Journal of women's health最新文献

{"title":"Suicide Attempts Among Women Ages 18-55 Years with Opioid Use: National Addictions Vigilance Intervention and Prevention Program 2018-2020.","authors":"Emily K Kobernik, Carla L DeSisto, Laura E Welder, Lara DePadilla, Madison Levecke, Mishka Terplan, Jean Y Ko","doi":"10.1089/jwh.2024.0837","DOIUrl":"https://doi.org/10.1089/jwh.2024.0837","url":null,"abstract":"<p><p><b><i>Background:</i></b> The opioid overdose crisis remains a public health concern, and rates of suicide with opioid involvement have increased. <b><i>Objective:</i></b> To describe the prevalence of and factors associated with self-reported past 30-day suicide attempt or attempt \"only when high or in withdrawal from alcohol or drugs\" among reproductive-age women with past 30-day nonmedical prescription opioid use. <b><i>Methods:</i></b> Estimates are reported among women 18-55 years from 338 locations in 35 states using 2018-2020 National Addictions Vigilance Intervention and Prevention Program data. Bivariate analysis and multinomial logistic regression identified prevalence of and factors associated with past 30-day suicide attempt and attempt \"only when high or in withdrawal from alcohol or drugs.\" <b><i>Results:</i></b> Among 10,095 women, 2.7% reported a past 30-day suicide attempt, and 1.5% reported an attempt \"only when high or in withdrawal from alcohol or drugs.\" The largest magnitude of association for suicide attempt was extreme alcohol problem (adjusted odds ratio [aOR] = 2.84, 95% confidence interval [CI]: 1.80-4.47), and the largest magnitude of association for attempt \"only when high or in withdrawal from alcohol or drugs\" was no stable living arrangement (aOR = 2.66, 95% CI: 1.78-3.98). <b><i>Conclusion:</i></b> Comprehensive, upstream suicide prevention initiatives and substance use treatment can address factors associated with suicide attempt among reproductive-age women.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024514","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":"Characteristics of Births Conceived Through Medically Assisted Reproduction by Parental Structure in Louisiana (2016-2023).","authors":"Dovile Vilda, Brent Monseur","doi":"10.1089/jwh.2024.0954","DOIUrl":"https://doi.org/10.1089/jwh.2024.0954","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To examine the risk of pregnancy complications and adverse delivery outcomes among births conceived using medically assisted reproduction (MAR) in same-sex, different-sex, and single-parent households. <b><i>Methods:</i></b> We conducted a cross-sectional population-based analysis of all MAR births in Louisiana from 2016 to 2023. Based on the sex of both parents listed on the child's birth certificate, we classified births as occurring in different-sex (reference category), same-sex, and single-parent households. We used modified Poisson regression with robust standard errors to estimate adjusted risk ratios (aRR) and 95% confidence intervals (CIs) for all study outcomes including gestational diabetes mellitus (GDM), gestational hypertension (gHTN), induced labor, cesarean delivery, breech delivery, preterm birth, and low birth weight. <b><i>Results:</i></b> Among 2,934 MAR-conceived births, 177 (6.0%) were in same-sex relationships, 93 (3.2%) were in single-parent households, and 2,664 (90.8%) were in different-sex relationships. After adjusting for sociodemographic, preexisting health, and pregnancy risk factors, birthing people in same-sex relationships experienced higher risks of labor induction (aRR: 1.23; 95% CI: 1.06, 1.43) and lower risks of cesarean delivery (aRR: 0.89; 95% CI: 0.81, 0.98) compared to those in different-sex relationships. Single-parent households exhibited higher risks of gHTN (aRR: 1.56; 95% CI: 1.10, 2.21). <b><i>Conclusions:</i></b> Birthing people in same-sex relationships were at higher risk for labor induction and lower risk of cesarean delivery, while single parents were at greater risk for gHTN. These findings underscore the importance of considering family structure in research and clinical care to address disparities in reproductive health.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971288","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":"Relationships Between Perinatal Physical Activity and Pain During Labor and Postpartum.","authors":"Danielle A N Chapa, Grace Lim, Andrea B Goldschmidt, Marquis Hawkins, Michele D Levine","doi":"10.1089/jwh.2024.1008","DOIUrl":"https://doi.org/10.1089/jwh.2024.1008","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Physical activity (PA) and pain are bidirectionally related during pregnancy. There are limited data on how prenatal changes in PA relate to labor and postpartum pain. The current study examined associations between PA change from the second to third trimester (increasing vs. decreasing) with (1) labor pain, (2) postpartum hospitalization pain, and (3) the likelihood of increasing versus decreasing PA at 6-months postpartum (relative to the third trimester). <b><i>Methods:</i></b> A sample of pregnant people with overweight/obesity were enrolled in a longitudinal study between 12- and 20-weeks' gestation (<i>n</i> = 257). A subsample, with at least three pain ratings documented (<i>n</i> = 233), were included