Sexual and Reproductive Health Matters最新文献

{"title":"Soutenir les jeunes chercheur.e.s pour les droits en santé sexuelle & reproductive dans les pays de l’Afrique francophone: Quelle justification et quel impact souhaité?","authors":"Bouchra Assarag, Sarah C Keogh, Gottfried Agballa, Vincent De Brouwere","doi":"10.1080/26410397.2024.2318978","DOIUrl":"10.1080/26410397.2024.2318978","url":null,"abstract":"","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855429","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":"La pratique contraceptive moderne chez les adolescentes au Bénin: Tendances, déterminants et perspectives / Modern contraceptive use among adolescents in Benin: trends, determinants and prospects.","authors":"Pacôme Evènakpon Acotchéou, Mingnimon Alphonse Affo, Justin Dansou, Thérèse Delvaux, Zinsou Jacques Saizonou","doi":"10.1080/26410397.2023.2267200","DOIUrl":"10.1080/26410397.2023.2267200","url":null,"abstract":"<p><p>RésuméLa pratique contraceptive moderne augmente lentement parmi les jeunes générations au Bénin. La présente étude analyse les tendances, les déterminants du recours aux contraceptifs et leurs mécanismes d'actions chez les adolescentes. Les approches socio-écologique et intersectionnelle ont été adoptées, avec une méthode d'étude mixte portant sur les adolescentes de 15 à 19 ans sexuellement actives et non enceintes. Le volet quantitatif recourt aux données des cinq enquêtes démographiques et de santé du Bénin entre 1996 et 2017-18, avec une analyse descriptive et une régression logistique binaire pas à pas. Les données qualitatives collectées par des observations, discussions de groupe et entretiens individuels auprès de différents acteurs nationaux, ont fait l'objet d'analyse de contenu. Les résultats révèlent une prévalence contraceptive moderne basse, passant de 4,6% en 1996 à 13,3% en 2017-18, avec le préservatif comme principale méthode utilisée (8,2%). En 2017-18, la probabilité d'utiliser les contraceptifs était plus élevée chez les adolescentes des ménages riches (OR = 2,3), les scolarisées (OR = 2,3), les célibataires (OR = 2,1), celles fréquentant les services de planification familiale (PF) (OR = 1,8), connaissant le cycle menstruel (OR = 1,6), et économiquement actives (OR = 1,5). Cependant, être Yoruba réduit les chances d'utiliser les contraceptifs (OR = 0,5). Les données qualitatives confirment ces résultats et les complètent en mettant en avant l'effet du cadre juridique favorable à la pratique contraceptive, la stigmatisation sociale des utilisatrices, et les infox véhiculées en communauté. Nous recommandons des efforts pour le maintien des filles à l'école, la généralisation des services de PF pour les adolescents, la communication communautaire, et la subvention des contraceptifs.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446495","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":"Profil des utilisatrices et facteurs associés à la satisfaction des clientes de la qualité des soins après avortement au Burkina Faso: étude transversale menée dans six régions.","authors":"Mamadou Ouattara, Ali Sié, Mariam Seynou, Moubassira Kagoné, Mamadou Bountogo, Idrissa Kouanda, Ramatou Ouédraogo, Martin Bangha, Kenneth Juma, Sherine Athero","doi":"10.1080/26410397.2023.2272483","DOIUrl":"10.1080/26410397.2023.2272483","url":null,"abstract":"<p><p>RésuméMalgré la dépénalisation de l'avortement et la gratuité des soins après avortement (SAA), les femmes Burkinabè vivent des relations difficiles avec les soignants. Cette étude vise à déterminer le profil des femmes recevant des SAA, leur perception de la qualité des SAA et ses déterminants dans des structures sanitaires publiques et confessionnelles du pays. Une enquête quantitative a été menée auprès de 2174 femmes vues pour des SAA et recrutées de façon exhaustive de 2018 à 2020. Un questionnaire structuré a été administré à la sortie des soins. Une analyse uni-, bi- et multivariée a été faite. La majorité des clientes de SAA vivait en milieu rural (55%), avait 25 ans et plus (60%), vivait en couple (87%) et était sans-emploi (59%). La grossesse était non désirée chez 17% des femmes et 4% d'entre elles souhaitaient avorter. La satisfaction globale de la qualité des SAA était de 84%. Dans l'analyse multivariée, ses déterminants étaient la résidence en milieu rural (OR = 1.80 [1.38; 2.34]), un niveau scolaire primaire (OR = 1.48 [1.06; 2.07]) ou secondaire (OR = 1.95 [1.38; 2.74]), et avoir eu au moins un enfant (OR = 1.43 [1.02; 2.00]). Les facteurs associés à une faible satisfaction des SAA étaient une grossesse non désirée (OR = 0.64 [0.46; 0.89]) ou avoir souhaité avorter (OR = 0.09 [0.05; 0.16]). Le niveau de satisfaction globale est acceptable mais faible chez les clientes ayant souhaité avorter. Il est fondamental d'organiser un programme de formation des professionnels des SAA sur la communication, la relation interpersonnelle et l'empathie pendant les soins de santé.