Sexual health最新文献

{"title":"'I want him to get on PrEP': the perspectives of men who have sex with men living with HIV on sexual partners' use of pre-exposure prophylaxis.","authors":"Sarah J Miller, Atticus Wolfe, Cheuk Chi Tam, Xueying Yang","doi":"10.1071/SH25108","DOIUrl":"10.1071/SH25108","url":null,"abstract":"<p><strong>Background: </strong>Despite its high efficacy for HIV prevention, uptake of pre-exposure prophylaxis (PrEP) is low in the US. This is particularly concerning for men have sex with men (MSM), as they are disproportionately affected by HIV. Interpersonal factors, especially the perspectives of sexual partners living with HIV, influence the use of PrEP for MSM without HIV. Therefore, understanding how MSM with HIV (MSMWH) perceive their HIV-negative sexual partners' use of PrEP can have important implications for HIV prevention efforts. The present study sought to understand MSMWH's attitudes about and outcome expectancies of their sexual partners' PrEP use.</p><p><strong>Methods: </strong>Semi-structured qualitative interviews were conducted with 30 MSMWH in South Carolina, US, focused on perceptions of PrEP use for their HIV-negative partners. Interviews were recorded and transcribed verbatim. An inductive, interpretive, conventional content analysis approach with two coders was used.</p><p><strong>Results: </strong>Overall, most participants viewed PrEP positively as an option for their HIV-negative partners. Reasons for these perceptions included that their partners' PrEP use would enhance sexual security, minimize uncertainty and strengthen relationships. Primary hesitancies about HIV-negative partners' use of PrEP included concerns around side-effects, distrust due to the Truvada lawsuit, and continued sexually transmitted infection and HIV risks.</p><p><strong>Conclusions: </strong>The present study highlights the nuanced perspectives of MSMWH on the use of PrEP for HIV-negative partners. Efforts to increase uptake of PrEP may benefit from attending to interpersonal facilitators of PrEP uptake, such as partner support.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507326","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":"Generous manuscript review.","authors":"Joseph D Tucker, Jason J Ong","doi":"10.1071/SH25165","DOIUrl":"10.1071/SH25165","url":null,"abstract":"<p><strong>Background: </strong>Generous peer review is essential for scientific review, yet many researchers experience the current review culture as unkind. Harsh reviews disproportionately affect women, researchers of color, and other under-represented groups, contributing to reduced confidence, diminished job satisfaction, and delayed career progression. In contrast, generous reviewing strengthens research quality, promotes equity, and reinforces the collaborative foundations of science.</p><p><strong>Methods and results: </strong>This article outlines four principles to guide a more generous approach to manuscript review: empathizing with authors, providing constructive criticism, focusing on areas of genuine expertise, and advocating for systemic improvements in academic publishing. Empathy encourages reviewers to recognize the emotional and professional labor behind every submission, framing feedback in a manner that supports learning rather than discouragement. Constructive criticism emphasizes specificity, actionable guidance, and a distinction between major and minor concerns. Reviewing within one's expertise enhances accuracy and protects against misplaced or misleading critique, while acknowledging limitations promotes humility and transparency. Finally, reviewers are well positioned to promote broader equity, including advocating for fair article processing charge policies, inclusive language support, and greater recognition of reviewer labor.</p><p><strong>Conclusions: </strong>Cultivating generosity in peer review does not diminish rigor; it enhances the effectiveness, fairness, and impact of scholarly communication. By adopting these principles, reviewers can help shift the culture of peer review towards one that encourages improvement, supports diverse researchers, and advances high-quality science.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662103","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":"Genitourinary syndrome of menopause in Chinese-speaking sex workers attending an urban Australian sexual health clinic: a quality improvement project.","authors":"Ying Zhi Zhou, Arthur Wong, Maggie Ma, Luming Xu, Xiaoxin Shi, Rosalind Foster","doi":"10.1071/SH25077","DOIUrl":"10.1071/SH25077","url":null,"abstract":"<p><p>This Letter reports on perimenopausal and menopausal symptoms among Chinese-speaking commercial sex workers (CSWs) attending Sydney Sexual Health Centre. Forty-six CSWs aged ≥45 years were screened using a modified Greene Climacteric Scale. Sixteen showed symptoms of oestrogen deficiency, and 31 reported vaginal dryness causing painful sex. Given the physical demands of sex work, these symptoms may impact quality of life and ability to work. Findings highlight the need for culturally sensitive, accessible healthcare services to address the menopausal health concerns of CSWs and reduce barriers to care.