Sexual health最新文献

{"title":"Videoconferencing platforms for sexualised drug use among men who have sex with men: a scoping review.","authors":"Dean J Connolly, Megan Fallows, Steven Maxwell, Connor Luke Allen","doi":"10.1071/SH25125","DOIUrl":"10.1071/SH25125","url":null,"abstract":"<p><p>This scoping review aimed to identify and synthesise the extant literature regarding the use of videoconferencing platforms by gay, bisexual and other men who have sex with men to participate in sexualised drug use (SDU). Initial comprehensive database searches were conducted in September 2023 (and updated in November 2024). Backwards and forward citation chasing, journal hand searching, and contact with key opinion leaders supplemented database searches. Results and data extraction were completed in duplicate, and data synthesised narratively. Four records were included in the final synthesis. Relevant data were predominantly qualitative, and suggested that videoconferencing platform-facilitated SDU is an established, yet understudied, facet of men who have sex with men hook-up culture, conferring community connection to participants and likely diminished risk of some harms associated with classically understood SDU (e.g. communicable disease acquisition). The paucity of literature suggests videoconferencing platform-facilitated SDU is a yet understudied phenomenon of both subcultural and public health significance that may allow participants to mitigate some of the risks associated with SDU while still enjoying the community connection that motivates participation.</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":"145606066","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":"Sexual health survey recruitment approaches among patients in community health centers.","authors":"Debjyoti Datta, Eli Andrade, Bryant N Gomez, Sarit A Golub, Robert Beil, Viraj V Patel","doi":"10.1071/SH24168","DOIUrl":"10.1071/SH24168","url":null,"abstract":"<p><strong>Background: </strong>Black and Latino communities are disproportionately affected by HIV, and are often underrepresented in sexual health research. It is crucial to understand their participation in research, and gauge the impact of non-response bias in reported results. A sequential multimodal approach to recruitment could potentially increase the response rates and representativeness of the sample by increasing the likelihood of response from the participants. However, data on the use of various recruitment approaches (i.e. low-barrier strategies) for engaging patients from urban Federally Qualified Health Centers in sexual health research are limited.</p><p><strong>Methods: </strong>We analyzed survey recruitment data among patients prescribed PrEP at Federally Qualified Health Centers serving largely black and Latino/a communities to understand the impact of virtual recruitment. We used four sequential attempts over 6 months to recruit participants for an incentivized patient feedback survey on sexual health and PrEP services. We also examined demographic differences, including age, sexual identity, gender identity and race/ethnicity, between responders and non-responders.</p><p><strong>Results: </strong>We recruited participants from January to June 2022. The overall response rate was 20.8% (54/259). There was an incremental increase in responses based on the number of strategies used: 66.7% (36/54) of participants were recruited by using one strategy (email only), 22.2% (12/54) were recruited by using two strategies (email and phone calls) and 11.1% (6/54) were recruited using three (email, phone calls and SMS) or four strategies (email, phone calls, SMS and an additional phone call). Responders had received a more recent PrEP prescription compared with non-responders; mean ± s.d. months between the most recent PrEP prescription and the first recruitment attempt date of the study was 15 ± 17 months for responders and 27 ± 24 months for non-responders. We observed no other significant differences in demographic characteristics between responders and non-responders.</p><p><strong>Conclusion: </strong>Response rates to an online sexual health survey among urban Federally Qualified Health Center patients were low using sequential multimodal virtual recruitment approaches, particularly among those without recent healthcare engagement. There were no demographic differences between responders and non-responders. Findings highlight the need for alternative innovative methods for research engagement and to reduce potential bias.