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378441","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":"L'expérience de l'accouchement en milieu surveillé dans la province d'Essaouira au Maroc: Quelle réalité?","authors":"Imane Kajjoune, Vincent de Brouwere, Abdelmounaim Manoussi, Sanae Elomrani, Bouchra Assarag","doi":"10.1080/26410397.2023.2272712","DOIUrl":"10.1080/26410397.2023.2272712","url":null,"abstract":"<p><p>RésuméUne expérience positive de l'accouchement (EPA) est fondamentale pour des soins maternels de qualité. Toutefois, de nombreuses femmes subissent des comportements non respectueux lors de ce moment crucial. Au Maroc, peu d'études ont mesuré cette expérience, et les éléments l'influençant demeurent insuffisamment documentés. Nous avons conduit une recherche mixte dans la province d'Essaouira entre avril et décembre 2021. Notre enquête, basée sur un questionnaire, a sollicité l'avis de 240 femmes issues de huit centres de santé choisis au hasard. Par ailleurs, des entretiens semi-directifs ont été conduits avec 20 femmes, 47 professionnels de santé et quatre responsables administratifs. Les données quantitatives ont été soumises à des analyses descriptives, bi- et multivariées, tandis que les entretiens ont été analysés selon une approche de contenu thématique. Les données révèlent que 59.2% des participantes ont eu une expérience défavorable lors de leur dernier accouchement. Parmi elles, la majorité a déploré des soins non consentis (86.7%), un manque de respect de leur intimité (45.4%) et des abus verbaux (25%). L'EPA était principalement associée à la qualité de l'environnement de l'accouchement, au soutien pour l'allaitement, à la propreté des installations, au type d'établissement (privé) et à l'absence de complications médicales pendant le travail. Les entretiens ont révélé que le manque de motivation des professionnels de santé, l'absence de formation continue appropriée et des lacunes organisationnelles et managériales ont affecté l'EPA. Notre étude souligne le besoin crucial de formation continue axée sur le respect des patients, l'éthique et la déontologie, et met en lumière l'importance d'une politique motivante pour les professionnels de santé, notamment dans le secteur public.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811162","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":"The impact of policy changes from the perspective of providers of family planning care in the US: results from a qualitative study.","authors":"Alicia VandeVusse,&nbsp;Jennifer Mueller,&nbsp;Marielle Kirstein,&nbsp;Philicia W Castillo,&nbsp;Megan L Kavanaugh","doi":"10.1080/26410397.2022.2089322","DOIUrl":"https://doi.org/10.1080/26410397.2022.2089322","url":null,"abstract":"<p><p>In recent years, there have been several state and federal policies that have disrupted access to publicly supported family planning care in the United States, including the 2019 rule that altered the federal Title X family planning program. In late 2020, we conducted in-depth interviews with health care providers from 55 facilities providing family planning care in Arizona, Iowa, and Wisconsin with the aim of learning how sites were affected by policy changes. We identified perceived effects on clinic finances, patient confidentiality, contraceptive counselling and service provision, and options counselling resulting from state and federal policy changes. Some clinics lost funding and had to pass some of the cost of services on to patients, raising new confidentiality concerns and creating new burdens on staff to carry out financial counselling with patients. Other sites had to grapple with restrictions on the pregnancy options counselling that they could provide, concentrate counselling on fertility awareness-based methods, and increase efforts to include parents/guardians in the care of adolescent patients. State and federal policies impact how publicly supported family planning care is provided, and compromise efforts to provide patient-centred care.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/ea/ZRHM_30_2089322.PMC9262356.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40474629","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":"Understanding changes made to reproductive, maternal, newborn and child health services in Pakistan during the COVID-19 pandemic: a qualitative study.","authors":"Mahesh Paudel,&nbsp;Ayesha Leghari,&nbsp;Ahsan Maqbool Ahmad,&nbsp;Susannah Gibbs,&nbsp;Jennifer Wheeler,&nbsp;Shoshana Goldberg,&nbsp;Taylor Snyder,&nbsp;Manav Bhattarai","doi":"10.1080/26410397.2022.2080167","DOIUrl":"https://doi.org/10.1080/26410397.2022.2080167","url":null,"abstract":"<p><p>COVID-19 mitigation measures have disrupted the provision of essential health services. The goal of this study was to understand changes in reproductive, maternal, neonatal, and child health (RMNCH) services during the pandemic in Pakistan. We conducted a qualitative study in November and December 2020 consisting of telephone in-depth interviews with women, healthcare providers, and community stakeholders. Interviews were analysed using a thematic, iterative approach. All health facilities had changed their routine procedures, including adjustments in service delivery time and staff hours to reduce crowding, and maintain standard operating procedures (SOPs) such as social distancing. Women highlighted stockouts and lack of supplies as key barriers to care-seeking. Stockouts and crowding led to shifts in care-seeking away from public to private facilities. RMNCH service utilisation declined first due to restrictions during the lockdown, then due to fear of contracting COVID-19 at healthcare facilities. This study provides important insights into RMNCH services during the COVID-19 pandemic from care-seekers' and care-providers' perspectives. The findings of this study were used to develop interventions to address access to RMNCH care during the COVID-19 pandemic.