Journal of Racial and Ethnic Health Disparities最新文献

{"title":"Structural Barriers to Healthy Food and High-Sugar Consumption in Black Young Adult Women: The Mediating Role of Internal Health Locus of Control.","authors":"Abbey N Collins, Vanessa V Volpe","doi":"10.1007/s40615-026-02990-4","DOIUrl":"https://doi.org/10.1007/s40615-026-02990-4","url":null,"abstract":"<p><strong>Background: </strong>Consistent overconsumption of high-sugar food and beverages (HSFB)-defined as consuming more than 25 g of added sugars per day [1]-is a health risk factor for Black young adult women in the United States. A diet high in added sugar can increase women's likelihood of developing chronic conditions, like obesity, for which they are already at a high risk. Research often focuses on individual-level contributors to this eating behavior; however, studies infrequently consider how structural barriers may affect individuals' eating habits.</p><p><strong>Purpose: </strong>The current study examines whether experiencing more structural barriers to accessing perceived healthy food is associated with amount of consumption of HSFB and if this association is mediated by one individual-level factor - internal health locus of control.</p><p><strong>Methods: </strong>Data come from 504 Black young adult women (M_age= 24.7, 98.4% cisgender) who completed questionnaires via an online survey.</p><p><strong>Results: </strong>Experiencing more structural barriers to accessing perceived healthy food was associated with more consumption of HSFBs (β = 0.05, p = .013, 95% CI = 0.01, 0.09). Specifically, the availability of fast food near where women lived, difficulties accessing transportation to purchase healthy foods, and the cost of food or grocery delivery are associated with more HSFB consumption. Internal health locus of control did not mediate the association between barriers and consumption (95% CI = -0.01, 0.02).</p><p><strong>Conclusions: </strong>More research is needed to assess the mechanisms linking structural barriers and HSFB consumption. Addressing contextual factors, like structural barriers, may be a critical step to equitably improve eating behaviors for Black young adult women.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839252","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":"Racial Disparities in the Prevalence and Associated Factors of Childhood Depression in Canada.","authors":"Seyed Mohammad Mahdi Moshirian Farahi, Jude Mary Cénat","doi":"10.1007/s40615-026-03001-2","DOIUrl":"https://doi.org/10.1007/s40615-026-03001-2","url":null,"abstract":"<p><p>Despite growing concern over child mental health, no Canadian study to date has disaggregated depression diagnosis rates by racial identity, limiting understanding of disparities among racialized and Indigenous children. This study investigated parental reports of depression diagnosis among their children in a weighted sample of 2,528 Arab, Asian, Black, Indigenous, and White parents. A total of 6.9% (95% CI; 5.7% - 8.3%) of parents reported a child diagnosed with depression, with the highest rates among Arab (12.0%), Indigenous (11.4%), and Black (10.3%) parents. Hierarchical logistic regression showed that, after adjusting for covariates, Black (AOR = 2.5, p = 0.002), Arab (AOR = 3.2, p = 0.004), and Asian (AOR = 1.8, p = 0.029) parents were significantly more likely to report child depression compared to White parents. Parents experiencing very high levels of racial discrimination were four times more likely to report child depression (AOR = 4.0, p < 0.001). Follow-up analyses showed that very high levels of racial discrimination were significantly associated with increased reports of depression among Black and Arab parents. These results underscore the importance of implementing antiracist prevention and intervention strategies, as well as enhancing culturally humble and competent training for mental health professionals.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856508","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":"⁶⁸Ga-PSMA-11 PET/CT for Detecting Biochemical Recurrence after Radical Prostatectomy in a Racially Diverse Population with Low PSA Levels.","authors":"Ramotallah Jubril, Maya Ataya, Mark Tann, Clint Bahler, Oluwaseyi Oderinde","doi":"10.1007/s40615-026-02993-1","DOIUrl":"https://doi.org/10.1007/s40615-026-02993-1","url":null,"abstract":"<p><strong>Introduction: </strong>Prostate cancer (PCa) is the second most diagnosed cancer in men, with Black and African American men (BAAM) experiencing higher incidence, more aggressive disease, and greater risk of biochemical recurrence (BCR) following radical prostatectomy (RP). This study investigated the use of ⁶⁸Ga-PSMA-11 PET/CT to explore BCR patterns between racial groups at low prostate-specific antigen (PSA) levels (≤ 2.0 ng/mL) post-RP.</p><p><strong>Methods: </strong>This retrospective study included 49 men with BCR post-RP: 17 BAAM and 32 White American men (WAM) who underwent ⁶⁸Ga-PSMA-11 PET/CT at a National Cancer Institute-designated comprehensive cancer center between 2017 and 2021. Clinical and pathological data, including baseline PSA, PSA density, and PSA at scan, along with ⁶⁸Ga-PSMA-11 PET/CT-derived parameters (detection rate, standardized uptake values [SUVmax and SUVmean], PSMA tumor volume [PSMA-TV], and total lesion PSMA [TL-PSMA]), were collected and compared between groups.