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356023","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":"Preferences on the uptake and completion of single- or three-dose regimen of benzathine penicillin G injection for the treatment of late syphilis: a discrete-choice experiment.","authors":"Nang Nge Nge Phoo, Richard Norman, Daniel Vujcich, Jason J Ong, Laurens Manning, Rochelle Tobin, Thel Hla, Jonine Jancey","doi":"10.1071/SH25044","DOIUrl":"https://doi.org/10.1071/SH25044","url":null,"abstract":"<p><strong>Background: </strong>Notifications of syphilis in Australia have increased since 2011, particularly among gay and bisexual men who have sex with men (GBMSM). Adherence to current late latent syphilis treatment regimen is low-moderate, which is a significant health issue. To address this treatment non-compliance, a single high-dose benzathine benzylpenicillin G regimen has been under clinical trial. This study aimed to determine which attributes of either a three-dose or single-dose benzathine benzylpenicillin G regimen for treating late latent syphilis were preferred, and which attributes were deemed most important by a sample of GBMSM in Australia.</p><p><strong>Methods: </strong>A discrete-choice experiment survey was administered to GBMSM. This included two experiments: (1) treatment Day 1, and (2) completion of a full course. Random parameters logit model and latent class analysis were used to analyse choices of preferred attribute levels, and attributes deemed most important by respondents.</p><p><strong>Results: </strong>A total of 309 respondents completed the survey, having a mean age of 42.35 (±15.4) years. The choices revealed respondents' preferred attribute levels that were related to the single high-dose regimen, such as one injection on Day 1, the use of a shorter and thinner needle, a single injection, and a single appointment to complete the treatment course. Respondents preferred a shorter injection time. The pain on treatment Day 1, and the total number of injection(s) and appointment(s) to complete a treatment course were of most concern to respondents.</p><p><strong>Conclusions: </strong>The GBMSM respondents preferred one injection and one appointment for a full treatment course, which supports efforts to develop a single high-dose benzathine benzylpenicillin G regimen for late latent syphilis treatment.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356080","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":"Epidemiology of notified chlamydia infections, Queensland, 2000-2019.","authors":"Troy A Laidlow, Kathleen Lynch, Satyamurthy Anuradha, Craig Thompson, Davoud Pourmarzi, Jane Hocking, Stephen B Lambert","doi":"10.1071/SH25121","DOIUrl":"https://doi.org/10.1071/SH25121","url":null,"abstract":"<p><strong>Background: </strong>Chlamydia infection is a frequently reported notifiable condition in Queensland, with the highest prevalence observed among young people. Infection can occur in several sites including the anus, eye, pharynx, cervix/vagina, and urethra. Currently, historical trends in chlamydia by site of infection in Queensland are unknown.</p><p><strong>Methods: </strong>A descriptive analysis of all chlamydia notifications in Queensland, 2000-2019, was performed. Queensland Health statewide notification data were classified as either anorectal, eye, genitourinary, upper respiratory tract, or other/unspecified. The number of chlamydia tests and proportion of tests positive for chlamydia were calculated using Medicare online testing data. Population denominator values were obtained from the Australian Bureau of Statistic's catalogues.</p><p><strong>Results: </strong>Over the 20-year period, chlamydia notifications increased, particularly among individuals aged 20-24 years. However, there was a noticeable decline in genitourinary notifications among those aged 15-19 years since 2010. Despite increased testing, the ratio of positive specimens to testing decreased among females aged 15-24 years.</p><p><strong>Conclusions: </strong>Across the period of our study, there was a substantial and sustained decline in chlamydia notifications in those aged 15-19 years. Further research is required to understand factors that have contributed to this decrease and to guide programs for controlling chlamydia.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356119","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":"An outbreak-driven emergency department screening program for syphilis in North Queensland's Aboriginal and Torres Strait Islander population.","authors":"Leah Moncrieff, Luke Lawton, Leanne Hall, Katie Edmondson, Arun Menon, Clare Heal","doi":"10.1071/SH25055","DOIUrl":"10.1071/SH25055","url":null,"abstract":"<p><strong>Background: </strong>There is an ongoing syphilis outbreak in regional and rural areas of Australia, with Aboriginal and Torres Strait Islander peoples disproportionately represented in notification data. Innovative screening approaches are needed in healthcare settings frequented by at-risk communities. The emergency department (ED) was hypothesised to be an ideal location for screening Aboriginal and Torres Strait Islander peoples, who traditionally underutilise healthcare services.</p><p><strong>Methods: </strong>A quality improvement initiative introduced an opt-out syphilis screening program at the Townsville University Hospital ED. For Aboriginal and Torres Strait Islander clients aged 15-40 years, syphilis screening was automatically added to blood tests collected as part of routine care. A retrospective audit of the program assessed screening rates, diagnosis, linkage to treatment and contact tracing outcomes.