Sexual and Reproductive Health Matters最新文献

{"title":"Safe and legal abortion access for survivors of rape and incest in West and Central Africa: A comparative case study analysis of key barriers.","authors":"Mena Komi Agbodjavou, Harriët Meiborg, Anissa Eyi-Tayo Abdoulaye, Dorcas A Delali Essilivi, Akioua William Nignan, Ulrich Valdo Yonga, Joseph Similoluwa Olujobi, Betinou Marie-Andrée, Kadimon Jeannette Bibiche Afounde, Rachidatiou Compaoré, Abram Amétépé Agossou, Michel Edoukou N'Da-Ezoa, Moustapha Moncher Nsangou, Kéfilath Bello, Christelle Boyi Hounsou, Jonna Both, Jean-Paul Dossou","doi":"10.1080/26410397.2026.2735510","DOIUrl":"https://doi.org/10.1080/26410397.2026.2735510","url":null,"abstract":"<p><p>Despite legal provisions allowing for abortion in cases of rape and incest, survivors in West and Central Africa still face many access barriers. Understanding these obstacles is vital for their rights and health. This study looked at barriers to safe and legal abortion services for survivors of sexual violence in five West and Central African countries. We did a comparative case study in Benin, Burkina Faso, Cameroon, Côte d'Ivoire, and Togo. Data collection included documentary analysis, 164 semi-structured interviews with institutional actors, civil society members, community leaders, and sexual violence survivors, along with 14 focus group discussions and a multi-level analytical framework. We applied a four-phase collaborative qualitative thematic analysis. This helped us identify barriers at macro (policy), meso (organisational), and micro (individual) levels. The analysis reveals how interconnected barriers restrict access. At the macro level, obstacles include unclear laws, missing regulations, and bans on abortion-related communication. Meso-level barriers feature inconsistent institutional practices, unprepared health facilities, and poor coordination. Micro-level challenges involve limited awareness of legal rights, widespread social and religious stigma, and informal conscientious objection practices. For survivors seeking to end the pregnancy, these barriers lead to unsafe abortion or forced continuation of pregnancy. Legal provisions alone do not guarantee survivors' access to safe and legal abortion. Coordinated efforts are needed to address legal, institutional, and social obstacles, transforming legal rights into real access and reducing unsafe abortion practices.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-40"},"PeriodicalIF":3.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"A beautiful chaos¨: a qualitative study on exploring the role of international communities of practice in knowledge translation for sexual and reproductive health and rights.","authors":"Noa E M Kolpa, Nicole Moran, Joyce L Browne, Julia Addison, Martin Heine, Dorine Thomissen, Manouk A W van de Klundert, Jeroen van Dillen, Robert A J Borst, Dima Abusharkh, Jannatul Munia, Laura Cala-Vergel, Julia Ahmed, Edgard Mugenzi, Zoungrana Issoufou, Adriana M Pérez-Rodríguez, Lindsay van Clief, Semenhe Fekadu, Jan Reynders, Shannon Mathew, Razan Al-Azzeh","doi":"10.1080/26410397.2026.2714691","DOIUrl":"https://doi.org/10.1080/26410397.2026.2714691","url":null,"abstract":"<p><p>Persistent knowledge-to-action gaps in sexual and reproductive health and rights (SRHR) limit the translation of evidence into policy and practice. Knowledge platform Share-Net International (SNI) uses Communities of Practice (CoPs) to support knowledge exchange, yet little is known about how CoPs facilitate knowledge translation.This study examined how CoPs across SNI's hubs translate SRHR knowledge into action and identified contextual factors shaping these processes. A transdisciplinary qualitative study (October 2024-January 2025) was conducted across eight SNI hubs. CoP members and facilitators with at least three months of involvement were purposely sampled. Data were transcribed verbatim and analysed inductively using thematic analysis in <u>Atlas.ti (</u>http://atlas.ti/<u>)</u> guided by the knowledge-to-action framework and triangulated through member-checking. Outcomes included knowledge translation processes, CoP functioning, and contextual factors. CoPs create context-specific knowledge, facilitate learning spaces, and produce knowledge products. However, significant gaps were observed in dissemination planning and M&E, limiting the ability to assess impact. Political resistance, conservative norms, power dynamics, and crises were challenges to effective functioning, while supportive policies, activism, and cross-hub learning created opportunities. Strategies to strengthen CoP effectiveness were proposed. CoPs hold strong potential to advance knowledge translation for SRHR, but their effectiveness depends on structured dissemination, learning-oriented M&E, and approaches responsive to local contexts. As CoPs operate within power structures, their ability to contribute to equitable SRHR outcomes is shaped by the environments in which they function. Strengthening facilitation, resources, and cross-hub collaboration may enhance effectiveness, and longitudinal research is recommended to assess sustained policy and practice change.