Faysal El Kak, Rene de Klerk, Eli Coleman, Esther Corona, Erick Janssen, Eszter Kismödi, Pedro Nobre, Elna Rudolph, Jessie V Ford
{"title":"The Porto Proclamation: Advancing a Global Agenda for Sexual Health, Rights, and Justice.","authors":"Faysal El Kak, Rene de Klerk, Eli Coleman, Esther Corona, Erick Janssen, Eszter Kismödi, Pedro Nobre, Elna Rudolph, Jessie V Ford","doi":"10.1080/19317611.2025.2597854","DOIUrl":"https://doi.org/10.1080/19317611.2025.2597854","url":null,"abstract":"<p><strong>Objectives: </strong>This report summarizes the key discussions and outcomes of the inaugural World Sexual Health Assembly, which culminated in the development of the <i>Porto Proclamation on Sexual Health, Rights, and Justice</i>. It aims to identify global challenges and emerging opportunities in sexual health, highlight new insights and capacities generated through the Assembly, and outline strategic actions to guide international efforts over the next five years.</p><p><strong>Method: </strong>The report draws on the proceedings of the Assembly held in Porto, Portugal, which convened leaders from the United Nations, civil society organizations, professional associations, and academic institutions. Through plenary sessions, working groups, and multi-stakeholder dialogues, participants collaboratively examined intersections of research, policy, service delivery, and advocacy.</p><p><strong>Results: </strong>Deliberations revealed widespread concern about escalating global threats to sexual rights, justice, and evidence-based practice, while also surfacing innovative models of collaboration and advocacy. Participants underscored the value of cross-sector and cross-regional dialogue as essential for translating research into action and fostering shared accountability. The <i>Porto Proclamation</i> emerged as a unifying framework articulating a shared global agenda for advancing sexual health, rights, and justice.</p><p><strong>Conclusions: </strong>The Assembly marked a pivotal moment for global sexual health, demonstrating the power of inclusive, multidisciplinary collaboration. Moving forward, sustained solidarity and coordinated strategies across sectors will be critical to defending scientific integrity, advancing rights, and promoting sexual health and justice worldwide.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"797-809"},"PeriodicalIF":2.1,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120515","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":"Consensual Non-Monogamy (CNM) - Considering Sexual Minorities and Moving Away from a Dyadic Conceptualization.","authors":"Dora Morar-Bolba, Rainer Banse, Terri D Conley","doi":"10.1080/19317611.2025.2576764","DOIUrl":"https://doi.org/10.1080/19317611.2025.2576764","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the growing interest in consensual non-monogamy (CNM), gaps and inconsistencies remain in this field of research. In the present study, we aimed to replicate and expand upon prior research on differences in relationship outcomes across monogamous and CNM individuals in a German sample.</p><p><strong>Method: </strong>Heterosexual and LGBQ individuals in monogamous, open, polyamorous, and swinger relationships (N = 1623) completed online measures of relationship satisfaction and its proposed predictors, sexual satisfaction, and jealousy. One-way ANOVA were conducted to investigate group differences. Hierarchical linear regression analyses were conducted to test the predictors of relationship satisfaction.</p><p><strong>Results: </strong>Our findings revealed that relationship satisfaction differed based on relationship type only among LGBQ individuals. Individuals engaging in monogamy were slightly less satisfied than individuals engaging in polyamory. Need fulfillment and effective communication were significant predictors of relationship satisfaction. For heterosexual individuals, sexual satisfaction was lower in the monogamous group than in the CNM groups. Regardless of sexual orientation, the monogamous group reported fewer, but more emotionally troubling instances of jealousy than any of the CNM groups, yet lower levels of jealous cognitions than the open relationship group.</p><p><strong>Conclusions: </strong>Our study differs from past studies in that we used a non-hypothetical approach to measuring jealousy and measured relationship concepts at the level of the relationship constellation. These new contributions along with the inclusion of individuals practicing nonhierarchical CNM provide more differentiated insights into the actual experiences of CNM and monogamous individuals.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"337-356"},"PeriodicalIF":2.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785271","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":"Statement of Retraction: Men's Perceptions of Female Genitals.","authors":"","doi":"10.1080/19317611.2025.2578133","DOIUrl":"https://doi.org/10.1080/19317611.2025.2578133","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1080/19317611.2024.2424887.].