in the current analysis. PA change was characterized with the Paffenbarger. Pain was assessed regularly during labor and postpartum hospitalization from 0 (no pain) to 10 (most pain). Labor and postpartum pain were summarized using minimum/maximum pain ratings, percent improvement in pain following analgesia, and overall pain burden. <i>t</i>-Tests compared pain between the PA groups, and chi-square analyses examined the likelihood of increasing versus decreasing PA at 6-months postpartum. <b><i>Results:</i></b> The increasing PA group (<i>n</i> = 52; 22%) reported lower minimum pain scores (<i>d</i> = 0.46) during postpartum hospitalization. Most individuals with decreasing PA between trimesters two and three reported increasing PA at 6-months postpartum. <b><i>Conclusion:</i></b> Relative to individuals with decreasing PA, individuals with increasing PA experienced less pain during postpartum hospitalization highlighting potential benefits of prenatal PA for postpartum recovery.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033277","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 Bias and U.S. Perinatal Health Care Quality: Implications for Practice and Policy.","authors":"Rosemary E Timmons, Amparo C Villablanca, Collin L Ellis","doi":"10.1089/jwh.2024.0930","DOIUrl":"https://doi.org/10.1089/jwh.2024.0930","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> U.S. maternal mortality rates are high. Inequities in birth outcomes are pervasive. Patient perception of bias during pregnancy-related care, especially among minoritized communities, is a risk factor for adverse perinatal health outcomes. Addressing this may be vital to lowering maternal mortality and improving care. The aim of this review was to explore the association between patient perception of provider bias and U.S. perinatal health care quality in birthing people. <b><i>Methods:</i></b> Following PRISMA-ScR guidelines, we conducted a scoping review of original published studies (2003-2023) addressing perceived bias/discrimination and perinatal care quality metrics. Both qualitative and quantitative studies were evaluated to formulate a broad conceptualization of the research examining perceived bias and perinatal health care quality. <b><i>Results:</i></b> Four addressed themes arose from this review that related to the association of perceived bias with: (i) demographic factors such as race/ethnicity and insurance type; (ii) patients' pregnancy-related health care engagement; (iii) a breakdown in communication and trust between patients and providers; and (iv) patients' sense of choice/control in their perinatal health care engagement. <b><i>Conclusions:</i></b> Researchers are using first-person accounts of perceived bias to better understand the etiology of inequitable maternal health statistics in the United States. Preliminary outcomes from this body of work indicate a relationship between the perception of bias, provider relationships, health care engagement, and maternal agency. The role of bias perception on maternal mortality may be an important barrier to improved health outcomes, particularly in minoritized populations.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017789","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":"Disparities in Highly Effective Contraceptive Use Among U.S. Active Duty Service Women, Fiscal Years 2020-2023.","authors":"Amandari Kanagaratnam, Sarah Selica Miura, Helen M Barnhart, Christian Coles, Tracey Pérez Koehlmoos","doi":"10.1089/jwh.2024.1050","DOIUrl":"https://doi.org/10.1089/jwh.2024.1050","url":null,"abstract":"<p><p><b><i>Background:</i></b> Despite universal coverage of all highly effective contraceptive (HEC) methods in the Military Health System (MHS), active duty service women (ADSW) have higher rates of unintended pregnancy and lower rates of HEC use than the general U.S. population. Between 2016 and 2019, racial minority and lower socioeconomic status (SES) ADSW demonstrated lower odds of HEC use. This study further investigated factors associated with HEC use among ADSW to assess their reproductive health needs. <b><i>Methods:</i></b> We conducted a cross-sectional study using fiscal year 2020-2023 data from the MHS Data Repository for all ADSW aged 18-45 years. Statistical analyses included descriptive statistics and logistic regression models, adjusted and unadjusted, determining the odds of HEC use overall, by method, and by social characteristics, including race and military rank as a proxy for SES. <b><i>Results:</i></b> Of the 339,011 ADSW identified, 164,756 (48.6%) used at least one HEC method during the study period. Black (odds ratio [OR] = 0.89; 95% confidence interval [CI] = 0.88-0.91) and Asian/Pacific Islander (OR = 0.88; 95% CI = 0.78-0.82) ADSW demonstrated lower odds of overall HEC use than White ADSW. Junior Enlisted ADSW demonstrated lower odds of overall HEC use than nearly all other ranks. <b><i>Conclusions:</i></b> The proportion of ADSW using HEC methods has decreased since 2019, while HEC use in the general population has increased. Racial and socioeconomic disparities remain, highlighting the need for future research to investigate reasons for these disparities in order to design effective mitigation strategies to ensure access to contraceptive care for all ADSW.