Sexual and Reproductive Health Matters最新文献

{"title":"Discontinuation, switching and contraceptive failure patterns of long-acting reversible contraceptive users in Kenya: a quantitative study.","authors":"Midanna de Almada","doi":"10.1080/26410397.2025.2603740","DOIUrl":"10.1080/26410397.2025.2603740","url":null,"abstract":"<p><p>The number of IUD and implant (long-acting reversible contraceptive) users in sub-Saharan Africa is increasing. Yet, little is known about LARC users' experiences and their discontinuation, switching, and failure rates. Contraceptive behaviours can support our understanding of users' experiences and whether these methods meet their needs; this understanding can inform user-centred contraceptive programming and decision-making. This study applies event history analysis and life tables to the Kenyan Demographic and Health Survey contraceptive calendar data to examine LARC users' behaviours and patterns compared to users of other methods. It also measures pregnancy outcomes following contraceptive failure by the method that failed. Results show that contraceptive failure may be under-estimated due to an underreporting or misreporting of failure. Alongside self-reported failure, this analysis uses a derived failure code, which finds that LARC typical-use failure rates may be higher than reported in other studies. LARC users are less likely to switch or discontinue methods compared to other contraceptive method users. However, early LARC discontinuation due to a desire to conceive increases with duration of use. Additionally, LARC users are more likely to experience pregnancy termination following method failure than users of other contraceptive methods. This study has implications for bodily and contraceptive autonomy, contraceptive user's experiences, user-centred contraceptive counselling, and the provision of maternal health and abortion services.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2603740"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935497","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":"Andrea Prudente case: a case study on social mobilisation, reproductive governance, and the politics of abortion reform in Malta.","authors":"Andreana Dibben, Natalie Psaila Stabile, Isabel Stabile","doi":"10.1080/26410397.2026.2697378","DOIUrl":"10.1080/26410397.2026.2697378","url":null,"abstract":"<p><p>In 2022, the case of Andrea Prudente, an American tourist denied an abortion for a non-viable pregnancy in Malta, catalysed unprecedented social mobilisation and compelled a legislative review of the country's abortion ban. This paper traces the political and social dynamics that shaped this process, from the initial advocacy to the final, heavily contested legislative outcome. Drawing on Morgan and Roberts' concept of reproductive governance, we examine media content and parliamentary discourses to trace how state actors mediated the conflict between competing moral and legal frameworks. Our analysis demonstrates that while persistent pressure by pro-choice advocates was instrumental in forcing a legislative review, the government's initial proposed reforms were systematically contested and ultimately neutralised by a powerful, well-organised anti-choice countermovement. We argue that state actors ultimately capitulated to immense conservative pressures from influential religious and civil society actors. The resulting amendment, which permits termination only under exceptionally restrictive circumstances to save a pregnant person's life, is a stark example of how reproductive governance can accommodate pressure for change while leaving the underlying system intact. This process highlights how legal reform can be critically decoupled from meaningful access, failing to secure genuine reproductive rights. Despite its profound limitations, the amendment constitutes the first-ever legal exception to Malta's absolute ban, proving that such entrenched governance frameworks are not immutable. The Prudente case and the mobilisation it inspired have irrevocably fractured the previous politico-legal consensus, thereby creating a precedent for future legal challenges and continued advocacy for comprehensive reproductive justice in Malta.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2697378"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608300","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":"Between protection and autonomy: a comparative analysis of legal approaches to abortion access for young people.","authors":"Rebecca Reingold, Paulina Macías Ortega, Guillermina Pappier, Laura Dragnic Tohá, Sarah Wetter","doi":"10.1080/26410397.2026.2712800","DOIUrl":"10.1080/26410397.2026.2712800","url":null,"abstract":"<p><p>This article analyses national legal frameworks that regulate young people's access to abortion, focusing on how different approaches to decision-making authority can either facilitate or obstruct access to care. It explores how countries that have recently liberalised their abortion laws, namely Colombia, Argentina, and Mexico, have acknowledged the need to lower the ages of consent below 18 and integrate the principles of the \"evolving capacities of the child\" or \"progressive autonomy\" into their legislation. Each country's approach, whether lowering the age of consent in specific circumstances (Mexico), establishing differentiated age brackets with varying degrees of autonomy (Argentina), or removing age-based restrictions altogether (Colombia), offers a different mechanism for increasing young people's autonomy in decision-making involving abortion. The article also considers how a country that has experienced a recent regression in abortion rights, namely the United States, has also rolled back young people's ability to autonomously consent to abortion care and increased parental involvement in such decisions. Through a comparative analysis of these four countries' legal frameworks, the article concludes that sweeping changes to abortion law and policy - whether progressive or regressive in nature - can fundamentally alter young people's ability to consent to and access such care. It also issues a series of recommendations for the regulation of young people's abortion decision-making, including grounding relevant laws and policies in international human rights principles and linking them to laws and policies geared towards protecting young people's rights in general.