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of congenital syphilis in the Northern Territory: a look back at syphilis serology testing in pregnant Aboriginal women to formulate testing recommendations.","authors":"Maya Cherian, Elizabeth Moore, Karen Dempsey, Belinda Jennings, Manoji Gunathilake","doi":"10.1071/SH24236","DOIUrl":"10.1071/SH24236","url":null,"abstract":"<p><strong>Background: </strong>Congenital syphilis is a preventable disease and a direct reflection of rates of syphilis in the population. Between 2013 and 2022, Australia's infectious syphilis notification rate increased six-fold in women. Between 2013 and 2022, 54% (n = 45) of congenital syphilis cases were reported in Aboriginal infants, and 61% (n = 11) of congenital syphilis-associated deaths between 2016 and 2022 occurred in Aboriginal infants. In 2018, Communicable Diseases Network Australia National Guidelines were updated, recommending syphilis serology testing five times for women during the perinatal period in outbreak areas. The aim of the study was to gain an understanding of the rates of perinatal syphilis serology testing, and to formulate recommendations on how syphilis serology testing can be improved for pregnant Aboriginal women in the Northern Territory.</p><p><strong>Methods: </strong>A retrospective audit of antenatal and postpartum episodes of care and syphilis serology testing of Aboriginal women who birthed a live born or stillborn baby was undertaken at four sites including three Northern Territory Health remote clinics and one Aboriginal Community Controlled Health Service. This was an audit of electronic medical records, between 1 May 2019 and 31 March 2021.</p><p><strong>Results: </strong>The study found that 94% (n = 358) and 93% (n = 357) of Aboriginal women had a first antenatal episode of care and first antenatal syphilis test, respectively. The proportion receiving syphilis serology decreased to a greater extent than the number of women attending antenatal episodes of care with increase in gestational age. Postpartum episodes of care were attended by 27% (n = 103) of Aboriginal women, with 29% (n = 112) having a postpartum syphilis test.</p><p><strong>Conclusion: </strong>Pregnant Aboriginal women are attending for antenatal care; however, the majority are not having syphilis tests as per current guidelines. It is recommended that the primary healthcare sector implement a prompt system for syphilis serology testing, provide more opportunistic syphilis serology testing and monitor adherence to syphilis serology testing guidelines in pregnancy.</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":"145534675","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":"Preparing for next-generation PrEP: awareness and willingness to use long-acting injectable cabotegravir among men who have sex with men and trans women across Asia.","authors":"Heather-Marie A Schmidt, Curtis Chan, Polin Ung, Tiara Nisa, Jason J Ong, Warittha Tieosapjaroen, Kimberly E Green, Nittaya Phanuphak, Michael M Cassell, Nicky Suwandi, Hua Boonyapisomparn, Midnight Poonkasetwattana, Lei Zhang, Benjamin R Bavinton","doi":"10.1071/SH25065","DOIUrl":"10.1071/SH25065","url":null,"abstract":"<p><strong>Background: </strong>Pre-exposure prophylaxis (PrEP) use could be accelerated by offering alternatives that overcome key barriers associated with oral PrEP. This study aimed to understand willingness and preferences for long-acting injectable cabotegravir (CAB-LA) among gay men and other men who have sex with men (MSM), and transgender women (TGW) in Asia.</p><p><strong>Methods: </strong>An online cross-sectional survey was conducted from May to November 2022 among HIV-negative or unknown status MSM and TGW aged ≥18 years across 15 and 11 Asian countries/territories, respectively. Survey items included awareness and use of PrEP and CAB-LA, willingness to use current and emerging PrEP options, and attitudes towards CAB-LA. Descriptive statistics and logistic regression were used to analyse associations with willingness to use CAB-LA.</p><p><strong>Results: </strong>Among 11,870 MSM and 980 TGW, 21.4% (n = 2448) and 32.5% (n = 295) were aware of CAB-LA, respectively, and 17.2% (n = 2036) and 16.8% (n = 165) were willing to use it. CAB-LA was the most preferred PrEP option for 3.6% (n = 400) of MSM and 6.5% (n = 61) of TGW. Awareness and willingness varied across countries/territories and populations. Key benefits of CAB-LA included HIV protection (57.8% MSM, 46.8% TGW), no need for daily pills (42.6% MSM, 31.1% TGW) and longer-term protection (38.0% MSM, 23.6% TGW). Main concerns included cost (39.6% MSM, 22.1% TGW), side-effects (37.5% MSM, 22.2% TGW), insufficient knowledge (33.3% MSM, 20.6% TGW) and pain (21.4% MSM, 24.9% TGW).</p><p><strong>Conclusions: </strong>Successful introduction of CAB-LA, or other new long-acting injectable PrEP options, in Asia will require strategies to raise awareness and demand-generation that responds to the perceived benefits and concerns of communities.