Journal of Cross-Cultural Gerontology最新文献

{"title":"Ageism in Nursing Care and its Attributed Factors in Hospitals: A Cross-Sectional Study in Iran 2023.","authors":"Mahdieh Khodabandeh, Negin Masoudi Alavi, Mahboube Taebi","doi":"10.1007/s10823-025-09531-2","DOIUrl":"10.1007/s10823-025-09531-2","url":null,"abstract":"<p><p>Ageism, a systematic process of discriminatory behavior toward older adults, can have negative consequences for patients. The aim of this study was to investigate ageism in providing nursing care and its attributed factors in hospitals of Kashan/Iran in 2023. A sample of 300 nurses were randomly recruited to this cross-sectional study, and completed the questionnaire of ageism in nursing care and its attributed factors. Mann-Whitney, Kruskal-Wallis, Spearman's correlation and multivariate linear regression analysis statistical tests were used for data analysis. Participants had a mean age of 35.2 ± 8.47 years, with 218 (72.7%) being female. The mean ageism score was 41 ± 8.9 (range: 26-70), indicating relatively low age-based discrimination. However, 90 nurses (30%) expressed reluctance to care for older adult patients. Ageism scores showed significant relationships with gender, type of ward, interest in geriatric nursing, accompanying elderly relatives in the hospital, the relationship with grandparents, age, and work experience. Multivariate regression revealed that attributed factors could explain 12.3% of the variance in ageism scores, with only gender and type of ward having a significant relationship. Although the ageism score was low, a considerable percentage of nurses expressed discriminatory views toward older adult patients. Preventing ageism in nursing care remains a challenge for healthcare services.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"197-207"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience in Japanese Older Immigrants in Canada and the Role of Community Support During the COVID-19 Pandemic.","authors":"Mineko Wada, Sarah L Canham","doi":"10.1007/s10823-025-09526-z","DOIUrl":"10.1007/s10823-025-09526-z","url":null,"abstract":"<p><p>Japanese people make up a small proportion of the population in Canada, and there are limited resources to meet their specific needs. Thus, older Japanese Canadians were particularly affected by disrupted support and service systems when COVID-19 public health orders were implemented. The objective of this study was to explore how Japanese older immigrants cultivated resilience in overcoming challenges during the COVID-19 pandemic and how a community service agency supported the process. In this qualitative study, seven community-dwelling Japanese older immigrants and five agency staff participated in semi-structured interviews. Interviews were thematically analyzed using a conceptual lens of resilience, which refers to the ability to survive and thrive in the face of adverse life experiences. Our analysis yielded three themes: (1) Challenges and concerns associated with digital literacy, English literacy, COVID-19, and the future; (2) Individual sources of physical, mental, and social resilience; and (3) Agency-supported sources of resilience that enable management of health, safety, and daily life, connection, and belonging. The findings advance our understanding of the ways in which older immigrants cultivate resilience in the face of adversity and how programs and services can help older immigrants cope with adversity to meet their needs. Implications for service provision include ensuring systems are in place to digitally connect older adults to programs, support home maintenance and housekeeping, and engage older adults in the development of new programs.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"137-155"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Accessing Care and Support Services for Older Immigrants and Immigrants with Dementia in Finland: Perspectives of Professional Social and Health Care Providers.","authors":"Alex Berg, Mervi Issakainen, Kaijus Ervasti, Tero Montonen, Eino Solje, Anna Mäki-Petäjä-Leinonen","doi":"10.1007/s10823-025-09523-2","DOIUrl":"10.1007/s10823-025-09523-2","url":null,"abstract":"<p><p>Older people's immigration to a different country can place them in a vulnerable situation. Research on the legal rights and access to justice for older immigrants and immigrants with dementia seeking care and support is scarce in Finland. This study addresses this gap in the research and employs semi-structured qualitative interviews with professionals offering services to this target group. Inductive and deductive qualitative content analysis approaches were used to analyze the data. The themes created from the data were analyzed from the perspective of an Elder Law theory, namely, Doron's Multidimensional Model of Elder Law. According to the findings of this study, the major challenges to accessing care and support include linguistic barriers, lack of digital skills, lack of information and knowledge, loneliness, and cultural differences. Some of the strategies that can be adopted to address these challenges include developing culturally sensitive services, dissemination of information about the available services in different languages and employing more bilingual staff.