International Journal of Sexual Health最新文献

{"title":"The Satisfaction of Women's Orgasms: The Relationship Between Women's Orgasmic Pleasure and Sexual Relationship Satisfaction in Aotearoa/New Zealand.","authors":"Alexandra K Janssen, Rita I Csako, David L Rowland, Krisztina Hevesi","doi":"10.1080/19317611.2025.2464535","DOIUrl":"10.1080/19317611.2025.2464535","url":null,"abstract":"<p><strong>Objectives: </strong>Orgasms have become a symbol of successful sex in modern society. It is common knowledge that women's orgasms can be elusive in heterosexual partnered sex. To ascertain the impact of this disparity and to better understand women's sexuality for clinical applications, this study explores the relationship between women's orgasms and their relationship satisfaction in Aotearoa/New Zealand.</p><p><strong>Methods: </strong>This cross-sectional study utilises data from an online questionnaire. A stepwise logistic regression model building exercise was run on select orgasm variables (consistency, pleasure, and difficulty) and covariates (age, frequency of sex, and self-rated importance of sex) to determine which variables best predicted sexual relationship satisfaction.</p><p><strong>Results: </strong>Notably, more consistent orgasms and more frequent sex were the strongest predictors of sexual relationship satisfaction. The relationship between orgasmic variables and sexual relationship satisfaction was curvilinear, with satisfaction increasing only up to a certain point.</p><p><strong>Conclusions: </strong>These findings demonstrate an association between women's orgasms and their relationship satisfaction. Consistent with research in other Western populations, sex and relationship therapists working with women aiming to improve their sexual relationship satisfaction might achieve better outcomes by focusing on interventions that increase the frequency of sex and/or improve orgasm consistency. Nevertheless, reaching orgasm every time is neither necessary nor necessarily better for a woman's satisfaction, information that might help couples manage distress when orgasm does not occur and reduce a goal-oriented mindset that might hinder both orgasm and sexual pleasure.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 2","pages":"251-262"},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121076","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 Systematic Review of Trauma-Informed Sexual Health Education Interventions for Adolescents and Young Adults Within the United States and Canada.","authors":"Gabrielle S Evans-Mitchell, Lea Sacca, Christine Markham, Katie Schultz, Sheryl McCurdy, Lauren Tingey, Melissa F Peskin","doi":"10.1080/19317611.2025.2464565","DOIUrl":"10.1080/19317611.2025.2464565","url":null,"abstract":"<p><strong>Objective: </strong>To systematically identify and critically examine trauma-informed sexual health education interventions developed for adolescents and young adults and describe how they integrate key principles of a trauma-informed approach.</p><p><strong>Methods: </strong>Using the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) guidelines, Substance Abuse and Mental Health Services Administration (SAMHSA) principles, and Khan et al.'s review methodology, we reviewed sexual health intervention studies described as trauma-informed published between 2014 and 2023 within the United States and Canada.</p><p><strong>Results: </strong>The review found three interventions integrated five to six aspects of a trauma-informed approach relative to Kahn's definition and SAMHSA's principles.</p><p><strong>Conclusions: </strong>Based on the limited number of trauma-informed interventions being identified, this highlights a continuation of the gap in trauma-informed sexual health interventions.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 2","pages":"198-208"},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121061","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":"The Effect of Sexuality Education During Pregnancy on Female Sexual Function: A Systematic Review and Meta-Analysis Study.","authors":"Güleser Ada, Yasemin Hamlacı Başkaya, Kevser İlçioğlu","doi":"10.1080/19317611.2025.2453909","DOIUrl":"10.1080/19317611.2025.2453909","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis aimed to synthesize the effect of sexuality education during pregnancy on female sexual function. Although sexual dysfunction in pregnancy is a common problem, it is often overshadowed by other outcomes, such as pregnancy risks or birth complications. Therefore, understanding the impact of educational interventions on women's sexual health is crucial to improving their overall well-being during this period.</p><p><strong>Method: </strong>Studies were searched on the electronic databases Google Scholar, Web of Science, Journal Park, the Cochrane Library, EBSCO Medline, Pubmed, and Scopus without imposing any restrictions on the publication year. This meta-analysis used the Preferred Reporting Items for Systematic Reviews and meta-analysis statement guidelines. Findings were analyzed using fixed- or random-effects models based on 95% confidence intervals, p values, and heterogeneity testing.