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026811","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 Dr. Lorna Breen Health Care Provider Protection Reauthorization Act.","authors":"Eli Y Adashi, I Glenn Cohen","doi":"10.1089/jwh.2025.0137","DOIUrl":"https://doi.org/10.1089/jwh.2025.0137","url":null,"abstract":"","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007432","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":"How Well Do Athletic Trainers Recognize and Evaluate the Female Athlete Triad? A Survey of Athletic Trainers in the Practicing United States.","authors":"David Hou, Laura C M Ndjonko, Erin DeHeer, Jennifer L Scheid, Vehniah K Tjong","doi":"10.1089/jwh.2024.0910","DOIUrl":"https://doi.org/10.1089/jwh.2024.0910","url":null,"abstract":"<p><p><b><i>Background:</i></b> The Female Athlete Triad is the connection between energy deficiency with or without an eating disorder, menstrual disturbances, and bone loss that is found in female athletes. Affected women can have significant short- and long-term health consequences, such as decreased athletic performance, infertility, and osteoporosis. These sequelae can be minimized with early intervention, which requires both an understanding of the Female Athlete Triad and screening practices. Athletic trainers (ATs) are an important part of the athlete's care team with frequent interactions with patients. This cross-sectional study investigates the understanding and screening of the Female Athlete Triad in ATs. <b><i>Materials and Methods:</i></b> A cross-sectional survey was developed to assess certified athletic trainers' demographics, knowledge, and screening practices regarding the female athlete triad. Survey content was based on the 2007 ACSM position stand, the 2014 Female Athlete Triad Coalition consensus statement, and prior studies evaluating awareness among coaches. Knowledge was assessed using a 7-point Likert scale, and screening practices were assessed using a 5-point Likert scale. The survey was distributed via email to certified members of the National Athletic Trainers' Association (NATA). Participation was voluntary. IRB exemption was granted by both NATA and Daemen University. <b><i>Results:</i></b> One hundred and sixteen ATs with varying gender, practice setting, and years of experience completed this study's survey assessing knowledge of the Female Athlete Triad and subsequent screening practices. ATs showed limited knowledge of the Female Athlete Triad and were rarely screened for it. Female trainers, those who worked with majority female athletes, and Division 1 trainers had better knowledge of the Female Athlete Triad compared with their respective counterparts. Years of experience did not significantly impact knowledge scores. Practice setting and years of experience did significantly impact screening scores. High school trainers and those with <10 years of experience also had the best screening scores. <b><i>Conclusions:</i></b> Female ATs, those who worked with female athletes, and trainers who took care of higher-level athletes demonstrated superior understanding of the Female Athlete Triad. Improved awareness, training, and more frequent, focused screening should be implemented for ATs to bridge remaining gaps.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017374","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":"Legislation on Medical Fertility Preservation: Improved but Insufficient Access to Care in Disadvantaged Neighborhoods.","authors":"Allison S Komorowski, Emma Trawick, Katherine Bolten, Kristin Smith, Jennifer Elvikis, Kara N Goldman","doi":"10.1089/jwh.2024.1081","DOIUrl":"https://doi.org/10.1089/jwh.2024.1081","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To assess whether state-level legislation mandating insurance coverage for medical fertility preservation (MFP) was associated with a change in the neighborhood disadvantage of individuals accessing fertility preservation care. <b><i>Methods:</i></b> This is a retrospective cohort study of individuals with ovaries seen for MFP consultation from 2017 to 2020 at a large academic medical center. Neighborhood disadvantage, as measured by median area deprivation index (ADI) in those who had MFP consultation and initiated ovarian stimulation for MFP was assessed; insurance type and other demographics were also assessed. Patients who underwent ovarian stimulation in 2017-2018 (pre-legislation) were compared to those who underwent stimulation between 2019 and 2021 (post-legislation). <b><i>Results:</i></b> Overall, 427 individuals with ovaries were seen for MFP consultation from 2017 to 2020; 203 of which were seen prior to legislation mandating insurance coverage (2017-2018), and 224 were seen following expansion of legislation (2019-2020). Overall, 278 individuals initiated ovarian stimulation cycles for MFP, 122 pre-legislation and 156 post-legislation. More patients with Medicaid insurance coverage were seen for MFP consultation and initiated stimulation post-legislation than pre-legislation (28 versus 12 for consultation, <i>p</i> = 0.020; 17 versus 3 for stimulation, <i>p</i> = 0.007). The predicted median ADI of patients initiating stimulation was 8 points higher post-legislation, representing increased neighborhood disadvantage, though this difference did not reach statistical significance (<i>p</i> = 0.053). After adjusting for other sociodemographic factors, the predicted median ADI of patients initiating stimulation was 3.5 points higher post-legislation (<i>p</i> = 0.25). <b><i>Conclusions:</i></b> While the implementation of an insurance mandate for MFP increased the median ADI of those initiating stimulation, this difference was not statistically significant. Legislation alone may not be enough to expand access to care to those living in the most disadvantaged areas.