</p><p><strong>Results: </strong>The overall detection rate was 57% (28/49), with 47% (8/17) in BAAM and 63% (20/32) in WAM (p = 0.39). BAAM had significantly higher baseline PSA levels (median: 13.80 versus 7.22 ng/mL; p < 0.001) and PSA density (0.59 versus 0.16 ng/mL²;p < 0.001). At recurrence, PSA levels and lesion distribution were statistically similar. While WAM exhibited slightly higher SUVmax and SUVmean, BAAM demonstrated higher PSMA-TV, TL-PSMA, and whole-body volumetrics (wbPSMA-TV and wbTL-PSMA); although the differences were not statistically significant, they highlight areas for future exploration.</p><p><strong>Conclusion: </strong>Despite BAAM presenting with more aggressive features at primary diagnosis, BAAM and WAM exhibited comparable PSMA-PET-derived tumor burden at recurrence. These findings will inform future studies with large, racially diverse populations.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839257","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 Cultural Context of Sleep Behaviors in Latino/a Parents and Their Preschool-aged Children.","authors":"Molly E Hale, Andrea M George, Francisco X Pelaez, Cynthia Suveg","doi":"10.1007/s40615-026-03000-3","DOIUrl":"https://doi.org/10.1007/s40615-026-03000-3","url":null,"abstract":"<p><p>Sleep disparities have been documented in Latino populations broadly, but less is known about sleep behaviors in Latino/a parents and their preschool-aged children. Sleep underlies psychological and physical health across the lifespan, and sleep behaviors early in development are foundational. No extant studies have examined Latino/a parents' and their preschool-aged children's sleep behaviors within the same study, despite high levels of child dependency during this developmental period. This project examined sleep behaviors in Latino/a parents and their preschool-aged children and correlates of these behaviors. The sample consisted of 219 Latino/a parents (M_age = 32.19 years) and their preschool-aged children (M_age = 41.31). Parents reported on sleep behaviors (i.e., duration, bedtime, nighttime waking) and demographic variables (i.e., income, household density). Indicators of parenting were assessed during a dyadic behavior observation task. Parent reports revealed that nearly half of children and parents were either just meeting or below recommended sleep guidelines: 42.3% of children slept 10 h or less, and 43.5% of parents slept 7 h or less. Parent and child sleep behaviors (i.e., bedtime, nighttime wakings) were positively related. Structural equation modeling indicated that higher income was associated with shorter sleep duration for parents and earlier bedtime for children. A culturally-sensitive indicator of supportive parenting related to longer sleep duration and fewer wakings for parents. Results highlight a need to consider contextual factors and both members of the parent-child dyad to best support sleep health and overall well-being in Latino/a families with young children.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839267","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":"Racial, Ethnic, and Gender Representation in Obstetrics and Gynecology: A Global Perspective on Workforce Disparities and Patient Care Implications.","authors":"Dua Rana, Hussain Haider Shah, Ayesha Khan, Sakshi Chawla, Rabbey Khan, Bishoy Fahim, Sarrah Ali Asghar, Saloni Mitra, Muskan Seher, L V Simhachalam Kutikuppala, Helen Huang","doi":"10.1007/s40615-026-03004-z","DOIUrl":"https://doi.org/10.1007/s40615-026-03004-z","url":null,"abstract":"<p><p>High-quality care in obstetrics and gynecology (OBGYN) is closely linked to patient satisfaction. However, disparities in care delivery based on patient demographics, including gender, race, and ethnicity, have been documented in the literature. As healthcare institutions strive to improve the quality of care provided to their patients, diversity among gynaecologists is emerging as essential to achieving this goal. Increasing diversity among gynaecologists can lead to better representation of diverse patient populations and improved patient-physician concordance, resulting in higher patient satisfaction. Available evidence shows that there are high levels of disparity in workforce in the field of OBGYN. An example can be provided with women in the United States who make up about 57% of the OBGYN physicians and yet their representation in leadership positions remain lower than expected. Likewise, the ratio of racial representation is not balanced, as about 68% of the OBGYN physicians are White and only 8 and 5% are Black and Hispanic physicians respectively. Moreover, research has found that there is almost a 21% gender pay gap even with the workload and volume of procedures. In this narrative review, we provide an overview of key gender, racial, and ethnic disparities that exist in OBGYN care in developed countries, particularly the United States, highlighting the need for further research in developing regions. We highlight the importance of reducing and monitoring these disparities through quality metrics to promote better clinical practice and physician well-being. Our review provides valuable insight for healthcare institutions and policymakers to promote physician representation, enhance patient-physician experiences, and improve patient outcomes in OBGYN practice.