</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"357"},"PeriodicalIF":2.1,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785447","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":"Covering Up or Coming Out? The Role of Social Media Engagement and Sexual Self-Identification in Disclosure of Sexual Orientation Among Stigmatized Gay and Bisexual Men.","authors":"Wenlan Zhu, Along He","doi":"10.1080/19317611.2025.2573690","DOIUrl":"https://doi.org/10.1080/19317611.2025.2573690","url":null,"abstract":"<p><strong>Objectives: </strong>In increasingly internet-dependent societies, social media has become a safe space for sexual self-identification and disclosure among gay and bisexual men. Few studies have examined the underlying mechanisms linking social media engagement to sexual disclosure behaviors, particularly within non-Western contexts. Drawing on the uses and gratifications theory and the model of antecedents of disclosure of invisible stigmas, this study investigates whether sexual self-identification mediates the relationship between social media engagement and disclosure of sexual orientation, and whether this pathway is moderated by perceived public stigma.</p><p><strong>Methods: </strong>Using PROCESS macro models, we conducted both mediation and moderated mediation analyses of a sample of 366 Chinese gay and bisexual men to delineate the conditional pathways through which social media engagement contributed to their decision to come out.</p><p><strong>Results: </strong>The mediation analysis indicated that sexual self-identification mediated the relationship between social media engagement and disclosure of sexual orientation. However, the moderated mediation analysis revealed that this indirect effect hinged on levels of perceived public stigma, such that the benefits of sexual self-identification diminished under high levels of perceived public stigma.</p><p><strong>Conclusions: </strong>Our findings provide new empirical evidence for how social media engagement shapes identity development and disclosure behaviors among Chinese gay and bisexual men. The study contributes to the theoretical understanding of sexual self-identification processes within stigmatized contexts and carries implications for the development of culturally sensitive interventions and inclusive digital engagement strategies.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"248-261"},"PeriodicalIF":2.1,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785303","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}
Cheru Tesema Leshargie, Daniel Demant, Sahai Burrowes, Nakachew Mekonnen Alamrew, Jane Frawley
{"title":"Challenges and Enablers of Antiretroviral Therapy Adherence Among Ethiopian Adolescents: A Qualitative Study.","authors":"Cheru Tesema Leshargie, Daniel Demant, Sahai Burrowes, Nakachew Mekonnen Alamrew, Jane Frawley","doi":"10.1080/19317611.2025.2571620","DOIUrl":"https://doi.org/10.1080/19317611.2025.2571620","url":null,"abstract":"<p><strong>Background: </strong>Despite global decline in acquired immunodeficiency syndrome (AIDS)-related mortality, <i>adolescent</i> (10-19 years) <i>deaths are rising.</i> Adolescents living with Human Immunodeficiency Virus (ALHIV) face unique antiretroviral therapy (ART) adherence challenges, <i>especially in low-income settings</i>. This study explores factors influencing ART adherence among Ethiopian adolescents.</p><p><strong>Methods: </strong>A qualitative study was conducted with 12 ALHIV from August to September 2021in Ethiopia's Amhara Region. Semi-structured interviews were conducted, transcribed, and analyzed using deductive coding and an interpretive phenomenological approach.</p><p><strong>Results: </strong>The analysis explored three prominent themes: (1) culture and religion, (2) connection and belonging, and (3) stigma and mental health. These themes collectively provide a comprehensive understanding of the barriers and facilitators influencing adolescent adherence to ART. Cultural and religious beliefs, especially those held by parents, such as misconceptions about long-term medication use, side effects of ART, and illness as divine punishment, acted as barriers to adherence. On the other hand, connection and belonging through family, community support, and shared experiences with peers facilitated adherence. However, stigma-whether internalized, experienced, or anticipated-caused isolation and mental health challenges, creating significant barriers to treatment adherence.</p><p><strong>Conclusion: </strong>This study sheds light on the multifaceted challenges faced by adolescents in adhering to HIV treatment, including cultural misconceptions, social and familial dynamics, and mental health barriers. Addressing these issues requires culturally sensitive health education and fostering environments that promote connection and support. Community-based interventions and peer networks can play a pivotal role in strengthening adherence, while stigma-reduction efforts are essential to addressing the mental health challenges adolescent's encounter. The findings highlight the need for a holistic approach integrating health education, stigma reduction, provider training, and mental health support to enhance adherence and outcomes for ALHIV.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"140-160"},"PeriodicalIF":2.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785275","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}
Jessica J Hille, Justin R Garcia, Amanda N Gesselman