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2712800"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686062","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":"How hatred of abortion providers is propagated in social media: an investigation of YouTube videos.","authors":"Paula Tavrow, Jenny Lee, Frankie Guevara, Ashley Lopez, Cate Schroeder, Aparna Sridhar","doi":"10.1080/26410397.2025.2569200","DOIUrl":"10.1080/26410397.2025.2569200","url":null,"abstract":"<p><p>Since abortion was legalised in 1973, the United States anti-abortion movement has sought to eliminate abortion services. One strategy has been to foment hatred of abortion providers, which legitimises anti-abortion activists' attacks on providers and facilities, thereby dissuading pregnant people from seeking abortions and hindering providers' willingness to offer services. After the 2022 <i>Dobbs</i> decision overturning <i>Roe v. Wade</i>, these attacks escalated. The goal of our study was to examine a social media platform, YouTube, to identify the categories of videos promulgated by the anti-abortion movement and to investigate how these videos might be propagating hatred of providers. We also sought to discern differences post-<i>Dobbs</i>. Using three search terms - \"pro-life,\" \"abortionist\" and \"abortion providers\" - we developed a sample of 291 YouTube videos with high viewership, of which 217 had content about providers or patients. Videos took numerous forms, including debates, testimonials and undercover investigations. We identified four major dimensions of abortion provider depictions, in order of frequency: manipulative (deceptive, greedy and biased), villainous (brutal murderers), uncaring (callously harming women) and immoral. Abortion facilities were characterised as \"death camps\" and abortions as \"baby funerals.\" Patients were reviled if they \"celebrated\" their abortions, but not if they were remorseful. Videos post-<i>Dobbs</i> seemed more geared to reducing demand by emphasising patient regret and provider harms. We concluded that despite YouTube content moderation, abortion providers were being maligned in videos, which potentially contributes to clinic attacks. To increase support for abortion providers, content creators may want to specifically extol providers' contributions to public well-being.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2569200"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214018","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":"From reproductive violence to empowerment: reconquering power in assisted reproduction - a qualitative study.","authors":"Virginie Rozée, Hélène Malmanche, Elise de La Rochebrochard","doi":"10.1080/26410397.2026.2694254","DOIUrl":"10.1080/26410397.2026.2694254","url":null,"abstract":"<p><p>People who use medically assisted reproduction (MAR) outside the legal and/or medical framework are generally on the margins of the dominant procreative norm, making them particularly vulnerable to a wide range of reproductive violence such as legal restriction to medical care, discrimination or mistreatment. The aim of this study was to explore experiences of reproductive violence among people living in France who sought MAR either abroad or without medical assistance. Semi-structured interviews were conducted between 2022 and 2023. Almost half of the interviewees (n = 28/69) had been confronted with reproductive violence during their MAR journey. Although the French bioethics law extended access to MAR to single women and female same-sex couples in 2021, participants described how the shortage of gametes fuelled all forms of reproductive violence, encompassing psychological, economic and physical violence. Our findings revealed an intersectional dimension to these experiences, particularly affecting individuals with non-heterosexual identities, older age or higher body weight. Single women appeared particularly exposed to such violence. However, faced with reproductive violence, many participants demonstrated resilience and empowerment, notably through support from social networks and associations. This solidarity helped them to develop strategies of resistance and avoidance. From personal difficulties and experiences of violence at the institutional level and in care, people moved on to awareness of systemic violence, encouraging them to support their peers. Awareness led them to denounce reproductive injustice and even to demand changes in MAR organisation and care. <i>DOI: 10.1080/26410397.2026.2694254</i>.