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/a3/ZRHM_30_2080167.PMC9310789.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40614949","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":"Reproductive power matters: aligning actions with values in global family planning.","authors":"Christine Galavotti,&nbsp;Sara Gullo","doi":"10.1080/26410397.2022.2082353","DOIUrl":"https://doi.org/10.1080/26410397.2022.2082353","url":null,"abstract":"The COVID-19 pandemic has exposed and compounded existing inequities, with disparities in full recovery from the disease and death affected by geographic, racial, social, and economic status. In the area of sexual and reproductive health, and particularly for adolescents in the global South, school closures have reduced access to comprehensive sexuality education, and lockdowns and disruptions in access to family planning (FP) services have led to increases in sexual harassment, gender-based violence, and unwanted pregnancies. These facts, as well as the occurrence of gross imbalances in access to vaccines, catastrophic losses in income, and increased hunger, have inspired a re-examination of the models of development that have failed so many, with more and more global health actors waking up to what justice activists and scholars have been pointing out for many years – that health cannot be extracted from the economic, social, and political context in which it is produced, or inhibited. Leaders like Loretta J. Ross and Dazon Dixon Diallo from the Reproductive Justice movement in the United States have long called for this realignment, but the emergence of these concepts in the broader global health discourse is more recent and needs to be nurtured. In addition to the latest report from the High-level Commission on the Nairobi Summit on ICPD +25, this rethinking has included a call from Donald Berwick, a leading authority on health care quality and improvement, for the health community to collectively turn our focus to the “moral determinants of health” – in other words, to actions that are truly aligned with our values to improve human health and well-being. This call is rooted in the reality that efforts to improve health and well-being have illogically and drastically underinvested in addressing societal and structural factors, despite robust evidence that circumstances outside of health care are largely responsible for health and well-being. What does this mean for those working in global sexual and reproductive health and rights (SRHR) and FP? Fortunately, we have a history to draw on. From the Alma Ata Declaration of 1978 to the 1994 International Conference on Population and Development (ICPD), to the 2000 ICESCR Article 12 General Comment No. 14 and, most recently, the Nairobi Summit on ICPD + 25, the global health community has come together in the past to set out a vision that centres people and their rights to participate in the health decisions that affect them and to determine their own reproductive futures. Over the years there have been remarkable gains; we have moved from a primary focus on population issues and fertility to one grounded in the rights of individuals to control their bodies and attain reproductive health and well-being, but we are yet to fully achieve this vision. Progress has been impeded in part by a failure to fully articulate, commit to and operationalise these values. FP programming is still often framed aroun","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655125","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":"In pursuit of the demographic dividend: the return of economic justifications for family planning in Africa.","authors":"Ellen E Foley","doi":"10.1080/26410397.2022.2133352","DOIUrl":"10.1080/26410397.2022.2133352","url":null,"abstract":"<p><p>This article examines the resurgence of economic justifications for investment in family planning in Africa. In the Cold War period, population control programmes were at the forefront of the Northern development agenda for the Global South; rapid population growth was cast as the enemy of national economic advancement and modernisation. At the United Nations Conference on Population and Development in 1994, global leaders signed on to a Platform of Action that sidelined economic and environmental concerns with population growth in favour of a human rights approach to family planning. Over the past decade, key sectors of the development community have regained their enthusiasm about the economic and social benefits of reducing fertility in sub-Saharan Africa. A wide variety of multilateral organisations have joined forces with African governments in a common pursuit: lower fertility to achieve demographic transition and harness the demographic dividend. The article contends that efforts to catalyse the demographic dividend are problematic because pursuing dramatic reductions in fertility (rather than reproductive and contraceptive autonomy) violates human rights approaches to sexual and reproductive health.