</p><p><strong>Results: </strong>The program added 5471 tests for 3942 individuals within the target age range. Twenty-seven Aboriginal and Torres Strait Islander peoples were diagnosed with syphilis infections requiring treatment, indicating a 0.68% prevalence. The odds of untreated syphilis were significantly higher in the oldest age group (aged 36-40 years) compared with the youngest age group (aged 15-20 years; OR 3.88, 95% CI 1.05-14.40, P = 0.04). All diagnoses of late latent or syphilis of unknown duration (n = 5) were made in the oldest age group. One pregnant woman was diagnosed with early syphilis. All infections, except one, were successfully treated by sexual health services.</p><p><strong>Conclusion: </strong>The ED screening program effectively identified undetected syphilis cases in the Aboriginal and Torres Strait Islander population. This audit informed future adaptations to the program, including expanding the target age range and increasing the screening interval between tests. Similar ED syphilis screening protocols could be adopted by other hospitals in syphilis outbreak areas.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356048","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":"Exploring user preferences for PrEP service delivery models in Japan: a discrete choice experiment among men who have sex with men.","authors":"Chunyan Li, Kailu Wang, Junko Tanuma, Akira Shibanuma, Stuart Gilmour, Curtis Chan, Nittaya Phanuphak, Warittha Tieosapjaroen, Jason J Ong, Lei Zhang, Benjamin R Bavinton","doi":"10.1071/SH25063","DOIUrl":"https://doi.org/10.1071/SH25063","url":null,"abstract":"<p><strong>Background: </strong>High cost and limited PrEP providers impede PrEP uptake for Japanese users. Our study aims to investigate PrEP use behaviors and preferences for PrEP among men who have sex with men (MSM) in Japan.</p><p><strong>Methods: </strong>PrEP APPEAL was an online cross-sectional survey conducted in Japan to assess PrEP preferences among adult MSM using a discrete choice experiment design. Data were collected between May 2022 and November 2022. Participants were primarily recruited through gay dating apps and community-based referral. Mixed logit modeling with effects coding was applied to estimate preference weightings and individual segments with heterogeneous preferences.</p><p><strong>Results: </strong>A total of 1358 participants were included (mean age 39.3 years, s.d. 11.2 years); 98.5% were assigned male at birth, and 78.4% identified as gay men. Only 13.5% were current PrEP users. Participants ranked monthly service cost (46.2%) as the most important PrEP attribute, followed by side effects (21.7%), PrEP type (14.5%), access locations (6.3%), visit frequency (5.8%) and additional services (5.6%). They were highly sensitive to cost increases (β = -0.33, P < 0.001), preferred options with no side effects (β = 0.63, P < 0.001) and comprehensive STI testing (β = 0.19, P < 0.001). On-demand (β = 0.32, P < 0.001) and monthly oral dosing (β = 0.34, P < 0.001) were preferred, whereas slow-release implants were less preferred (β = -0.49, P < 0.001). Care through MSM-operated clinics (β = 0.21, P < 0.001) or pharmacies (β = 0.12, P = 0.047) was preferred over hospitals (β = -0.15, P = 0.031). Longer visit intervals of 6 months (β = 0.11, P = 0.015) or annually (β = 0.11, P = 0.006) were preferred over shorter intervals.</p><p><strong>Conclusions: </strong>Affordable PrEP options with minimal side effects and care provision through community-led clinics are generally preferred by Japanese MSM. Developing a decentralized PrEP delivery model that aligns with user preferences is essential to help Japan accelerate its goals to end the HIV epidemic by 2030.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356075","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":"Acceptability of intrauterine device insertion without sedation for young nulliparous people: a mixed-methods study.","authors":"Sarah M Wright, Prudence Kidman, Clare Boerma, Jessica R Botfield","doi":"10.1071/SH25100","DOIUrl":"https://doi.org/10.1071/SH25100","url":null,"abstract":"<p><strong>Background: </strong>There is limited understanding of the pain experiences of young nulliparous people undergoing intrauterine device (IUD) insertion without sedation and how this influences the acceptability of the procedure. Although quantitative studies have measured pain intensity during insertion, little research has explored how young people perceive, experience, and contextualise this. We therefore conducted a mixed-methods study to better understand pain experiences and how this affects acceptability.</p><p><strong>Methods: </strong>Patients aged 16-30 years getting an IUD at a family planning clinic were recruited. They completed pre- and post-insertion surveys to rate anticipated and actual pain associated with the insertion. Interviews were conducted post-insertion to discuss expectations, pain, and acceptability. We used a convergent mixed-methods design with merged integration of qualitative and quantitative data for analysis.</p><p><strong>Results: </strong>Altogether, 30 young people participated. Most used simple oral analgesia and local anaesthetic spray to the cervix. On average, participants rated anticipated pain as 6.63/10 and actual pain as 5.88/10. Despite describing the procedure as very painful, most felt the pain was short-lived and therefore tolerable, and that their analgesia was sufficient. Overall, participants reported the procedure as acceptable. Higher acceptability was significantly associated with feeling that their pain relief was sufficient, that the insertion went as they expected, and that they perceived the benefits of the IUD outweighed the discomfort.