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"49-76"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimorbidity and Depressive Symptoms and their Association with Self-Reported Health and Life Satisfaction Among Adults Aged ≥ 50 Years in Mexico.","authors":"Alvaro García Pérez, Teresa Villanueva Gutiérrez","doi":"10.1007/s10823-025-09521-4","DOIUrl":"10.1007/s10823-025-09521-4","url":null,"abstract":"<p><p>Identify the association between multimorbidity and depressive symptoms (DS) with self-reported health (SRH) and life satisfaction in a national sample of Mexican ≥ 50 years older adults. Data are drawn from the Mexican Health and Aging Study (MHAS), a cross-sectional study conducted in 2018 involving 14,230 older adults aged 50 years and older living in urban and rural areas of Mexico. Depressive symptoms were measured using the Center for Epidemiological Studies depression scale (CES-D) and life satisfaction using the Life Satisfaction Scale (LSS), examined both as a categorical and continuous variable. Logistic and Poisson regression analyses were used to assess the association adjusting for confounders. The prevalence of multimorbidity was 25.8%. Age (≥ 65 years) was significantly associated with increased odds of fair/poor SRH [OR = 1.17 (95% CI 1.09-1.27)]. Older adults with multimorbidity and high DS were more likely to present fair/poor SRH [OR = 7.83 (95% CI 6.48-9.45)]. Older adults with multimorbidity and high DS were 37% [RR = 1.37 (95% CI 1.35-1.40)] more likely to present low life satisfaction than those that did not present multimorbidity. Multimorbidity and high DS were found to be associated with fair/poor SRH and low life satisfaction. The early identification of factors related to multimorbidity, DS, and low life satisfaction are important in order to reduce possible complications and improve quality of life.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"107-121"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Interplay Between Stigma and Asian Cultural Values in People with Parkinson's Disease and Their Caregivers.","authors":"Elvin Yao, Chunhui Wang, Zhigang Zhu, Jianwen Hui","doi":"10.1007/s10823-024-09520-x","DOIUrl":"10.1007/s10823-024-09520-x","url":null,"abstract":"<p><p>Parkinson's Disease (PD), the second most prevalent neurodegenerative disorder globally, often carries stigma for those affected; however, stigma's impact on PD caregivers is not well understood. This study investigates PD stigma and its interplay with cultural values, as well as explores the role of depressive symptomatology in shaping help-seeking attitudes among individuals with PD and the provision of support by PD caregivers. Using cross-sectional data collected from people living with PD and their caregivers, this study examines how adherence to Asian values influences the link between self-stigma and help-seeking tendencies in PD patients, as well as how affiliate stigma is linked to caregivers' willingness to help. Further, the mediational role of depression was explored. Among Chinese Parkinson's Disease (PD) patients, stronger adherence to Asian values heightens the negative effect of self-stigma on help-seeking from both professional and non-professional sources, with this process mediated by levels of depression. Similarly, caregivers exhibit the influence of affiliate stigma on help provision, which is accentuated by a higher adherence to Asian values; however, depression was not found to be a significant mediator in this context. This study underscores the need for culturally sensitive interventions tailored to Asian PD-affected families, highlighting its significance in both patient and caregiver contexts.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"93-106"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The (Im)Material Home: Exploring Older Migrants' Home Experiences Situated within Material and Immaterial Settings of Home. An Exploratory Study in Belgium.","authors":"Micheline Phlix, Jan Vanrie, Ann Petermans, An-Sofie Smetcoren","doi":"10.1007/s10823-025-09522-3","DOIUrl":"10.1007/s10823-025-09522-3","url":null,"abstract":"<p><p>The older population is diversifying. Extensive research has shown the preference of older adults to age in place. Recent research shows that older migrants also prefer to age in place. However, not much is known about their reasons for doing so. Therefore, this paper focuses on older migrants who are ageing in placee and explores their home experiences both in the material and immaterial setting of home. In-depth