Sexual health最新文献

{"title":"A pilot study, auditing digital communication to conduct sexual and reproductive health service outreach to Chinese- and Thai-speaking sex workers in Sydney.","authors":"Katherine Coote, Maggie Ma, Birdie Thirapat, Limin Mao, Rick Varma","doi":"10.1071/SH24188","DOIUrl":"https://doi.org/10.1071/SH24188","url":null,"abstract":"<p><p>Background A large sexual health service (SHS) in Sydney has piloted the use of Mandarin-language app 'WeChat' and Thai-language app 'LINE', to enhance outreach to Chinese- and Thai-speaking sex industry workers (SIWs). These platforms offer a novel and unique means for Thai and Chinese SIWs to access the SHS, bypassing potential lengthy wait times otherwise experienced through phone triage, using telephone interpreters. Method From 5 February to 5 April 2024, data from clients' posts on both platforms were extracted and dissected according to the following indices: current registration with the SHS, approximate time taken for response to messages, demographic client information, and key service/s requested. Results During the 2-month data extraction period, the total subscription to the online platforms was 329, comprising 227 (69%) posts on WeChat and 102 (31%) on LINE. New clients made up about one-third of the overall clientele on both platforms. Overall, an estimated average of 10 min was the most common (the mode) length of time taken to respond to clients' online posts. The two most frequently requested services were to introduce relevant sexual reproductive health services and to book clinical appointments. Conclusion This pilot provided valuable information about how the SHS WeChat and LINE platforms are used by their target populations. This information has informed the development of resources to enhance efficient administration of these platforms. The data may also be used to help justify the continued use of these platforms to reach these at-risk priority populations, despite wider security concerns about foreign-owned platforms, such as WeChat.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209578","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":"Attitudes towards and use of point-of-care tests for STIs: results from a survey of STI conference attendees in 2023.","authors":"Yu-Hsiang Hsieh, Yukari C Manabe, Charlotte A Gaydos, Matthew M Hamill, Haneefa Saleem, Golsa M Yazdy, Anne M Rompalo, Susan Tuddenham","doi":"10.1071/SH25003","DOIUrl":"https://doi.org/10.1071/SH25003","url":null,"abstract":"<p><p>Background Point-of-care tests (POCTs) for sexually transmitted infections (STIs) have become increasingly available since the COVID-19 pandemic. There is limited data on the use of these tests in clinical practice as well as the potential challenges to integrating them into care. Methods We conducted a survey of participants at an international STI conference in July 2023 to better understand the use of STI POCTs. Results A total of 83% of respondents reported using traditional POCTs (such as Gram stain and wet prep) in their practices, and 52% used newer POCTs (most commonly: rapid tests for Treponema pallidum (26%) and molecular tests for Neisseria gonorrhoeae /Chlamydia trachomatis (26%)). Newer POCTs were commonly used for symptomatic (77%) and asymptomatic patients (46%), in addition to asymptomatic contacts of people with STIs (51%) and those with increased vulnerabilities (47%). Disclosure of results from newer POCTs occurred during the clinic visit for the majority of respondents (71%). When asked about the most important obstacles to using newer POCTs, cost of the test to the clinical practice or healthcare system was the most cited issue (43%), whereas concerns regarding changing or establishing new clinic workflows was the second most cited issue (23%). Most participants were 'definitely' (58%) or 'maybe' (29%) in favor of patient self-tests; however, top concerns included lack of follow-up to ensure counseling/appropriate treatment for the patient and their partner. Conclusions To meaningfully adopt newer STI POCTs, further research is needed to understand practice patterns and barriers to implementation.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217008","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":"Abstracts from the IANS 2025 Scientific Meeting.","authors":"","doi":"10.1071/SHv22n3abs","DOIUrl":"https://doi.org/10.1071/SHv22n3abs","url":null,"abstract":"<p><p>6-8 June 2025 Royal College of General Practitioners, London, UK Global conference on anal cancer and other anal HPV-associated conditions The 2025 in-person event will showcase invited presentations, abstracts, small group sessions and a lively scientific interchange on anal HPV infection, anal squamous intraepithelial lesions and anal cancer. To cite the full set of abstracts: (2025) Abstracts from the IANS 2025 Scientific Meeting. Sexual Health 22 , SHv22n3abs. doi:10.1071/SHv22n3abs To cite individual abstracts use the following format: Goel R et al . (2025) 1. Advancing anal cancer screening: the impact of an educational module on provider awareness and implementation of anal cancer screening guidelines [Conference abstract]. Sexual Health 22 , SHv22n3abs.