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-54"},"PeriodicalIF":3.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menstrual health outcomes and associations with depression and anxiety in Spain: a cross-sectional study.","authors":"Andrea García-Egea, Tomàs López-Jiménez, Uxune Apalategi-Gómez, Maria José Fernández-Domínguez, Carmen Rodríguez-Domínguez, Vinita Mahtani-Chugani, Anna Berenguera, Laura Medina-Perucha","doi":"10.1080/26410397.2026.2702119","DOIUrl":"https://doi.org/10.1080/26410397.2026.2702119","url":null,"abstract":"<p><p>This study analysed the relationship between menstrual health and self-reported depression and anxiety in women and people who menstruate (PWM) (≥18 years) in Spain, from a critical gender perspective. An online survey was used to collect data in 32 healthcare centres in 2023. Descriptive and ordinal logistic regression models were performed with 1,404 participants. Menstrual bleeding of over 80 ml was associated with higher odds of more severe depression (aOR=1.61; 95%CI: 1.45-1.79; p < 0.001) and anxiety (aOR=1.67; 95%CI: 1.35-2.06; p < 0.001). Higher menstrual pain intensity was also linked to higher odds of more severe depression (aOR =  2.05; 95%CI: 1.82-2.31; p < 0.001) and anxiety (aOR=1.82; 95% CI: 1.43-2.30; p < 0.001). A higher frequency of premenstrual symptoms was associated with increased odds for more severe depression (aOR=14.54; 95% CI: 10.73-19.70; p < 0.001) and anxiety (aOR=12.95; 95%CI: 9.10-18.44; p < 0.001). In addition, higher reports of menstrual taboo, stigma and discrimination were associated with higher odds of more severe depression (aOR=2.23; 95%CI: 1.81-2.76; p < 0.001) and anxiety (aOR=2.34; 95%CI: 1.91-2.87; p < 0.001). Reports of more severe depression (aOR=2.50; 95%CI: 1.65-3.78; p < 0.001) and anxiety (aOR =  2.55; 95%CI: 1.70-3.83; p < 0.001) increased with the severity of menstrual poverty. Greater impact on social participation during menstruation was strongly associated with higher odds of more severe depression (aOR=7.41; 95%CI: 4.90-11.191; p < 0.001) and anxiety (aOR=6.69; 95%CI: 5.22-8.59; p < 0.001). Sociodemographic factors may mediate the menstrual-mental health relationship. Our study sheds light on the interplay between menstrual and mental health in our context, from a gender and social health inequities perspective.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-38"},"PeriodicalIF":3.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staying in a punishing place: online narratives about pregnancy and abortion in pre-liberalisation Ireland.","authors":"Niamh Skelly","doi":"10.1080/26410397.2025.2481761","DOIUrl":"10.1080/26410397.2025.2481761","url":null,"abstract":"<p><p>Restricted abortion access impinges on the human rights and health of a significant number of women globally. The reproductive justice framework, as well as recent calls for the normalisation of abortion, encourage examination of the deleterious effects of abortion restrictions. This study explores the self-generated, online narratives of women who experienced crises in pregnancy while living in a restrictive context, namely pre-2019 Ireland, and who did not travel for abortion care. Mental health and emotional experiences are a specific focus. From an archived version of posts to the <i>In her Shoes - Women of the Eighth</i> Facebook page made in 2018-2019 (<i>N</i> = 728), 96 personal narratives were sampled. Narratives that did not feature travel for abortion care (<i>n</i> = 25) were selected for thematic analysis, which was completed by a single researcher in 2024. Themes that emerged included waiting for intervention as a form of mental torture, fear during self-managed abortion, attempts to self-induce abortion driven by despair, and variation in the extent to which proceeding with the pregnancy was a choice. Most women who stayed in place had been constrained by circumstances in deciding to do so. These results enrich our understanding of the negative effects of restrictive contexts on women's emotional wellbeing. They also draw attention to those who are effectively trapped in restricted contexts and overlooked when the literature narrowly focuses on outward travel from restrictive contexts for abortion care.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2481761"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth abortion services via Women on Web in Kenya (2013-2019): a descriptive analysis of the characteristics and motivations of the care seekers.","authors":"Mary Achieng Ouma, Anita Alaze, Kenneth Juma, Hazal Atay, Rebecca Gomperts, Céline Miani","doi":"10.1080/26410397.2025.2500828","DOIUrl":"10.1080/26410397.2025.2500828","url":null,"abstract":"<p><p>In Kenya, access to abortion is legally restricted and allowed under a limited set of conditions. Teleabortion service providers, such as Women on Web (WoW), provide safe and effective abortion care outside the formal health sector. This study explores the characteristics and motivations of individuals in Kenya who completed an online consultation on the WoW website in 2013-2019. We used anonymised data provided by WoW to describe participants' characteristics (<i>n</i> = 857) and