interviews using photo-elicitation with older migrants (n = 23) from Limburg, Belgium were conducted. The results depart from older migrants' strong wish to age in place, which can be explained by the sense of familiarity the long-inhabited dwelling and neighbourhood provide, which concerns both a material and immaterial setting. However, the material setting of home can become a threat to ageing in place, as the interviews reveal, through physical obstacles and housing maintenance. Furthermore, the immaterial setting of home also comes into play as participants referred to their ethnic identity in discussing home experiences. The results further discuss the interrelatedness of material and immaterial settings of home. Interestingly, migration background did not always appear as relevant variable in older migrants home experiences. Instead, participants' interviews were more often imbued with age-related narratives. This shows the shifting influence of diverse variables (e.g. age, migration, gender), highlighting the importance of adopting an intersectional lens. Moreover, the results point to the dynamic nature of participants' sense of home, both in terms of 'age' (e.g. changing needs) and 'migration' (e.g. changing ethnic identity).</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"1-28"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Quality of Life of the Ilocano Older Adults During COVID-19 Pandemic: A Cross-Sectional Study on the Association Between Health-Promoting Behaviors and Quality of Life, and the Moderating Effect of Socio-Demographic Profile.","authors":"Shiela B Navasca, Donald Lipardo","doi":"10.1007/s10823-024-09519-4","DOIUrl":"10.1007/s10823-024-09519-4","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The COVID-19 pandemic has affected the lives of people across ages, with older adults identified as a vulnerable group. This vulnerability has been magnified by circumstantial indications of ageism emerging at different levels. Crucial at this point is the practice of healthy lifestyle behaviors to maintain functional independence and to improve the quality of life of these susceptible individuals. This study generally aims to comprehensively evaluate the quality of life among Ilocano older adults amidst the COVID-19 pandemic, exploring the relationship between their health-promoting behaviors and quality of life, while considering the moderating influence of socio-demographic factors. A total of 383 community-dwelling older adults from Ilocos Norte aged 60-93 y/o (M 69.68, SD = 7.13) without cognitive impairment, and who can verbally communicate were recruited through stratified random sampling from February to March 2022. Data measures used were the Ilocano translated socio-demographic questionnaire, the Health-Promoting Lifestyle II(HPLP) for HPB, and the World Health Organization Quality of Life -BREF for QOL. The translation process followed the WHO protocol. Reliability and validity testing were done and established. A Mini-Cog test was administered to validate subject inclusion. Data were obtained face-to-face with full observance of health and safety protocol. The Statistical Package for Social Science (SPSS) v.28.0 was used for the descriptive and inferential analysis of study data. Diagnostic testing like outlier screening and distribution checking were conducted prior to data analysis. Tests of normality were conducted prior to the regression analysis. Ilocano older adults (IOA) generally have a high level of HPBs (M = 2.91, SD 0.49) and average perception of QOL (M = 3.37, SD = 0.46) regardless of their demographic profile. However, the physical activity subscale was reported to be low. An analysis of variance (ANOVA) with the Scheffe post hoc test revealed statistically significant differences in the HPB scores of the IOA according to age, civil status, and educational attainment and a significant difference in the perceived QOL of the IOA when classified according to their health status. The Pearson R correlation test revealed a positive (r = .467, p &lt; .01 level of significance) and a moderate magnitude of correlation (.4 &lt; &lt;math&gt; &lt;mrow&gt;&lt;mfenced&gt;&lt;mi&gt;r&lt;/mi&gt;&lt;/mfenced&gt; &lt;mrow&gt;&lt;mo&gt;&lt;&lt;/mo&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;69&lt;/mn&gt; &lt;mo&gt;)&lt;/mo&gt;&lt;/mrow&gt; &lt;/mrow&gt; &lt;/math&gt; between HPBs and QOL. Multiple linear regression tests with a stepwise method revealed physical activity ( &lt;math&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/math&gt; = .205, p = .001), nutrition ( &lt;math&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/math&gt; = -.242, p = .001), and spiritual growth ( &lt;math&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/math&gt; = .205, p = .008) influence the quality of life of Ilocano older adults. They explained 25% of the variance of QOL while other