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217007","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":"Engaging citizens to conduct large-scale qualitative research: lessons learnt from a community-engaged research project on queer men's lived experiences of health in Singapore.","authors":"Shao Yuan Chong, Benedict Xin Hao Tan, Daniel Weng Siong Ho, Ye Xuan Wee, Muhammad Hafiz Bin Jamal, Rayner Kay Jin Tan, For Rainbow","doi":"10.1071/SH24196","DOIUrl":"10.1071/SH24196","url":null,"abstract":"<p><p>Introduction HIV science has made significant progress, but community engagement in some contexts remains suboptimal, with marginalized and key populations being left behind. Discriminatory policies, medical mistrust, stigma and a lack of resources remain key roadblocks. Citizen-led, community-engaged approaches hold promise in subverting power structures that reproduce such barriers and allow us to leverage community resources. Discussion We draw on our experience of a collaborative research project between the National University of Singapore and RainbowAsia, a community-based organization addressing the needs of young gay, bisexual and queer men in Singapore. The study focused on stigma, resilience, relationships, sexual partnerships and mental health among Singaporean gay, bisexual and queer men, and commenced in June 2022. Despite being a high-income country, research funding for HIV key populations in Singapore remains sparse, as local funders prioritize less politically sensitive topics while international funders rightfully focus funding on resource limited settings. A citizen-led approach was therefore implemented out of necessity and a desire by community members to translate research into evidence-based programs. We propose a citizen science framework comprising eight key phases, including: (1) developing a research and implementation pipeline, (2) stakeholder and resource mapping, (3) delegation of expertise, (4) creating plans for equity, (5) developing a research plan, (6) generating evidence, (7) dissemination and translation, and (8) plans for sustainability and impact. Cross-cutting processes across all phases include the adoption of deliberative democratic processes, training and mentorship, and (re)negotiation of power and recognition for all stakeholders. A total of 44 in-depth interviews were completed, transcribed, and analyzed by a core research team and 26 volunteer research assistants. The entire study required crowdfunding USD1600.00 for participant reimbursements, but otherwise leveraged academic, community and citizen resources to accomplish the study's outputs. Conclusions Our case study illustrates a microcosm of how research evidence can be generated, disseminated, and translated by citizens and communities into evidence-based programs at the community level. Our framework aligns itself with stakeholder engagement principles, and can provide a roadmap for sustainable collaborative research between academic, community and citizen stakeholders.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048897","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":"Awareness and willingness toward doxycycline post-exposure prophylaxis use for bacterial sexually transmitted infections among men who have sex with men.","authors":"Yi-Ting Chen, Kuan-Yin Lin, Hsin-Yun Sun, Yu-Shan Huang, Wang-Da Liu, Yu-Chung Chuang, Po-Hsien Kuo, Sung-Hsi Huang, Kai-Hsiang Chen, Aristine Cheng, Wang-Huei Sheng, Szu-Min Hsieh, Sung-Ching Pan, Un-In Wu, Szu-Ting Huang, Tzong-Yow Wu, Wen-Chun Liu, Pei-Ying Wu, Yu-Zhen Luo, Hsi-Yen Chang, Ling-Ya Chen, An-Ting Peng, Pei-Yu Wang, Guei-Chi Li, Chien-Ching Hung","doi":"10.1071/SH24136","DOIUrl":"10.1071/SH24136","url":null,"abstract":"<p><p>Background Doxycycline post-exposure prophylaxis (doxy-PEP) has shown efficacy in preventing bacterial sexually transmitted infections (STIs) among men who have sex with men (MSM). We aimed to investigate the awareness and willingness toward doxy-PEP among MSM in the real-world setting. Methods From October 2023 to March 2024, we enrolled MSM aged ≥18years, including people with HIV and PrEP users in Taiwan. Participants completed a questionnaire interview on sexual behaviors, STI history, and awareness and willingness to use doxy-PEP. Factors associated with willingness and doxy-PEP prescription were identified. Results Of 1100 participants (median age, 36years), 75.5% were people with HIV and 24.5% were PrEP users. Among them, 29.8% (328/1100) had heard of doxy-PEP. After education and counseling, 85.9% (945/1100) expressed willingness to use doxy-PEP and 45.6% (431/945) received prescriptions for doxy-PEP. In multivariable analysis, willingness to use doxy-PEP was associated with engaging in anal sex (AOR2.98, 95% CI1.01-8.78), having fixed sexual partners (AOR0.53, 95% CI0.34-0.82), using recreational drugs (AOR1.59, 95% CI1.01-2.50) and receiving suggestions from healthcare providers (AOR1.89, 95% CI1.22-2.91). Starting doxy-PEP was associated with having a bachelor's degree or higher (AOR1.47, 95% CI1.03-2.09), more than five sexual partners (AOR1.97, 95% CI1.18-3.27), chlamydia history (AOR1.92, 95% CI1.23-2.99), suggestions from healthcare providers (AOR 1.64, 95% CI1.10-2.45) and information from scientific research papers (AOR1.34, 95% CI1.01-1.79). Conclusions MSM in Taiwan had high willingness toward doxy-PEP, which was correlated with their at-risk sexual behavior. Understanding factors influencing willingness and counseling from healthcare providers may guide doxy-PEP implementation.