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2694254"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377273","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":"Exploring Somali-born women's experiences with contraceptive services in Sweden through a reproductive justice lens.","authors":"Anna Wängborg, Marie Klingberg-Allvin, Sahra Saidarab, Cristina A Mattison, Elin C Larsson, Helena Kilander","doi":"10.1080/26410397.2026.2667110","DOIUrl":"10.1080/26410397.2026.2667110","url":null,"abstract":"<p><p>Timely and equitable access to contraceptive services is a key component of sexual and reproductive health and rights. Evidence shows that immigrant women in high-income countries often receive inadequate contraceptive counselling. There is also limited knowledge about how contraceptive services can best be organised within health systems to meet their needs. In Sweden, the Somali population is one of the country's largest immigrant groups, facing a higher risk of adverse pregnancy and childbirth outcomes compared to Swedish-born women. This study aimed to gain a deeper understanding of Somali-born women's perceptions of and experiences with contraceptive services in Sweden. Eight focus group discussions were conducted, with a Somali-speaking moderator, and data were analysed using Braun and Clarke's reflexive thematic approach. All participants (<i>N</i> = 60) were Somali immigrants who had given birth in Sweden. Two main themes were constructed: (1) Factors shaping reproductive choices: community, household, and partner influences, and (2) Women's perspectives on contraceptive services. The findings suggest opportunities to advance reproductive justice in contraceptive services in Sweden. Incorporating women's preferences and needs is essential to establishing person-centred contraceptive services, aligning with Sweden's health system priorities. Services must adapt to and reflect clients' experiences to avoid being shaped by preconceived notions and intersecting power dynamics. Our findings have implications for moving towards reproductive justice in the delivery of sexual and reproductive health services.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2667110"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13276817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844032","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":"\"What bothers the heart\": a phenomenological study of adolescents' experiences and interpretations of school-based gender-based violence in Kinshasa, DRC.","authors":"Julie H Hernandez, Muanda F Mbadu, Lorentz Murrairi","doi":"10.1080/26410397.2026.2702756","DOIUrl":"10.1080/26410397.2026.2702756","url":null,"abstract":"<p><p>Gender-based violence in high schools undermines adolescents' rights, well-being and opportunities at a critical moment in their psycho-social development. While violence prevalence has been partially assessed in sub-Saharan Africa, there remain gaps in understanding how adolescents themselves define, interpret and navigate these situations. This phenomenological qualitative study conducted in four high schools in Kinshasa (DR Congo) centres adolescent voices to explore how they perceive, legitimise, and manage school-based gender-based violence. It aims to identify the individual beliefs and practices that can be used to interpret, accept or challenge violence, as well as the institutional structures that produce and legitimise these conditions. In December 2024, 90 adolescents aged 15-17 participated in focus group discussions and individual interviews. Data were thematically analysed using NVivo and iterative validation. Violence was pervasive and multifaceted, encompassing physical abuse, humiliations, economic coercion, and sexual harassment. Some instances of violence were seen as legitimate based on institutional and gendered expectations, and victim blaming was frequent. Community judgement deeply framed students' narratives, leading to stronger condemnation of arbitrary acts, public humiliations, and economic sanctions. Correspondingly, fear of reputational harm discouraged reporting, and silence and conformity emerged as key coping strategies. Students' ability to respond effectively appeared entirely constrained by their pre-existing reputation in the community, which determined whether they were believed, supported, or blamed. Findings indicate that addressing GBV in Kinshasa high schools requires both community- and school-level interventions that confront the norms legitimising violence and victim-blaming, policies that strengthen accountability mechanisms and protect students who report abuse, and further research on adolescent-led strategies to transform harmful institutional and social expectations. Supporting adolescents' voices in defining and resisting school-based GBV is critical to safeguarding their rights and fostering equitable education. <i>DOI: 10.1080/26410397.2026.2702756</i>.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2702756"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431114","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":"Preferred use of contraceptive methods and reasons for non-use: a cross-sectional survey of a sample of Black, Indigenous, and people of colour in the United States.","authors":"Alexandra Wollum, Katherine Key, Carmela Zuniga, Charon Asetoyer, Maricela Cervantes, Sung Yeon Choimorrow, Raquel Z Rivera, Janette Robinson Flint, Sarah E Baum","doi":"10.1080/26410397.2025.2494418","DOIUrl":"10.1080/26410397.2025.2494418","url":null,"abstract":"<p><p>Use of preferred contraceptive methods is a measure of reproductive autonomy, yet barriers persist across the United States in accessing preferred methods of contraception, with disparities in access among communities of colour. Using data from a 2021-2022 cross-sectional survey of 727 people aged 13-50 living in the United States who identified as Asian American, Native Hawaiian, or Pacific Islander (29%); Black or African American (34%), Indigenous (13%), and Latina/Latinx (31%), we examined those who were not using their preferred contraceptive method(s), including the preferred method type and the reasons for not using this method(s). We ran an adjusted logistic regression to test the association between the quality of the last health care interaction related to contraception and the use of a non-preferred