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/23/ZRHM_30_2133352.PMC9621287.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40434856","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":"An in-depth analysis of the sexuality needs of Barcelona's youth: a holistic view using mixed method.","authors":"Lluís Forcadell-Díez, Jordi Baroja Benlliure, Cristina Martínez, Gloria Pérez","doi":"10.1080/26410397.2022.2135728","DOIUrl":"10.1080/26410397.2022.2135728","url":null,"abstract":"<p><p>A positive experience of sexuality during youth is key to good sexual health later in life. Addressing young people's sexual health needs and sexual and reproductive rights is thus essential. This study aimed to identify unmet sexual health needs among youth in the city of Barcelona (Spain) through mixed methods research. We analysed the narratives of young people (<i>n</i> = 50) aged 14-24 years with different genders, origins, sexualities and socioeconomic backgrounds, collected from January to April 2019. A descriptive statistical analysis was also conducted on the records of visits to sexual health services and reasons for consultation. We found that 21% (<i>n</i> = 32,161) of young people aged 14-24 years had used sexual healthcare services in Barcelona between 2015 and 2017, while the reasons for consultation differed across sex, gender and socioeconomic background. Young people declared that they needed more information to enjoy their sexuality, to know where to go in case of an unexpected situation and to learn how to combat gender-based violence. They stated that the sexuality education they had received was sparse and focused on risks. We found that formal sex education is scarce, with informal sex education thus acquiring a major role. Current services can be improved by expanding coverage, training professionals and reducing acceptability and accessibility barriers. Sexism is ubiquitous in young people's sexual, dating and personal relationships. We recommend planning sexual health care services and formal sexual education, in which a strong gender strategy is embedded, as part of the same strategy.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/8b/ZRHM_30_2135728.PMC9678000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40473750","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":"A qualitative exploration of the salience of MTV-Shuga, an edutainment programme, and adolescents' engagement with sexual and reproductive health information in rural KwaZulu-Natal, South Africa.","authors":"Nambusi Kyegombe,&nbsp;Thembelihle Zuma,&nbsp;Siphesihle Hlongwane,&nbsp;Mxolisi Nhlenyama,&nbsp;Natsayi Chimbindi,&nbsp;Isolde Birdthistle,&nbsp;Sian Floyd,&nbsp;Janet Seeley,&nbsp;Maryam Shahmanesh","doi":"10.1080/26410397.2022.2083809","DOIUrl":"https://doi.org/10.1080/26410397.2022.2083809","url":null,"abstract":"<p><p>Young people, particularly adolescent girls and young women, represent a growing proportion of those living with HIV. Edutainment programmes have been widely used throughout the world to \"educate\" and \"entertain\" audiences and tackle serious social issues in bold and engaging ways. This paper examines the extent to which an edutainment programme, MTV-Shuga, was reported to influence young people's engagement with sexual and reproductive health (SRH) information in rural KwaZulu-Natal, South Africa. In 2019 we conducted eight community-based screenings of MTV-Shuga episodes followed by 25 individual in-depth interviews and 13 focus group discussions with young people aged between 15 and 30. Interviews were audio recorded and transcribed verbatim. Data analysis was thematic and complemented by constant comparison and deviant case analysis techniques. In this rural and poor setting with a high burden of HIV, young people exhibited high levels of awareness of SRH and HIV but had constrained access to services, and limited ability to engage with parents or guardians on SRH matters. MTV Shuga provided an entertaining guide of ways to navigate the risks that they faced in a way that resonated with them. The findings highlight the importance of enabling young people in rural areas to watch MTV Shuga with peers in a safe space in which discussion of the content is facilitated. There is also value in encouraging parents to watch MTV Shuga as a means of enabling discussions between children and adults in their lives about SRH matters.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9460417","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}