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151677","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":"Using photovoice to explore HIV self-testing and secondary distribution of HIV self-testing among gay, bisexual and other men who have sex with men in China.","authors":"Qianyun Wang, Ying Lu, Yuxin Ni, Xumeng Yan, Rayner Kay Jin Tan, Dan Wu, Joseph D Tucker, Jason J Ong, Weiming Tang","doi":"10.1071/SH24116","DOIUrl":"10.1071/SH24116","url":null,"abstract":"<p><p>Background Human immunodeficiency virus self-testing (HIVST) has been globally recognized as a useful and reliable strategy to promote HIV testing, especially among marginalized populations. To improve the understanding of HIVST uptake of gay, bisexual and other men who have sex with men (GBMSM) in China, this study aims to qualitatively explore the HIVST uptake experiences among this population. Methods The study employed photovoice methodology, theoretically built on documentary photography and critical consciousness, to explore the experiences of HIVST and secondary distribution among GBMSM in China. Participants created photos and citations, and shared and discussed them in the group. Three focus groups and one follow-up interview were held virtually for each participant who self-identified as gay or bisexual and used a self-test kit before. Results This program recruited 22 participants from throughout China. The findings revealed that perceived discrimination based on sexual minority identity, and HIV-related stigma and fear affected participants' decision to take HIVST and to pass HIVST kits on to others. Participants utilized HIVST on a routine basis, citing sexual health concerns, psychological comfort and a responsibility to their significant others as reasons for doing so. HIVST kit distribution within intimacy, and the significant role of GBMSM-led community-based organizations were found as characteristics of interactions between participants and those who they passed HIVST kit(s) on to. Conclusion In the study, images and narratives were acquired through empowering GBMSM, and promoting their community engagement to underline the necessity for measures and policies on promoting HIVST among this population. Findings also entailed the need to create a more inclusive society for sexual minorities and people living with HIV. Implications for promoting HIVST secondary distribution, and limitations and strengths of the pioneer photovoice study among GBMSM in China were also listed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128701","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":"Do Australian sexual health clinics have the capacity to meet demand? A mixed methods survey of directors of sexual health clinics in Australia.","authors":"Christopher K Fairley, Jason J Ong, Lei Zhang, Rick Varma, Louise Owen, Darren B Russell, Sarah J Martin, Joseph Cotter, Caroline Thng, Nathan Ryder, Eric P F Chow, Tiffany R Phillips, For The Australian Sti Research Group","doi":"10.1071/SH25026","DOIUrl":"10.1071/SH25026","url":null,"abstract":"<p><p>Background The study describes the capacity of publicly funded sexual health clinics in Australia and explores the challenges they face. Methods We sent a survey to the directors of publicly funded sexual health clinics across Australia between January and March 2024. The survey asked about how their clinics were managing the current clinical demand. Results Twenty-seven of 35 directors of sexual health clinics responded. These 27 clinics offered a median of 35 (IQR: 20-60) bookings each day, but only a median of 10 (IQR: 2-15) walk-in consultations for symptomatic patients. The average proportion of days that clinics were able to see all patients who presented with symptoms was 70.1% (95% CI 55.4, 84.9) during summer versus 75.4% (95% CI 62.2, 88.5) during winter. For patients without symptoms, the corresponding proportions were 53.3% (95% CI 37.9, 68.8) during summer versus 57.7% (95% CI 41.7, 73.7) during winter. If these percentages were adjusted for the number of consultations that the clinic provided, then the corresponding numbers for symptomatic individuals was 51.0% for summer and 65.2% for winter, and for asymptomatic individuals it was 48.1% and 49.8%, respectively. The catchment population of the clinics for each consultation they provided ranged from as low as 3696 to a maximum of 5 million (median 521,077). Conclusions The high proportion of days on which sexual health clinics were not able to see all patients is likely to delay testing and treatment of individuals at high risk of STIs and impede effective STI control.