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971289","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 Association Between Midpregnancy Food Intake Timing Patterns and Gestational Weight Gain.","authors":"Marquis S Hawkins, Daisy Duan, Namhyun Kim, Mariska G Goswami, Kaleab Z Abebe, Christina M Scifres, Tina Costacou, Patrick Catalano, Hyagriv Simhan, Steve Orris, Dara Mendez, Michele M Levine, Daniel J Buysse, Esa M Davis","doi":"10.1089/jwh.2024.0677","DOIUrl":"https://doi.org/10.1089/jwh.2024.0677","url":null,"abstract":"<p><p><b><i>Background:</i></b> This article aims to characterize midpregnancy food timing profiles and examine their association with gestational weight gain (GWG). <b><i>Materials and Methods:</i></b> This secondary data analysis of a randomized controlled trial of two gestational diabetes screening approaches included 641 individuals with primary exposures and outcomes data. Food timing indicators (i.e., first and last eating episode time, caloric midpoint time, and the total eating window) were assessed using two 24-hour dietary recalls conducted in midpregnancy. Latent profile analysis was used to identify distinct food timing profiles based on these indicators. Regression analyses explored the associations between individual food intake timing indicators, food timing profiles, and GWG. <b><i>Results:</i></b> We identified four food timing profiles: extended window eating (<i>n</i> = 133; earliest first eating episode and the longest eating window), restricted window eating (<i>n</i> = 120; latest first eating episode and shortest eating window), early eating (<i>n</i> = 188; earliest caloric midpoint), and typical eating (<i>n</i> = 200; food intake aligning with the sample median). Participants with a restricted window eating profile (vs. typical eating profile) had an increased risk of insufficient GWG (unadjusted relative risk [RR] = 1.85, 95% confidence interval [CI] 1.12, 3.05). Each hour increase in the timing of the last eating episode was associated with 0.39 kg (0.03, 0.75) higher GWG. Both associations were attenuated in adjusted models and no longer statistically significant in adjusted models. <b><i>Conclusions:</i></b> We identified four distinct midpregnancy food timing profiles, but these profiles were not independently associated with GWG. These findings suggest that midpregnancy food timing may not play a major role in GWG.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017758","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":"Optimizing Care for Reproductive-Age Women with Hepatitis C Virus.","authors":"Denise Monti, Emma Lantos, Nicola Lancki, William A Grobman, Ravi Jhaveri, Lynn M Yee","doi":"10.1089/jwh.2024.1089","DOIUrl":"https://doi.org/10.1089/jwh.2024.1089","url":null,"abstract":"<p><p><b><i>Background:</i></b> Hepatitis C virus (HCV) infection affects between 1% and 2.5% of pregnant people in the United States and has maternal and fetal sequelae. Direct-acting antivirals are a highly effective curative strategy for HCV, yet data on their use in pregnancy are limited. Thus, family planning counseling of pregnancy-capable people seeking treatment for HCV is imperative. We aimed to examine whether and how pregnancy-capable people with HCV received family planning counseling from their clinicians during their treatment of HCV. <b><i>Methods:</i></b> This retrospective cohort study included all female patients between 18 and 50 years of age with HCV who sought care at a large, multihospital medical system between 2016 and 2020. Outcomes included whether patients who sought care for HCV received family planning or preconception counseling and the type of counseling they received. Analysis was conducted using descriptive statistics. <b><i>Results:</i></b> In this analysis of 194 people meeting inclusion criteria, 146 sought treatment for HCV, of whom 16 were currently pregnant. Of those seeking treatment, 24% discussed the uncertainty of treatment safety during pregnancy with their clinician, 23% received contraceptive counseling, 7% received preconception counseling, and 10% discussed family planning goals. Of the participants who were pregnant, 74% discussed the risks of treatment during pregnancy, and 67% had a postpartum treatment plan. <b><i>Conclusions:</i></b> In this cohort of pregnancy-capable people with HCV, patients infrequently received counseling about reproductive planning before or during their HCV treatment. Although most patients who were pregnant received counseling on treatment recommendations, few were referred to maternal-fetal medicine subspecialists.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969325","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}