</p><p><strong>Results: </strong>This systematic review included 4 studies with 337 (training: 169 and control: 168) participants due to the limited number of studies on this topic. Interventions in the four studies using the Female Sexual Function Index showed that sexuality education provided to intervention groups had a statistically significant positive effect on the total female sexual function score compared to control groups (<i>p</i> < .001, range: 0.552-0.995).</p><p><strong>Conclusion: </strong>This meta-analysis provides insights into the implementation of educational interventions considering their positive impact on female sexual function during pregnancy. Despite the limited number of studies (only 4 studies), the findings suggest that sex education leads to significant improvements in many aspects, such as sexual pleasure, vaginal lubrication, orgasm, sexual desire, and overall satisfaction. Furthermore, pregnancy provides an ideal opportunity to normalize and integrate this education into pregnancy care, as it is a time when women often attend antenatal checkups or childbirth classes.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 1","pages":"116-130"},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400223","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":"Online Health Information Seeking and Cyberchondria Among Men at Risk of HIV Infection: A Moderated Mediation Model.","authors":"Yu Guo, Yuxuan Wang, Yiwei Li","doi":"10.1080/19317611.2024.2444590","DOIUrl":"10.1080/19317611.2024.2444590","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates the relationship between HIV/AIDS-related online health information seeking (OHIS) and cyberchondria among Chinese men who have engaged in high-risk sexual behaviors. It proposes a moderated mediation model to explore the role of query escalation as a mediator and intolerance of uncertainty (IU) as a moderator in this relationship.</p><p><strong>Method: </strong>A survey was conducted with 227 men from an online community focused on HIV/AIDS-related fear in China. Participants reported their frequency of OHIS, levels of query escalation and IU, and experiences of cyberchondria. The study employed the PROCESS macro to examine the proposed moderated mediation model.</p><p><strong>Results: </strong>The findings indicated that frequent OHIS significantly predicts cyberchondria, with query escalation mediating this relationship. Additionally, IU moderates the mediation pathway, weakening the effect of query escalation on cyberchondria when IU is high. This suggests that individuals with high IU are less likely to experience escalating health inquiries and, consequently, cyberchondria.</p><p><strong>Conclusions: </strong>The study highlights the complex interaction between OHIS, query escalation, and IU in predicting cyberchondria among high-risk groups. These insights are crucial for designing effective interventions to mitigate cyberchondria by addressing the escalation of health information seeking and managing uncertainty intolerance in this population.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 1","pages":"102-115"},"PeriodicalIF":2.2,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400217","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":"Young People's Trust in Digital Sexual Healthcare: A Narrative Review.","authors":"Niamh Woodward, Lisa Buckley, Judith A Dean, James A Fowler","doi":"10.1080/19317611.2024.2439330","DOIUrl":"10.1080/19317611.2024.2439330","url":null,"abstract":"<p><strong>Objectives: </strong>Trust has been identified as a key factor associated with supporting access to sexual health interventions and digital healthcare. We aimed to explore and synthesize factors that may cultivate trust for young people (10-24-year-old) when accessing digital sexual healthcare.</p><p><strong>Methods: </strong>A total of 5950 articles were extracted from 5 databases (Scopus, PubMed, Embase, PsycINFO and CINAHL) and independently assessed for relevance by two researchers. Trust descriptions were analyzed using a narrative synthesis approach, extracted tabularly and synthesized into themes through conceptual mapping.</p><p><strong>Results: </strong>Thirteen papers between 2011 and 2021 from the United States (n = 5), Australia (n = 3), United Kingdom (n = 2), Canada (n = 2), and Netherlands (n = 1) were reviewed. Young people (n = 462), varying in gender identity and sexuality, were aged between 14 and 29 years old. Four areas cultivating trust in digital sexual healthcare were described: (1) Esthetics, language, tone: Trusted digital sexual healthcare was easy to navigate, had limited sexually explicit content or pop-up ads, was not overly teen-friendly and used a professional tone and language, reflecting communication reportedly expected from healthcare providers. (2) Privacy, anonymity, safety: Safety features that preserved young people's anonymity were important for their trust, particularly amid fear of shame or stigma. (3) Authors' expertise, authenticity, reputation: Personal accounts online which reflected the young person's own lived experience were trusted for topics considered subjective (e.g., dating and relationships). (4) Consistency: Cross-checking personal accounts and scientific information to confirm the consistency of content helped with young people's evaluation of trust.