</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":"145401966","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":"Associations between young people's internet pornography use and psychosexual well-being: a systematic review.","authors":"Yishu Li, Roger Ingham, Heather Armstrong","doi":"10.1071/SH25118","DOIUrl":"10.1071/SH25118","url":null,"abstract":"<p><p>The internet has greatly increased the ease of access to pornography and the privacy of its use, accompanied by a notable rise in consumption among young people. This review aimed to systematically review and narratively synthesise quantitative evidence on the prevalence, motivations, and content types of internet pornography use - as well as its associations with multiple domains of psychosexual well-being, including attitudes and emotions towards use, sexual self-concept, sexual desire and functioning, and compulsive use - among individuals aged 16-25 years. Following a pre-registered protocol, we originally conducted a systematic search of PubMed, PsycINFO, and Web of Science on 20 May 2024 and updated on 24 April 2025 for studies published from 1 January 2000 to 24 April 2025 that reported associations. Study quality was assessed. Twenty-seven studies (30,023 participants) were included in the systematic review. Measurement details were reported for the pornography use variables and the psychosexual well-being variables. The results indicate that most young people have used internet pornography, with a higher prevalence reported in men than women. Additionally, gender differences related to internet pornography were found in reported motivation and content types, attitudes and emotions, sexual self-concept, sexual desire and functioning, and compulsive use.</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":"145534704","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":"Clinical characteristics of neurosyphilis in people with and without HIV infection: a stratified analysis by symptom status.","authors":"Shi Zou, Jie Liu, Xi Liu, Zhengxi Song, Shihui Song, Miao Tan, Qianhui Chen, Qian Du, Mingqi Luo, Wei Guo, Ke Liang","doi":"10.1071/SH25053","DOIUrl":"10.1071/SH25053","url":null,"abstract":"<p><strong>Background: </strong>Neurosyphilis (NS) is experiencing a resurgence globally, particularly with higher incidence rates among people living with HIV (PLWH). However, due to the diversity of symptoms associated with NS, especially among PLWH, the diagnosis and treatment of NS still present certain challenges.</p><p><strong>Methods: </strong>We retrospectively analyzed data from the clinical records of NS patients between December 2016 and December 2022 in Zhongnan Hospital of Wuhan University and The People's Hospital of Jianyang City. The clinical and laboratory data were collected among PLWH and HIV-negative patients.</p><p><strong>Results: </strong>A total of 80 patients (53 PLWH and 27 HIV-negative patients) were included in the study. The median age of PLWH was 32 years (IQR 27-44 years), and 94% of participants were men. Among HIV-negative patients, the median age was 40 years (IQR 32-48 years), 81% were men. A total of 10 (19%) PLWH had a history of syphilis, whereas none of the HIV-negative patients had a history of syphilis. Visual impairment was the most common clinical symptom in PLWH (33%), whereas a decrease of muscle strength was the most common clinical symptom in HIV-negative patients (29%). No differences of laboratory features and outcome were found between these two groups. In both groups, cerebrospinal fluid white blood cell count, cerebrospinal fluid protein concentration and the proportion of participants with abnormal brain imaging were significantly higher in the symptomatic NS patients than that in the asymptomatic NS patients.</p><p><strong>Conclusion: </strong>Despite the similar outcome of NS in PLWH and HIV-negative populations, the primary symptoms still differ, highlighting the need for enhanced diagnostic methods, the ability to recognize NS early and provision of timely interventions.</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":"145368811","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 HIV vulnerability among transgender people in Pakistan: a qualitative investigation.","authors":"Akash John, Nestor Asiamah, Jo Bell, Daniel Demant, Emmanuel Ifeanyi Obeagu, Tallat Anwar Faridi, Irzah Farooq, Ali Haider","doi":"10.1071/SH25137","DOIUrl":"10.1071/SH25137","url":null,"abstract":"<p><strong>Background: </strong>This study explored the lived experiences of transgender people in Pakistan, focusing on stigma, discrimination, family rejection, education, and unemployment and their contribution to HIV vulnerability.</p><p><strong>Methods: </strong>The qualitative investigation included 35 transgender individuals aged 19 to 49 years from diverse professions, recruited through purposive sampling via community-based contacts and referrals from transgender community leaders. Interviews were conducted in public venues (parks and restaurants) between 12 February and 5 March 2024, primarily in Urdu (33) and Punjabi (2). Thematic saturation was reached after the 30th interview, confirming adequacy of the sample. The study used a self-developed, open-ended, semi-structured questionnaire, informed by literature in similar cultural contexts and validated through expert review and pilot testing for clarity and cultural relevance. All participants identifying as transgender men and women were included after written consent. Participant demographics were described to contextualize the sample, and Braun and Clarke's thematic analysis approach was used to interpret qualitative results.