Sexual health最新文献

{"title":"Recruiting participants via social media for sexual and reproductive health research.","authors":"Jacqueline Coombe, Helen Bittleston, Teralynn Ludwick, Megan S C Lim, Ethan T Cardwell, Linde Stewart, Louise Bourchier, Amelia Wardley, Jane L Goller, Cassandra Caddy, Jane S Hocking","doi":"10.1071/SH24123","DOIUrl":"https://doi.org/10.1071/SH24123","url":null,"abstract":"<p><p>Recruiting participants is a vital component of social research. Finding the right people (and the right number of them) at the right time to participate in your study can make or break its success; it can also challenge research budgets and requires considerable flexibility. Online recruitment strategies are becoming increasingly popular ways to recruit to both qualitative and quantitative studies. In this paper, we detail our experiences of using social media, primarily Meta platforms Facebook and Instagram, to recruit participants for our sexual and reproductive health research. Here, we provide a practical guide to using social media to recruit participants, and include examples throughout from our own research. We outline our triumphs and pitfalls in using this recruitment strategy, the challenges we have faced and the lessons we have learnt. In doing so, we hope to provide useful guidance for others wishing to use social media to recruit to their research studies.</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":"144317889","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":"Extending the use period of hormonal long-acting reversible contraceptive devices in Australia: exploring patterns of use in a cohort of users before and after COVID-19 guidance.","authors":"Tahlee B Stevenson, Alice R Rumbold, Kelly Hall, Jenni Ilomaki, Deborah Bateson, Danielle Mazza, Luke E Grzeskowiak","doi":"10.1071/SH25004","DOIUrl":"10.1071/SH25004","url":null,"abstract":"<p><p>Background As the accessibility of health services fluctuated throughout the COVID-19 pandemic, recommendations supporting off-label extended use of hormonal long-acting reversible contraceptive (LARC) devices began to appear around the globe. Supported by emerging evidence, these recommendations were intended to encourage consumers to postpone device replacement and reduce the need for face-to-face care interactions. Methods In this population-based cohort study, data from the nationally representative Australian Pharmaceutical Benefits Scheme 10% sample were analysed. Specifically, logistic regression analysis was undertaken for females aged 15-49years who had a hormonal LARC dispensed to them within the COVID-19 pandemic period (between February 2017 and November 2021) to assess timing of replacement, compared with timing for pre-COVID counterparts. Results Extended use periods were observed in less than 10% of hormonal implant or intrauterine device users in both the pre- and post-COVID cohorts, with 40% replacing their device on time, and around 50% with no record of replacement. No statistically significant changes occurred after the onset of COVID-19. Conclusions Despite recommendations for extending LARC device use periods, typical usage patterns were maintained in Australia throughout the COVID-19 pandemic. Given these extended use periods have since been made permanent in Australian clinical guidelines, targeted education for consumers and providers is likely to be required to ensure understanding, uptake and consistent 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":"144476783","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 syphilis activity for personalized treatment strategies in latent syphilis: a 2-year cohort study.","authors":"Jia-Wen Xie, Ya-Wen Zheng, Shu-Hao Fan, Yin-Feng Guo, Ying Zheng, Yu Lin, Man-Li Tong, Li-Rong Lin","doi":"10.1071/SH25047","DOIUrl":"https://doi.org/10.1071/SH25047","url":null,"abstract":"<p><p>Background Relying simply on the stage of latent syphilis may lead to excessive treatment strategies. Utilizing nontreponemal immunoglobulin M (IgM) antibodies to assess syphilis activity and tailor treatment strategies may offer enhanced therapeutic advantages. Objectives To investigate whether nontreponemal IgM antibodies can serve as a serological marker for assessing the activity of latent syphilis and inform personalized treatment strategies. Methods We evaluated nontreponemal IgM antibodies in 412 latent syphilis patients and conducted a 2-year follow up to analyze their rate of seroconversion (the change from seropositive to seronegative status), to evaluate whether nontreponemal IgM antibodies could assess the activity of latent syphilis. Results The positive nontreponemal IgM group demonstrated a lower seroconversion rate (P =0.0178) and achieved seroconversion slower compared with the negative group (hazard ratio: 0.386). Early-stage patients exhibited higher nontreponemal IgM antibody levels (P P =0.018) than late-stage patients. Elderly patients showed lower nontreponemal IgM antibody levels (P P =0.0022) than non-elderly patients. Conclusions Latent syphilis patients with positive nontreponemal IgM require a longer time to seroconversion and exhibit a lower seroreversion rate, indicating their higher syphilis activity. Nontreponemal IgM antibodies can serve as a serological marker for detecting syphilis activity in latent syphilis. It is recommended to test for nontreponemal IgM antibodies before treatment to identify syphilis activity for personalized treatment.</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":"144333902","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":"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":"Factors associated with time to presentation to Sydney Sexual Health Centre, Australia, after STI contact notification.","authors":"K Hall, K Hall, H Lu, H Lu, A Wong, A Wong, A McNulty, A McNulty, C Bourne, C Bourne","doi":"10.1071/SH24230","DOIUrl":"10.1071/SH24230","url":null,"abstract":"<p><p>Background Despite partner notification (PN) being an essential component of sexually transmitted infection (STI) control programs, little is known about how contacts of STIs are notified, and the time taken to present for testing. We aimed to evaluate both aspects in people presenting to Sydney Sexual Health Centre who reported being a sexual contact of someone diagnosed with an STI. Methods We conducted a retrospective observational study of data collected between 1 April 2020 and 31 March 2021 at Sydney Sexual Health Centre. A pop-up field in the electronic medical record collected data about people's experience of being notified of their sexual contact with an STI. We ran univariable and multivariable analysis of time to presentation and PN method against clinical and demographic information. Results There were 2182 presentations because of STI contact notification. Median time to presentation was 3days (IQR 1-7days), which did not differ by spoken or electronic PN. In the multivariable model, people who received spoken PN were less likely to present in P =0.007). This indicates electronic PN may prompt faster testing for STIs. Higher partner number was associated with receiving electronic PN. Conclusions Our study suggests that electronic PN may prompt faster testing for STIs. It provides valuable insights into the characteristics of STI contacts, who are rarely the focus of PN research. Understanding what motivates notified contacts to seek care is integral in modernising PN practices, as rates of STIs climb.</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":"144317888","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}