</p><p><strong>Conclusions: </strong>Although the IUD insertion was very painful for young nulliparous patients, it was not the only determinant of insertion acceptability. Findings emphasise the importance of clinicians providing sufficient education and information about IUD insertions to support preparation and manage expectations, in addition to providing effective pain management.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356085","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 scoping review of parent-based barriers to parent-child communication about sexuality.","authors":"Neelam Punjani, Shannon D Scott, Amber Hussain, Tammy Lu, Farah Bandali, Sheila McDonald, Lisa Allen Scott, Sonia Sultan, Megan Kennedy","doi":"10.1071/SH25076","DOIUrl":"10.1071/SH25076","url":null,"abstract":"<p><p>Background Parent-child communication about sexuality plays a critical role in promoting adolescents' sexual and reproductive health, yet such discussions are limited across diverse cultural contexts. Despite the importance of comprehensive sexuality, parents frequently face barriers that hinder open and accurate dialogue. This scoping review aims to map the literature on parent-based barriers to sexuality communication with children and youth. It seeks to identify the barriers parents encounter and the socio-cultural dynamics that influence these interactions globally. Methods Following the Joanna Briggs Institute framework and PRISMA-ScR guidelines, a comprehensive literature search was conducted across 8 databases, yielding 59 peer-reviewed studies from 2000 to 2024. Eligible studies explored parent-child communication on sexuality, focused on barriers and employed qualitative, quantitative or mixed-methods designs. Results Six key themes emerged as barriers: (1) parental discomfort and lack of confidence; (2) limited knowledge and educational gaps; (3) restrictive cultural and religious norms; (4) gendered expectations and communication disparities; (5) heteronormative assumptions excluding Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, Intersex, Asexual (or Ally), plus other sexual and gender identities (2SLGBTQIA+) youth; and (6) concerns about judgment or misinterpretation. These barriers often stem from intergenerational silence, lack of training and societal stigma. Parents of children with disabilities or those identifying as gender-diverse faced additional challenges requiring tailored resources and clinical support. Conclusion Effective sexuality requires proactive, inclusive and culturally grounded parental engagement. Addressing structural and emotional barriers through tailored interventions, healthcare collaboration and educational toolkits is essential. This review underscores the need for future research, policy and health promotion efforts to support parent-based sexuality communication, especially for marginalized and under-resourced caregivers.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114200","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":"Shifting power dynamics in global health through youth engagement: a participatory mini-designathon.","authors":"P K Chima, Y Babatunde, S Vorkoper, J Durham, A Goi, J Iwelunmor, J D Tucker","doi":"10.1071/SH25025","DOIUrl":"https://doi.org/10.1071/SH25025","url":null,"abstract":"<p><p>Background Although youth engagement has long been explored in civic and political domains, it has only recently become a focus in global health. Traditional youth advisory approaches often suffer from unbalanced power dynamics, where adolescents and young adults are involved peripherally and tokenistically. This limits the relevance and impact of health interventions targeting young people, especially in low- and middle-income countries (LMICs). There is a need for practical, context-appropriate strategies that promote equity and power-sharing in youth engagement. Methods We developed and piloted a mini-designathon model - a condensed, in-person, design-thinking-based participatory approach that integrates the principles of youth participatory action research. This model was implemented as part of a broader engagement activity co-created with the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA)Youth Advisory Board. Teams of youth and adult researchers collaboratively produced creative outputs around the theme of youth engagement. The structure, implementation considerations, and participant feedback were analysed. Results The mini-designathon created a low-cost opportunity for youth and adult researchers to interact as peers in a structured, time-limited setting. Teams collaboratively produced creative outputs - including poems, dances, and illustrations - centred on youth engagement. Post-event feedback suggested that the activity was enjoyable, fostered discussion across age groups, and helped highlight the value of diverse perspectives. Conclusions Mini-designathons offer a practical, scalable tool to advance meaningful youth engagement in global health research. By embedding principles of equity and co-creation into participatory design, this model helps shift power dynamics and amplify youth voices, particularly in LMIC contexts. Further application and refinement of this approach can strengthen youth-adult partnerships and improve the design of interventions that affect young people's health and wellbeing.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113583","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}