</p><p><strong>Results: </strong>Primary risk factors for HIV transmission included unprotected receptive sex, inconsistent condom use, multiple sexual partners, and substance use. Economic hardships and limited employment opportunities were key drivers of engagement in sex work. Many participants reported experiencing discrimination in healthcare settings, which discouraged timely HIV testing and treatment-seeking behavior.</p><p><strong>Conclusions: </strong>Transgender people in Pakistan are involved in high-risk behaviors because of family rejection, homelessness, social marginalization, discrimination, and limited access to education and employment opportunities.</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":"145557732","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":"Clinician-initiated opt-out HIV testing and the law.","authors":"David J Carter, Dion Kagan, Daniel Storer, Sean Mulcahy","doi":"10.1071/SH25083","DOIUrl":"10.1071/SH25083","url":null,"abstract":"<p><strong>Background: </strong>'Opt-out' HIV testing is a new approach to HIV health care whereby patients are routinely tested for HIV unless they explicitly decline. This new approach to testing for HIV appears in testing policy in Australia, guidelines in the US, and elsewhere.</p><p><strong>Methods: </strong>This article examines the legal implications of opt-out testing in Australia. It uses legal doctrinal analysis to clarify the legal framework governing this practice in Australia, with a focus on 'informed consent' and requirements to inform the patient about the procedure and any associated risks.</p><p><strong>Results: </strong>Our analysis finds that, where it has been introduced, opt-out testing removes the 'specific additional consent' requirements of previous health policy or law, effectively bringing HIV testing into alignment with other STI testing procedures. However, the introduction of opt-out HIV testing does not remove or modify consent requirements under general law. A gap therefore exists between the concept of 'opt-out' consent and these enduring legal duties, creating potential ambiguity and legal risk for practitioners in their day-to-day practice.</p><p><strong>Conclusions: </strong>To resolve this, we recommend that guidance for practitioners provide positive clarification of these requirements. Furthermore, we propose renaming the practice 'provider-initiated testing' to more accurately reflect the principles of consent that govern all medical procedures.</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":"145507197","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":"Cancer screening guidelines for transgender individuals: a narrative review of current recommendations and practice gaps.","authors":"Alejandro Aranda-Gutierrez, Ilana de la Puente Tawil, José Manuel Moreno Mirón, Brenda Crabtree-Ramírez, Maria F Gonzalez-Lara, Sara Vázquez-Manjarrez, Alejandra Armengol-Alonso, Regina Barragan-Carrillo, Dalia Cuenca, Yanin Chavarri-Guerra","doi":"10.1071/SH25124","DOIUrl":"10.1071/SH25124","url":null,"abstract":"<p><p>This narrative review aimed to synthesize current cancer screening recommendations for transgender individuals, critically assess their content, identify inconsistencies, and highlight key evidence gaps to inform future clinical practice and policy. We searched MEDLINE, CENTRAL and Web of Science through 9 May 2025 for screening guidelines relevant to transgender individuals. We included documents from national or international bodies, academic institutions or recognized expert panels. Guidelines focused on breast, cervical, prostate, endometrial, ovarian and anal cancer. Data were extracted into a structured matrix by cancer type, screening approach and relevance to transgender populations. Of 79 sources screened, 14 met inclusion criteria. Most were transgender-specific. Recommendations varied substantially across cancer types. Breast cancer screening showed the widest divergence, with differing thresholds based on age, gender-affirming hormone therapy duration and risk stratification. For prostate, endometrial, ovarian and anal cancers, dedicated guidance was sparse or absent, often relying on extrapolation from cisgender populations. Key gaps included inconsistent terminology, lack of integration of gender-affirming hormone therapy and surgical history, and limited rationale for screening intervals and age cutoffs. Future efforts should prioritize inclusive data collection, integration of gender identity into cancer surveillance systems and development of evidence-informed, population-specific screening protocols to advance equitable care.</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":"145597687","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":"'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}