method. Thirty-seven percent of respondents preferred a contraceptive method they were not currently using. Among current contraceptive users, long-acting methods were preferred most often, while non-current contraceptive users desired long-acting and short-acting hormonal methods equally. Respondents most often cited concerns about side effects/health risks (65%) and financial/logistical reasons (42%) as the top reasons for not using their preferred method(s). Those who reported receiving higher quality care in a recent contraceptive visit were more likely to be using the method they wanted to be using. Use of a preferred contraceptive method may increase when receiving high-quality counselling and care. Strategies to improve access to preferred methods should address side effects and health concerns, as well as financial and logistical barriers among Black, Indigenous, and people of colour.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2494418"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031328","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":"<i>\"It was like climbing a mountain and not reaching the top\":</i> experiences of South African youth living with HIV who became parents during COVID-19 lockdowns.","authors":"Lesley Gittings, Jane F Kelly, Nokubonga Ralayo, Sally Medley, Jenny Chen-Charles, Lucie Cluver, Elona Toska","doi":"10.1080/26410397.2025.2597089","DOIUrl":"10.1080/26410397.2025.2597089","url":null,"abstract":"<p><p>The COVID-19 pandemic negatively affected sexual and reproductive health and rights (SRHR) and increased unwanted pregnancies among young people, yet scant evidence documents SRH service-access trajectories and experiences of young people living with HIV during this time. We conducted a remote study, comprised of qualitative Facebook and telephonic data collection with adolescents living with HIV and young parents in South Africa (<i>n</i> = 41, ages 16-29) in 2020/2021. Following this, we conducted in-depth research through calls, WhatsApp and Facebook to explore narratives of two young people living with perinatally-acquired HIV who accessed SRH services and became parents during the COVID-19 lockdowns. We engage a narrative approach to illustrate the trajectories of these two young people - documenting their biopsychosocial lives and experiences accessing SRH services - with attention to personal, structural and relational factors. Findings illustrate their agency while detailing gaps in provisions that significantly affected their health and well-being. This study applies practice theory, exploring how gendered, relational, social and geographic factors shaped young people's experiences and SRH. Despite being well-acquainted with the biomedical technologies and relationships governing their care, they struggled to navigate an altered health landscape. Findings document how they were subject to narratives of individual responsibility for their SRH amidst system-level shortcomings. Results highlight significant gaps in service provision and an imperative to enhance the material conditions for young parents living with HIV in South Africa. They underscore the need for resilient, shock-responsive health and social protection systems to maintain continuous SRH services for adolescents living with HIV during crises.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2597089"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670166","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":"Representation of unplanned pregnancy in contemporary Spanish cinema: from voluntary abortion to unwanted motherhood.","authors":"Mariona Visa Barbosa, Margarida Carnicé Mur, Joana Soto Merola","doi":"10.1080/26410397.2026.2713898","DOIUrl":"10.1080/26410397.2026.2713898","url":null,"abstract":"<p><p>This article examines the representation of unplanned pregnancy in contemporary Spanish cinema between 2014 and 2024, with the aim of identifying the dominant narratives surrounding this experience. Drawing on a mixed-methods approach that combines quantitative and qualitative analysis of a selected corpus of films, the study investigates the narrative evolution of unplanned pregnancy, the diversity of the characters depicted, the reproductive agency of female protagonists, and the visibility of voluntary termination of pregnancy. The findings reveal that socio-economic conditions exert a decisive influence on how protagonists experience and negotiate unplanned pregnancy, shaping both their interpretive frameworks and their available choices. Despite this, the socio-demographic diversity of characters remains notably limited, particularly in relation to class, race, and other structural determinants, reflecting a homogenised representation of reproductive experiences in Spanish cinema. A key result of the study is the marginalisation of abortion as a reproductive option: legal abortion is explicitly represented in only two of the 14 films analysed, while most narratives emphasise either motherhood that is ultimately accepted or failed attempts to end the pregnancy. This pattern suggests that Spanish cinema continues to privilege conventional reproductive frameworks, offering few portrayals that normalise abortion as a legitimate and accessible choice. By critically engaging with these cinematic trends, the article contributes to broader debates on reproductive rights, gendered agency, and media representations of women's health. It highlights the need for more diverse and realistic depictions of unplanned pregnancy to challenge dominant narratives and expand cultural understandings of reproductive justice.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2713898"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680366","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}