{"title":"If I Only Knew Then: Single Adults' Perceptions of the Impact of Sex Education on Their Romantic and Sexual Lives.","authors":"Jessica J Hille, Justin R Garcia, Amanda N Gesselman","doi":"10.1080/19317611.2025.2566816","DOIUrl":"https://doi.org/10.1080/19317611.2025.2566816","url":null,"abstract":"<p><strong>Objectives: </strong>Sex education research has focused largely on youth and adolescents, rather than adults. The current study explores single adults' attitudes about the potential impact of their sex education, including a lack of sex education, on their current sexual and romantic relationships.</p><p><strong>Methods: </strong>Data were collected in 2023 from a demographically representative U.S. sample of single adults (ages 18 to 98 years). Participants (<i>n</i> = 3,895) reported whether they had learned about 16 different topics typically included in comprehensive sex education programs and their perceptions of how additional sex education beyond what they had received would impact their adult lives.</p><p><strong>Results: </strong>When asked about sources of sex education/information, the majority of participants (54.6%) reported learning only about reproduction or pregnancy in school. Further, more than one in three participants reported receiving no education or information-from school or any other source-about healthy relationships (33.6%), gender identity (37.3%), or how to decide if they wanted to have sex (34.1%), among other topics. Participants believed that had they received additional sex education, they would currently have a better understanding of how to have a positive/healthy relationship, how to date more effectively, and how to talk about sex with partners. Participants also reported that additional sex education would have led to more sexual confidence now (40%) and healthier romantic relationships now (44%).</p><p><strong>Conclusions: </strong>Implications for supporting healthy and satisfying sexual and romantic relationships by providing evidence-based informal (i.e. non-school-based) sources of sex education for adults, including online education programs, are discussed.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"106-114"},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785335","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}
Gábor Barcs, József Janszky, Mengesha Srahbzu, Réka Horváth, Vivian Miranda Correa, Anna Szűcs
{"title":"Sleep-Related Eating Disorder and Sexsomnia; Two Rare Parasomnias? A Mini-Review with Illustrative Case-Reports.","authors":"Gábor Barcs, József Janszky, Mengesha Srahbzu, Réka Horváth, Vivian Miranda Correa, Anna Szűcs","doi":"10.1080/19317611.2025.2547309","DOIUrl":"10.1080/19317611.2025.2547309","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep-related eating disorder and sexsomnia are non-rapid eye movement (NREM) parasomnias, characterized by reward-seeking behaviors during NREM sleep. These conditions are likely underpinned by specific patterns of sleep-wake dissociation and appear to be more common than expected, leading to significant health risks, psychological distress and even forensic consequences.</p><p><strong>Methods: </strong>We briefly review recent literature on sleep-related eating disorder and sexsomnia, and present three cases of each; for illustrating their clinical features and complexity.</p><p><strong>Results: </strong>Genetic predisposition may set the stage for sleep-related eating disorder and sexsomnia; stress, alcohol-use and sleep-disruption promoting the episodes. While sharing the common pathophysiology of sleep-wake dissociation, the dissociation-patterns underlying sleep-related eating disorder, sexsomnia, and other NREM parasomnias might be different. One of our cases (sex without consent of the partner) points to the potential forensic consequence of sexsomnia; and two cases highlight the side-effect of Quetiapine and Zolpidem (alike several additional psychoactive drugs) provoking sleep-related eating-episodes. Rarely, these drug-related side-effects may have unexpected therapeutic benefits.</p><p><strong>Conclusion: </strong>Sleep-related eating disorder and sexsomnia are under-recognized NREM parasomnias. Sexsomnia often leads to legal consequences with hard questions of responsibility; given its challenging multidisciplinary aspects. Regular sleep-schedule and other lifestyle-improvements help managing these conditions treated by Melatonin, certain antidepressants and, sedatives. Understanding their mechanism may provide meaningful data on reward-seeking during sleep.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"711-721"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120490","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":"Back to Basics: Ernst Burchard's Lexikon Des Gesamten Sexuallebens (Encyclopedia of the Entire Sexual Life).","authors":"Georg Bornemann, Holger Steinberg, Dirk Carius","doi":"10.1080/19317611.2025.2544618","DOIUrl":"https://doi.org/10.1080/19317611.2025.2544618","url":null,"abstract":"<p><strong>Objectives: </strong>Ernst Burchard (1876-1920) worked as a neurologist and sexologist in early 20th century Berlin. He was a respected sexologist and court expert who researched extensively on transvestitism and homosexuality. Due to his early death, however, he soon fell into oblivion. Only recently has his scientific work been reviewed and, among other things, his <i>Lexikon des gesamten Sexuallebens</i> (Encyclopedia of the Entire Sexual Life) has been identified. The encyclopedia appeared in 1914 and thus comparatively early in a phase in which sexual science was beginning to establish itself as a German-dominated science. This study examines the originality of this work.