</p><p><strong>Conclusions: </strong>Considering the factors cultivating trust when designing digital sexual health interventions may improve access and use. However, given the nuance in lived experience and needs, young people should be meaningfully engaged in the design of digital sexual health interventions. Particularly as sexual health intervention and resources are increasingly being delivered and accessed online by young people.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 1","pages":"81-101"},"PeriodicalIF":2.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11817529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415822","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":"Sexual Activity and Sexual Well-Being Among Sober Adults: The Role of Felt Sobriety Stigma.","authors":"James B Moran, Abigail P Masterson, Caroline Eaton, Taylor K Rohleen, Liana S E Hone","doi":"10.1080/19317611.2024.2439346","DOIUrl":"10.1080/19317611.2024.2439346","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the relationship between experiences of stigma and sexual activity and sexual well-being among sober individuals.</p><p><strong>Methods: </strong>Two-hundred and thirty-eight sexually active, sober adults reported on their sobriety length, experiences of sobriety stigma, sexual activity, and sexual well-being.</p><p><strong>Results: </strong>Sobriety length was not related to either outcome. However, sobriety stigma was negatively related to sexual activity and sexual well-being.</p><p><strong>Conclusion: </strong>Sobriety stigma has implications not only for relapse prevention, but also for sexual health and well-being interventions. Efforts to reduce stigma among sober individuals may lead to more successful sexual health and well-being promotion initiatives.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 2","pages":"240-250"},"PeriodicalIF":2.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121090","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":"Characterization of Knowledge, Attitudes, Comfort, and Perception of Discrimination Regarding Sexual and/or Gender Minoritized People: Comparison Between Two Cohorts of Medical Students - 2018-2023.","authors":"Ana Macedo, João Ferreira, Ana Rita Gutierrez, Jorge Gato","doi":"10.1080/19317611.2024.2435281","DOIUrl":"10.1080/19317611.2024.2435281","url":null,"abstract":"<p><strong>Objectives: </strong>Despite progress made in the medical field to address the health concerns of sexual and gender minoritized identities, LGBTQIA+ individuals continue to experience discrimination in healthcare. This study aims to evaluate the effects of incorporating a seminar on gender identity and sexual orientation into the medical curriculum of a Portuguese Medical School, after 5 years. The study's main objective was to compare the changes in students' knowledge, attitudes, comfort, and perception of discrimination against LGBTQIA+, pre and post-intervention.</p><p><strong>Methods: </strong>A total of 313 students in their third, fourth, fifth, and sixth year at a Portuguese Medical School were assessed in 2018 (pre-intervention) and 2023 (post-intervention). The data collected were analyzed regarding age, gender identity, sexual orientation, number of friends or family members who identify themselves as LGBTQIA+, and level of religiosity.</p><p><strong>Results: </strong>The overall knowledge regarding LGBTQIA+ people specific health aspects improved from the 2018 cohort to the 2023 cohort, with significant differences in questions regarding gender identity (OR = 2.0, <i>p</i> = .007), sexual orientation (OR = 2.9, <i>p</i> <.001), and mental health (OR = 3.2, <i>p</i> <.001). The perceived discrimination against homosexual patients was similar in both cohorts, with approximately 60% of respondents from both groups agreeing that homosexual patients were discriminated against in healthcare.</p><p><strong>Conclusion: </strong>Although the perception of discrimination against LGBTQIA+ people in healthcare remained high across the two cohorts, positive changes were observed regarding students' overall knowledge of LGBTQIA+ individuals' health, clinical preparation and comfort in treating LGBTQIA+ people, and attitudes toward lesbian women and gay men. These results reinforce the need to develop training and information strategies targeting medical students, promoting greater knowledge and, above all, increasing contact and clinical practice with LGBTQIA+ people, since relationships and personal contact are the most differentiating aspects for nondiscrimination.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 2","pages":"185-197"},"PeriodicalIF":2.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121080","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":"Correction.","authors":"","doi":"10.1080/19317611.2024.2434776","DOIUrl":"https://doi.org/10.1080/19317611.2024.2434776","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/19317611.2024.2420048.].</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 1","pages":"i"},"PeriodicalIF":2.