCPs on informal learning channels to gain knowledge on FGM/C. Findings reveal that many women with experiences of FGM/C have reported insensitive comments from HCPs including some nurses' unsympathetic behavior toward FGM/C related postpartum discomfort. In some studies, majority of the women felt their doctors were unable to care for them while other women noted that shame and discomfort deterred them from further care seeking. HCPs play an important role in caring for FGM/C patients. Nonetheless HCPs often receive no training or training that is inadequate (insufficient to make providers feel confident to provide care) on how to provide high-quality, culturally competent care leading to poor experiences for women. This necessitates concerted efforts to provide high-quality training of HCPs for better care for women with FGM/C.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"386-399"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis of Interventions Targeted to Parents for Improving the Oral Health of Children from Culturally and Linguistically Diverse (CALD) Backgrounds.","authors":"Sudheer Babu Balla, Nikolaos Angelakopoulos, Jyothi Tadakamadla, Santosh Kumar Tadakamadla","doi":"10.1007/s10903-024-01650-1","DOIUrl":"10.1007/s10903-024-01650-1","url":null,"abstract":"<p><p>A high prevalence of dental caries is a significant health problem, especially in the pediatric population. Low-income minority groups, including the refugee and immigrant populations, are at higher risk of compromised oral health. It has been suggested that migrant parents do not have enough understanding of oral health, risk factors associated with dental caries, or the progress of dental decay. This systematic review aims to study quantitative literature on oral health interventions, health promotion programs, or behaviour change interventions targeting the parents/ caregivers of culturally and linguistically diverse (CALD) children. A systematic search of electronic databases, including MEDLINE, EMBASE, PUBMED, CINAHL, SCOPUS, WEB OF SCIENCE, COCHRANE, and PROQUEST, was conducted until August 2023. Randomised (RCT) or non-randomised controlled trials (NRCTs) were included. Two reviewers independently assessed the quality of the included studies using the Cochrane Risk of Bias (RoB) 2.0 and ROBINS-I tools. Meta-analysis was performed as appropriate. The initial search from the databases retrieved 2073 articles. After the removal of duplicates, 1683 articles remained. Finally, 69 articles were reviewed in full text, and 15 articles were considered eligible in this review. The RoB assessment for RCTs rated three as low-risk and three as high-risk. The serious RoB in these NRCTs mostly pertained to measurement bias based on self-reporting oral health behaviours. The meta-analysis pooling of results (for RCTs and NRCTs) favoured interventions for CALD parents' oral health knowledge [0.73 (95% CI, 0.08 to 1.38) for RCTs, 1.73 (95% CI; 1.45 to 2.02) for NRCTs] and attitudes [0.86 (95% CI, 0.31 to 1.42)]. Relatively high heterogeneity was observed. Oral health educational interventions can be effective in improving the oral health literacy of CALD parents' oral health knowledge and attitudes, especially when facilitated by lay health advisors. However, the low quality of evidence due to high heterogeneity and high RoB further highlighted the need for well-designed RCTs targeting CALD parents.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"313-328"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and Anxiety Among Arab Individuals in the United States: A Meta-analysis.","authors":"Shaimaa Mosad El-Refaay, Christina Kenny, Sandra Weiss","doi":"10.1007/s10903-024-01648-9","DOIUrl":"10.1007/s10903-024-01648-9","url":null,"abstract":"<p><p>Emerging research suggests that the increasing population of Arab immigrants and refugees living in the United States (U.S.) has a greater risk for depression and anxiety than other groups. The purpose of this meta-analysis was to estimate the prevalence of depression and anxiety for Arabs in the U.S., to examine the moderating effects of key demographic variables (gender, immigration status, ethnicity) and study characteristics (research design and quality) on the prevalence of anxiety and depression, and to evaluate the direct effects of additional demographic and study characteristics on prevalence rates. Using guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P), we searched PubMed, Embase, CINHAL, ProQuest, and the Web of Science databases for articles published between January 2000 and March 2023. Two reviewers each individually extracted the articles' data and evaluated the reported study's methodological quality using a well-established checklist. Statistical analyses consisted of random effects models to estimate the pooled prevalence of depression and anxiety across all studies, separate random effects models for distinct demographic (e.g., immigration status) and methodologic (e.g., study quality) subgroups that might have unique prevalence rates, and a meta-regression to identify additional variables (e.g., age of individuals) that might influence prevalence rates. Our review included 17 studies with a total sample population size of 22, 558 participants. Results indicated that the estimated prevalence of depression overall was 48% (CI 34, 63%) and 58% (CI 33, 83%) for the prevalence of anxiety. Our subgroup analyses uncovered notable variations in prevalence rates based on gender composition, immigration status, ethnicity, and research quality while results of the meta-regressions demonstrated effects of publication year and age of the Arab individual on the estimated prevalence of depression and anxiety. The high prevalence rates for depression and anxiety identified through this meta-analysis are very concerning and underscore the urgent need to address mental health concerns in Arab communities. Results of subgroup and meta-regression analyses suggest that refugees, individuals from specific countries of origin, and younger Arabic persons may need particular attention by clinicians in screening for and treating their depression and anxiety. Our results also signify the need for further high-quality studies to more rigorously assess prevalence of these mental health problems, since we found evidence of potential publication bias and approximately one third of the studies in the review had less optimal methodological quality based on our evaluation. Ultimately, in-depth research regarding the causes of anxiety or depression among Arab individuals will be essential to the development of culturally competent interventions that may reduce their very high prevalence rates.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"329-350"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}