</p><p><strong>Methods: </strong>The study analyses Burchard's work and by comparing it with other standard works of the sexual sciences that also appeared in this era, the monograph can be historically classified.</p><p><strong>Results and conclusions: </strong>Burchard's book appears to be the first sexological encyclopedia ever. It was published much earlier than other works, which had previously been recognized as pioneering achievements in sexual science research.and made an important contribution to the sexual education of the general population.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"734-745"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119568","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":"A Comparative Study on Personality Traits, Temperament, and Interpersonal Attitudes: Fertile vs Infertile Couples.","authors":"Debasruti Ghosh, Shashi Darolia, Saurabh Raj","doi":"10.1080/19317611.2025.2556782","DOIUrl":"https://doi.org/10.1080/19317611.2025.2556782","url":null,"abstract":"<p><strong>Background: </strong>Parenthood is a significant life transition, providing couples with a new identity. However, as they work to develop this identity, infertile couples may encounter difficulties related to their sexual and mental well-being. Couples with and without children have different relationship perspectives based on a number of personality traits and interpersonal attitudes. When taking into account the relationship viewpoint in the context of infertility, such factors that affect intimacy, communication, and sexual satisfaction, may be extremely significant. This study explores the differences in personality, temperament, and interpersonal attitudes between couples with and without infertility.</p><p><strong>Method: </strong>The present investigation employed a nonequivalent comparison group design and included 408 participants (102 infertile couples and 102 fertile couples) drawn from two districts in Bihar, India. The recruitment of participants was made through purposive sampling method. The couples completed the Eyesenck Personality Questionnaire- S, Formal Characteristics of Behavior Temperament Inventory, and Sack's Sentence Completion Test.</p><p><strong>Results: </strong>The results reveal that infertile couples group scored significantly higher on neuroticism and psychoticism trait. Further, infertile group scored significantly higher on sensory sensitivity temperament pattern. Additionally, the infertile couples experience significantly greater conflict in family, sexual, interpersonal and self-area.</p><p><strong>Conclusion: </strong>Couples going through infertility may be more susceptible to experiencing negative emotions. They may have disturbed family relationships, sexual conflicts, and a poor sense of self-worth in comparison to couples who have achieved parenthood. However, further research is needed to explore the directionality of these associations, as it is also possible that preexisting emotional or relational difficulties contribute to challenges in achieving parenthood.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"785-796"},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120591","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":"Non-Medical Gender Affirming Practices Among Transgender Individuals: A Systematic Review on the Health Implications of Chest Binding and Genital Tucking.","authors":"Thanapob Bumphenkiatikul, Theeradon Sakpetch, Pakin Sungnuch, Xi Huang, Somboon Hataiyusuk, Sorawit Wainipitapong","doi":"10.1080/19317611.2025.2560416","DOIUrl":"https://doi.org/10.1080/19317611.2025.2560416","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review describes health implications of two non-medical gender affirming practices: chest binding and genital tucking.</p><p><strong>Methods: </strong>In January 2024, three databases (MEDLINE, Embase, and APA PsycINFO) were systematically searched using two comprehensive search terms related to: (1) chest binding or genital tucking, and (2) transgender people. Publications not in English, non-peer reviewed, insufficient data, and any forms of reviews were excluded. A manual search of relevant reviews and references was additionally done for additional resources. An updated search was done in July 2024. This systematic review was registered with PROSPERO (CRD42024500400) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p><p><strong>Results: </strong>This review included 18 studies (11 on chest binding, 7 on genital tucking) with a total of 3,235 participants. Negative implications were frequently reported, including dermatological issues, pain, hyperprolactinemia, breathing difficulties, testicular torsion, and poorer semen quality. However, some studies also found positive effects on dysphoria, life satisfaction, and mental health. Several studies highlighted lack of knowledge among healthcare providers about these practices.</p><p><strong>Conclusion: </strong>Chest binding and genital tucking have complicated tradeoffs between physical health risks and potential psychological benefits of reduced dysphoria. Further research is needed, especially on long-term effects, safer methods, and promoting education to build a supportive healthcare environment.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"15-29"},"PeriodicalIF":2.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785393","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}