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839338","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":"A Comparative Analysis of Anti-Black Racism and Mental Health Policies in Prairie Provinces and School Boards.","authors":"Emmanuel A Marfo, Ewuradjoa Panyin Obeng-Nkansah, Albert Junior Frimpong, Haris Musavar, Bukola Oladunni Salami","doi":"10.1007/s40615-026-02998-w","DOIUrl":"https://doi.org/10.1007/s40615-026-02998-w","url":null,"abstract":"<p><strong>Background: </strong>Black children and youth constitute 41.9% of Canada's Black population. Their frequent encounters with anti-Black racism and systemic discrimination in schools contribute to disproportionately poor mental health outcomes. Given the rapid growth of the Black population in Western Canada, it is critical to understand how educational policies in this region address anti-Black racism and mental health inequities.</p><p><strong>Methods: </strong>We conducted a systematic document search, reviewing government websites of the three Prairie provinces and four major school boards, selected based on size and demographic diversity. Data were extracted by one researcher and independently validated by another. The Intersectionality-Based Policy Analysis framework guided our content and narrative analysis.</p><p><strong>Results: </strong>A total of 29 documents, consisting of provincial (n = 18) and school-board (n = 11) policies were included. Only two documents (6.9%), one from Manitoba and the other from Edmonton Public Schools, recognized anti-Black racism as a determinant of mental health outcomes in schools. Policy documents predominantly employ broad, race-neutral language, showing a pervasive reliance on universal access models for mental health supports. Attention to culturally responsive care was highly limited; only five provincial documents referenced Afrocentric perspectives (e.g., Black histories or cultural recognition). Though school board commitments were comparatively stronger, they remained highly uneven.</p><p><strong>Conclusion: </strong>Existing policies render the unique needs of Black children and youth largely invisible. This policy silence, coupled with an over-reliance on race-neutral frameworks, creates significant equity gaps and sustains health disparities. Systemic reform is urgently required to embed anti-Black racism acknowledgment and culturally responsive care directly within school mental health frameworks.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839334","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":"\"Black Women Need More Support\": A Culturally Grounded, Person-Centered Analysis of Perinatal Mental Health.","authors":"Tashi Stampp, Daphnée C Fortin, Anne T M Konkle","doi":"10.1007/s40615-026-03002-1","DOIUrl":"https://doi.org/10.1007/s40615-026-03002-1","url":null,"abstract":"<p><strong>Background: </strong>Structural inequities, racial discrimination and gendered expectations of \"motherhood\" shape perinatal mental health outcomes among Black women by influencing access to care and social support. Despite this, Black mothers remain at a higher risk of developing perinatal mental health disorders compared to other racial groups, reinforcing the urgency of addressing this disparity. Research on perinatal depression and anxiety often neglects the distinct racial, cultural, social, and health perspectives of Black women in Canada.</p><p><strong>Research question: </strong>How do cultural beliefs, values, health perspectives and perceived social support influence perinatal mental health in Black women in Canada?</p><p><strong>Methods: </strong>13 qualitative, semi-structured interviews were conducted virtually. The participants were Black mothers who have given birth or attended the birth as a legal parent in Canada between 2019 and 2025. Interviews were coded inductively and deductively for relevant themes. Data analysis was guided by Critical Race Theory and Black Feminist Theory, displaying the interplay of race, culture, and gender in perinatal mental health experiences.</p><p><strong>Results: </strong>The identified themes were: (1) Postpartum Mental Health Barriers for Black Mothers; (2) Beyond the Baby Blues; (3) Beliefs, Faith, and Holistic Approaches; (4) Healing Love: Support and Spirituality in Perinatal Mental Health, and (5) Navigating Change Pre- and Post-Birth.</p><p><strong>Conclusion: </strong>These findings emphasize the need for culturally tailored screening tools and diagnostic strategies to address the perinatal mental health needs of Black mothers in Canada, providing a foundation for future research and practical interventions.