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399948","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":"How to Define Sexual Health? A Qualitative Analysis of People's Perceptions.","authors":"Andreia A Manão, Margarida Brazão, Patrícia M Pascoal","doi":"10.1080/19317611.2024.2422512","DOIUrl":"10.1080/19317611.2024.2422512","url":null,"abstract":"<p><strong>Objectives: </strong>Sexual health is an essential aspect of overall health that affects an individual's physical, psychological, and social well-being. Understanding people's perceptions of sexual health is essential because it can impact their sexual health-related behaviors, namely, their interactions with health services, campaigns, information, and policies. Furthermore, these perceptions may have a systemic impact, as public health policies related to promoting sexual health can be influenced by social factors. Such perceptions may also influence individuals' sexual expression and interactions with sexual partners. Thus, an understanding of people's perceptions of sexual health can facilitate the appropriate seeking of sexual healthcare, inform professional interactions with patients and the community, and guide policymakers in the promotion of it.</p><p><strong>Methods: </strong>A total of 151 people living in Portugal, aged 19 to 75, answered a cross-sectional online questionnaire with an open-ended question: \"In your opinion, what is sexual health?\". The data was analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>We created four themes: (1) Let's get physical, physical, (2) I'm in charge!, (3) I am not alone in this, and (4) Sexual justice is a must!. Participants presented diverse and complex views of sexual health, considering that it includes physical and biological components, cognitive and behavioral aspects and relational factors, and it is framed by the social and political context.</p><p><strong>Conclusions: </strong>This study emphasizes that defining and achieving sexual health goes beyond healthism and needs to be considered at multiple levels. It highlights the need for individual awareness and self knowledge, to recognize equity within relationships and the strive for social equality and sexual rights. The study also emphasizes the significance of considering and respecting sexual developmental when promoting positive attitudes toward sex in formal and informal settings, increasing education about sexual pleasure, accepting and celebrating sexual and gender diversity, recognizing consensual non-monogamous relationships, and the need for inclusivity within sexually tolerant societies. Viewing sexual health through a political lens may play a crucial role in reshaping societal norms, promoting sexual justice, and influencing policymakers to better address and support the sexual health needs of a population following their own perspectives and expressed needs.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 2","pages":"131-152"},"PeriodicalIF":2.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121049","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":"Evaluation of the Efficacy and Safety of On-Demand Tadalafil Alone or Combined With Lidocaine Spray for Treating Patients With Comorbid Erectile Dysfunction and Premature Ejaculation: A Randomized Controlled Trial.","authors":"Min Liu, Zi Xiang Deng, Xianxiang Zhu, ShiAn Hu","doi":"10.1080/19317611.2024.2420048","DOIUrl":"10.1080/19317611.2024.2420048","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the efficacy and safety of on-demand 20 mg tadalafil alone or combined with lidocaine spray for treating patients with comorbid erectile dysfunction (ED) and premature ejaculation (PE).</p><p><strong>Methods: </strong>This randomized controlled trial included 98 patients with comorbid ED and PE, randomly assigned to the experimental group (<i>n</i> = 50, tadalafil alone) or the active control group (<i>n</i> = 48, tadalafil combined with lidocaine spray). Patients took tadalafil 30 min before sexual intercourse, while the combination therapy group also used lidocaine spray 5 min before intercourse. After 12 weeks of treatment, changes in the International Index of Erectile Function (IIEF-5), Chinese Index of Premature Ejaculation (CIPE-5), Intravaginal Ejaculatory Latency Time (IELT), and Sexual Satisfaction Score (SSS) were evaluated.</p><p><strong>Results: </strong>Both groups showed significant improvement in IIEF-5 scores, but the difference between groups was not significant (<i>F</i> = 0.89, <i>p</i> = 0.45). The active control group showed significant improvement in CIPE-5 scores (<i>p</i> < 0.001), while the experimental group showed no significant change (<i>p</i> > 0.05). IELT in the active control group increased significantly from 25.7 s to 198.6 s (<i>Z</i> = 6.03, <i>p</i> < 0.001), while the experimental group showed no significant change (<i>Z</i> = 0.74, <i>p</i> = 0.46). SSS improved significantly in the active control group (<i>p</i> < 0.001) but not in the experimental group (<i>p</i> > 0.05). The incidence of adverse events was similar in both groups (14% vs 20.8%, <i>p</i> = 0.575).</p><p><strong>Conclusion: </strong>Tadalafil combined with lidocaine spray is superior to tadalafil alone in improving symptoms, prolonging IELT, and enhancing sexual satisfaction in patients with comorbid ED and PE, with comparable safety. This combination therapy provides a new approach for improving treatment strategies for patients with comorbid ED and PE. Large-scale, multi-center randomized controlled trials are needed to further validate these findings.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 1","pages":"60-68"},"PeriodicalIF":2.2,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400208","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}