their motivations for accessing the WoW online consultation (<i>n</i> = 449, since this information was only available for those who filled out the questionnaire from December 2017). Participants' median age was 23; 65.0% did not have children, and 80.9% had not had a previous abortion. Pregnancies were caused by failure (43.6%) or absence of contraceptive method (49.0%), or rape (6.0%). The most frequently reported reasons for accessing the online consultation were legal restrictions and abortion costs. Those were selected by about half the participants (respectively 235 and 222/449). Next came the wish to keep the abortion private or secret, which was selected by 34.5% and 26.0% of participants. Among more positively framed reasons, home comfort came first (23.6%), followed by wanting to deal with the abortion oneself (20.7%) and finding an abortion through WoW empowering (17.4%). Abortion-seekers turning to teleabortion services usually do so following failing or absent contraception and to get access to safe abortions, avoid stigma, and keep their privacy. Expansion of teleabortion services, within or outside formal healthcare services, could strengthen abortion-seekers' autonomy and agency in Kenya.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2500828"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative.","authors":"Alina Paczesna","doi":"10.1080/26410397.2025.2535835","DOIUrl":"10.1080/26410397.2025.2535835","url":null,"abstract":"<p><p>Testimonies of abortion experiences are largely silenced in many contexts around the world, including Poland, and stigma affects how abortion is represented. Pro-choice initiatives, which support abortion rights, aim to challenge stigma through the sharing of personal abortion experiences (i.e. abortion storytelling). However, these initiatives may simultaneously construct normative hierarchies of abortion and stigmatise abortion stories which do not fit context-specific, politicised norms. This study draws on data purposefully sampled from a pro-choice abortion storytelling initiative in Poland, conducted between 2020 and 2021, and organised by the Abortion Dream Team (ADT; Aborcyjny Dream Team), an influential Polish organisation campaigning for abortion access and rights. By conducting a qualitative document analysis of 73 first-person abortion stories shared in this initiative, I explored how abortion was represented, and whether, and how, these representations challenged abortion stigma and its manifestation in normative hierarchies of abortion. Using reflexive thematic analysis, I identified four main themes. My findings show that abortion is represented as a valid decision, both a positive and challenging experience, and an embodied process. The stories shared in the ADT storytelling initiative challenge stigma and deconstruct normative hierarchies of abortion by representing abortion as a complex experience imbued with multiple, and often contradictory, meanings. This study highlights the existence of positive and non-stigmatising representations of abortion in Poland and shows that abortion storytelling can challenge dominant narratives around abortion. These findings therefore have broader significance, as they suggest that abortion storytelling may serve as an effective tool to destigmatise abortion and advance abortion rights. DOI:10.1080/26410397.2025.2535835.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2535835"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet needs and new challenges in young women's sexual and reproductive health and rights: a qualitative study in Chile's Metropolitan Region.","authors":"Alexandra Obach, Michelle Sadler, Consuelo Robledo, Ciara Wright, Báltica Cabieses","doi":"10.1080/26410397.2025.2558272","DOIUrl":"10.1080/26410397.2025.2558272","url":null,"abstract":"<p><p>In Chile, despite important advances in access to contraception and a steady reduction in unplanned pregnancy, longstanding barriers for young people to access sexual and reproductive health (SRH) and rights - rooted in a conservative and religious background - have been highlighted by recent socio-political movements, including the feminist student wave of 2018 and the social uprising of 2019. The COVID-19 pandemic further strained access, leading to the suspension of many in-person services. In this context, we conducted a qualitative study between 2020 and 2023 to explore young women's perceptions of sexuality and SRH, their interactions with the formal healthcare system, and the diverse resources they engage with to access support and care. 23 in-depth interviews were carried out with heterosexual and non-heterosexual women aged 18-25 in Chile's Metropolitan Region. The findings reveal a mismatch between young women's holistic understanding of sexuality - which includes emotional, biological, and political dimensions - and the healthcare system's reductionist, heteronormative, and risk-based approach, which became more visible after these societal upheavals. As a result, young women may use biomedical SRH services strategically for prescriptions and testing, while seeking more comprehensive support outside the formal system through virtual platforms, health professionals giving online support, and civil society organisations. The study concludes that systemic changes in the health system are needed to bridge these divides and uphold the sexual and reproductive rights of young women in Chile, especially those who identify as non-heterosexual. <i>DOI: 10.1080/26410397.2025.2558272</i>.