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839297","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":"Correction: Experiences and Perspectives of Racially Diverse Patients 5 Years Post-Bariatric Surgery: Qualitative Findings from the BELONG II Study.","authors":"Laurel D Hansell, Clarissa W Hsu, Jessica M Mogk, Silvia R Paz, Darren D Moore, Mayra M Macias, Bhumi B Bhakta, Cecelia L Crawford, Debi Ellis, Cecilia Lopez, Tonce Jackson, Angela Borruso, Reggie Graves, Vincent Corralejo, Marlaine Figueroa Gray, Deborah R Young, Adam Drewnowski, Kristina H Lewis, Sameer B Murali, Karen J Coleman","doi":"10.1007/s40615-026-02989-x","DOIUrl":"https://doi.org/10.1007/s40615-026-02989-x","url":null,"abstract":"","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815509","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":"Racial Disparities in Shared Decision Making Among Prostate Cancer Patients: A National Study.","authors":"Jerusha Daggolu, Javeria Khalid, Rajender R Aparasu","doi":"10.1007/s40615-026-02898-z","DOIUrl":"https://doi.org/10.1007/s40615-026-02898-z","url":null,"abstract":"<p><p>Shared decision-making (SDM) plays an important role in patients with prostate cancer due to the complexities of screening and treatment. This study assessed the racial and ethnic disparities in SDM in patients diagnosed with prostate cancer in the United States. This cross-sectional analysis utilized 2014-2021 Medical Expenditure Panel Survey (MEPS) data. Male patients ≥ 18 years old with a diagnosis of prostate cancer were included. The Consumer Assessment of Healthcare Providers and Systems survey was used to operationalize the SDM, with scores categorized as poor (4-8), average (9-11), and optimal SDM (12). Multinomial regression model was used to analyze the racial and ethnic disparities in SDM among prostate cancer patients after adjusting for other covariates guided by the Andersen Behavioral Model. We identified 1.39 million (95%CI: 1.3-1.49) patients with prostate cancer between 2014 and 2021. The predominant race was White (64.4%), followed by African American (20.65%) and Hispanic (10.60%). Overall, 41.56% of patients reported optimal SDM scores, 49.82% reported average, and 8.62% reported poor SDM scores. The multinomial model revealed that the Hispanic patients had significantly higher odds of poor SDM scores than White patients (adjusted odds ratio:3.23, 95% CI: 1.14-9.46). Compared to optimal SDM, African American and White patients showed no significant differences in the odds of reporting poor or average SDM (p = 0.14 and p = 0.09, respectively). This study found that one in ten patients reported poor SDM for prostate cancer, with a higher likelihood of poor SDM among Hispanics. Concerted efforts are needed to improve the cultural competency and communication skills aimed at Hispanic patients to improve patient-centered care.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839293","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":"Perceived Caregiver Discrimination and Neurocognitive Development: An Analysis from the ECHO Cohort.","authors":"Jennifer M Porter, Yana B Feygin, Craig Ziegler, Michelle D Stevenson, Deborah Winders Davis, Adaeze W Nzegwu, T Michael O'Shea, Susan Korrick, Theda Rose, Chang Liu, Santiago Morales, V Faye Jones","doi":"10.1007/s40615-026-02996-y","DOIUrl":"https://doi.org/10.1007/s40615-026-02996-y","url":null,"abstract":"<p><p>The aims of this study are to examine the associations between discrimination experienced by children's caregivers, socioeconomic factors (household income, caregiver education, and Child Opportunity Index [COI]), and child IQ. We also examined whether these associations differ for Black children's caregivers and White children's caregivers. Using Environmental influences on Child Health Outcomes (ECHO) program data, we analyzed the Everyday Discrimination Scale (EDS; range 4-24, higher score means more discrimination) scores of caregivers of children from 3 to 8 years and the full-scale IQ (FSIQ; range 40 to 160) scores of the children. Median EDS scores were compared by education and income category. FSIQ scores were compared separately for Black (n = 259) and White (n = 820) children across categories of household income, parental education, and COI (very low/low opportunity and moderate/high/very high opportunity). Multivariable generalized linear regressions were used to assess the characteristics associated with EDS scores and examine the impact of everyday discrimination on FSIQ when adjusting for these characteristics. EDS scores were not associated with FSIQ for either group (Black, β = 0.21 [95% confidence interval: -0.17, 0.60]; White, β=-0.18 [95% confidence interval: -0.52, 0.17]). There was no significant difference in the EDS scores of Black children's caregivers across income categories (p > 0.05). EDS scores were lower for Black children's caregivers with a high school degree or less than for those with a bachelor's degree (p < 0.05). The COI improved with household income. Most Black children's caregivers with high income lived in lower-opportunity areas (74.3%). Although everyday discrimination was associated with caregiver education, neither everyday discrimination nor neighborhood opportunity explained inequities in IQ for Black children. New measures of interpersonal and structural racism might identify factors mediating race-based disparities in neurocognitive development.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816378","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}