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998719","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":"Diagnoses of sexually transmissible infections in HIV-serodiscordant male couples in Australia, Brazil and Thailand.","authors":"James Gray, Fengyi Jin, Nittaya Phanuphak, Ruth K Friedman, Christopher K Fairley, David J Templeton, Iryna Zablotska-Manos, Jennifer Hoy, David Baker, Mayara Secco Torres Silva, Andrew Grulich, Benjamin Bavinton, For The Opposites Attract Study Group","doi":"10.1071/SH24208","DOIUrl":"10.1071/SH24208","url":null,"abstract":"<p><p>Background In an era of biomedical prevention of HIV transmission, prevention of sexually transmissible infections (STIs) remains a priority for male HIV-serodiscordant couples. Three common STIs in populations of gay and bisexual men are chlamydia, gonorrhoea and syphilis. Methods We examined the incidence of these three infections in 343 male HIV-serodiscordant couples in Australia, Brazil and Thailand. The couples participated in a prospective, observational cohort study that included regular STI testing and behavioural surveys for HIV-negative partners (HNP). Results HIV-positive partners (HPP; IR=22.9/100person-years, 95% CI: 19.3-27.0) had a higher incidence rate of any STI (22.9/100person-years, 95% CI: 19.3-27.0) compared with HNP (14.9/100person-years, 95% CI: 12.1-18.3). It was more common for only the HPP (n =107/343, 7.1%) or only the HNP (n =60, 4.0%) to have an STI than for both to have an STI (n =29/343, 1.9%). Higher STI incidence was associated with vocational education (HNP: aHR=2.19, P =0.005), full-time employment (HPP: aHR=1.61, P =0.016), living in Brazil (HPP: aHR=1.85, P =0.017) or Thailand (HPP: aHR=1.98, P =0.008), having anal sex with other partners (HNP: aHR=2.42, P =0.003; HPP: aHR=2.87, P P =0.044). Lower STI incidence was associated with age >40 years (HNP: aHR=0.49, P =0.021; HPP: aHR=0.46, P =0.006), full-time employment (HNP: aHR=0.56, P =0.016) and >5years since first sex with the study partner (HNP: aHR=0.50, P =0.036). Conclusions There were differences in STI diagnoses within HIV-serodiscordant couples, particularly based on their agreements about sex outside the relationship. Interventions aimed at strengthening these agreements with commitments to STI testing could be effective in reducing the incidence of STIs.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018901","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":"Empowering adolescent girls in Pakistan: development and feasibility of the Girls' Voices Curriculum for advocacy and leadership.","authors":"Komal A Rahim, Zohra S Lassi, Sarmad Muhammad Soomar, Salima Meherali","doi":"10.1071/SH25010","DOIUrl":"10.1071/SH25010","url":null,"abstract":"<p><p>Background Adolescence is a pivotal stage of life, yet many adolescent girls in Pakistan face significant challenges due to gender inequality and limited opportunities for empowerment. To address these gaps, Rise Up and Girl Up introduced the 'Girls' Voices Curriculum': a 10-week program to empower underprivileged girls through girl-led advocacy and decision-making. Methods Piloted in three suburban schools in Sindh Province, Pakistan, the curriculum was evaluated for cultural acceptability and feasibility through workshops with 86 teachers and school administrators. Results The findings highlight its relevance, cultural sensitivity, and potential to address adolescent girls' needs. Ongoing efforts aim to integrate the curriculum into schools and evaluate its effectiveness in fostering gender equality, problem-solving, and leadership skills. Conclusion This initiative holds promise as a scalable model for empowering adolescent girls in Pakistan and similar contexts.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049228","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":"Position statement on doxycycline post-exposure prophylaxis for the prevention of bacterial sexually transmissible infections in Aotearoa New Zealand: the New Zealand Sexual Health Society.","authors":"Julia Scott, Massimo Giola, Jeannie Oliphant","doi":"10.1071/SH25017","DOIUrl":"https://doi.org/10.1071/SH25017","url":null,"abstract":"<p><p>Recent studies have demonstrated that doxycycline post-exposure prophylaxis (doxy-PEP) reduces the risk of syphilis and chlamydia in men who have sex with men and transgender women who have sex with men who are at risk of sexually transmitted infections (STIs). With several international organisations publishing guidance regarding doxy-PEP use, and substantial community and sector interest, the New Zealand Sexual Health Society drafted an interim statement and then convened a cross-sectoral meeting to discuss doxy-PEP benefits and risks, and review and revise the statement. There was strong agreement that doxy-PEP be considered as part of a comprehensive STI prevention approach to people assigned male sex at birth who have sex with men who are at risk of syphilis, primarily as an intervention to prevent syphilis. New Zealand Sexual Health Society advises that doxy-PEP be proactively offered to people assigned male sex at birth who have sex with men with a diagnosis of syphilis or two other bacterial STIs in the past 12months, and considered for others as outlined in the statement. Prescription of doxy-PEP should include counselling on the benefits and harms including side-effects and antimicrobial resistance, with users assisted to maximise the benefits of doxy-PEP while minimising overall antibiotic use. STI diagnostic considerations, and monitoring and surveillance are discussed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181776","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}