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2558272"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to address reproductive coercion and intimate partner violence in Nairobi family planning services: qualitative client and provider perspectives.","authors":"Jasmine Uysal, Emilie Schwarz, Wilson Liambila, Seri Wendoh, Ruvani W Fonseka, Ricardo Vera Monroy, Sabrina C Boyce, Erin Pearson, Jay G Silverman","doi":"10.1080/26410397.2025.2570528","DOIUrl":"10.1080/26410397.2025.2570528","url":null,"abstract":"<p><p>Reproductive coercion (RC) and intimate partner violence (IPV) threaten women's health and reproductive agency globally. The Addressing Reproductive Coercion in Health Settings (ARCHES) intervention integrates screening for RC and IPV, covert contraceptive options, IPV referrals, and an educational booklet into family planning (FP) services. This study examines client and provider perspectives on ARCHES in Nairobi, Kenya. A qualitative study was conducted in the three private clinics implementing ARCHES. Data were collected through 35 in-depth client interviews and 12 provider interviews three months post-intervention. Participants were purposively sampled based on age and RC/IPV experience. Thematic content analysis was used. Clients reported greater reproductive autonomy through increased knowledge of covert contraception, IPV services, and reproductive rights. Providers reported gaining confidence to address RC and IPV and building stronger relationships with clients. Barriers included stigma around IPV referrals and limited counselling time. Screening for RC/IPV was widely accepted, with some clients recognising abuse for the first time. The compact educational booklet improved knowledge retention and community outreach. Perspectives on male partner engagement were mixed due to concerns about safety and confidentiality. ARCHES was well-received by clients and providers, enhancing FP care and addressing critical gaps in RC and IPV support. Future adaptations should address barriers to IPV referral uptake and provider first-line IPV support, and carefully track implementation to ensure continued client-centred counselling. These findings support ARCHES as a scalable model for integrating FP and violence prevention interventions in Kenya and similar contexts.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2570528"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/26410397.2025.2695541","DOIUrl":"10.1080/26410397.2025.2695541","url":null,"abstract":"","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2695541"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"You know how men are\": the gendered nature of support during pregnancy in South Africa - an exploratory convergent mixed-method study.","authors":"Catriona Ida Macleod, Ulandi du Plessis, Elron Fouten","doi":"10.1080/26410397.2026.2689806","DOIUrl":"10.1080/26410397.2026.2689806","url":null,"abstract":"<p><p>Male partner support during pregnancy has been linked to positive outcomes and can enhance women's rights to reproductive health and well-being. Such involvement can, however, have gendering effects. In addition, the role of other men in pregnancy support is under-researched. In an exploratory convergent mixed methods study, we investigated the gender dynamics evident in pregnant women's reporting of, and stories concerning, support from male partners and other significant men. We administered the Pregnancy Supportability Research Kit in two health districts of the Eastern Cape, South Africa. The closed-ended information questionnaire component was completed by 558 women, and open-ended information narrative interviews were conducted with 40 women. In the quantitative data, 12.1% of women indicated that they received no support from their partners, which, in the qualitative data, was reportedly underpinned by abandonment, paternity denial and abuse. Just under one in five (18.7%) reported that their partners were somewhat supportive. Qualitative data revealed men reluctantly taking on feminised tasks such as cooking, judgementally sharing pregnancy information, and providing support inconsistently. Of the 69.2% reporting supportive partners, emotional support was mentioned most frequently. In relation to support provided by significant others - people living in the same household, family members living outside the household, and friends - women were reported as significantly more likely to provide support than men. These findings point to the importance of nuanced understandings of the gendered dynamics in men's support during pregnancy, particularly in programmes that engage men in confronting and undermining negative gendered norms. <i>DOI: 10.1080/26410397.2026.2689806</i>.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2689806"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}