subscales of HPB explained 26% of it (adjusted R&lt;sup&gt;2=&lt;/sup&gt;.251, R&lt;sup&gt;2&lt;","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"77-92"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Life Expectancy Determinants Between Indonesia and Oman from 1980 to 2020.","authors":"Anak Agung Bagus Wirayuda, Bambang Widjanarko Otok, Moon Fai Chan","doi":"10.1007/s10823-024-09511-y","DOIUrl":"10.1007/s10823-024-09511-y","url":null,"abstract":"<p><p>Life expectancy (LE) is a health indicator of a population's health and well-being. Modeling the trajectory of LE aligns with the objectives of Indonesia's Vision 2045 and Oman's Vision 2040. This study examines the influence of health status-resources (HSR), macroeconomic (ME), and sociodemographic (SD) factors on LE in Indonesia and Oman. These two nations navigate the challenges of the middle-income trap in the Organization of Islamic Cooperation. This study adopted a national-scale population-based approach that focuses on retrospective observations. We used partial least square structural equation models with World Bank data from 1980 to 2020 to analyze the relationship between the mentioned factors and the LE of Oman and Indonesia. For Indonesia's model, the results showed that ME has a total effect of β = 0.737 (p < 0.05) on LE, SD has a total effect of β = 0.675 (p < 0.05) on LE, and HSR has a total effect of β = 0.823 (p < 0.05) on LE. In Oman's model, ME has a total effect of β = 0.848 (p < 0.05) on LE, SD has a total effect of β = 0.755 (p < 0.05) on LE, and HSR has a total effect of β = 0.335 (p < 0.05) on LE. The findings underscore the need for policies that meld health and societal perspectives to improve public health in both nations. A shift in public health interventions and perceptions towards socioeconomic well-being and societal issues is pivotal for advancing LE growth, potentially steering these countries from the middle-income trap.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"29-48"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are We Talking About the Same Thing? Black/African Americans' Response to the BRFSS Cognitive Decline and Caregiver Modules.","authors":"Andre Pruitt, Raina Croff, Linda Boise, Jeffrey Kaye","doi":"10.1007/s10823-024-09507-8","DOIUrl":"10.1007/s10823-024-09507-8","url":null,"abstract":"<p><p>The Behavioral Risk Factor Surveillance System (BRFSS) is a randomized national U.S. telephone survey administered by state health departments. This study aimed to identify how Black/African Americans understand BRFSS caregiver and cognitive decline surveys and terminology to inform health messaging that centers the Black/African American experience. In focus groups, BRFSS surveys were administered to Black/African Americans (n = 30) aged ≥ 45 in Oregon. Participants were asked how they interpreted BRFSS terms 'memory loss' and 'confusion,' how these terms related to Alzheimer's and dementia, and about caregiving and cognitive decline experiences. The culturally responsive Africana Worldview guided interpretation, which centers the Black/African American experience and individuals within interdependent relationships and community identity when explaining behaviors of people from the African diaspora. BRFSS survey responses differed from focus group responses to the same questions. Two participants reported providing care in the past two years on the survey; in discussions, 21 participants reported providing care in the past two years. Interpretations of BRFSS terminology varied greatly. Differences between age-related cognitive changes, dementia and Alzheimer's disease were unclear. Cognitive decline was largely understood in terms of identity loss and relationship changes with the affected individual, and how that individual's relationship changed within community. Caution is advised when using BRFSS data to frame messaging because key cognitive health terms are not universally understood. Messaging that apply the Africana Worldview centralizes relationships and community rather than impact on individual's day-to-day activities, may be more effective for Black/African Americans and for other groups with different cultural and life experiences.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"435-456"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties and Gender Invariance of the Portuguese (European) Version of the Aging Sexual Knowledge and Attitudes Scale.","authors":"Liliana Rodrigues, Maria Manuela Peixoto, Ana Luísa Patrão, Luís Santos, Sara Isabel Magalhães, Conceição Nogueira","doi":"10.1007/s10823-024-09517-6","DOIUrl":"10.1007/s10823-024-09517-6","url":null,"abstract":"<p><p>The sexuality of older people was understood as non-existent or as something outside the prevailing norm. In this sense, analysing people's sexual knowledge and attitudes towards older people is a challenge for theory and practice. The aim of this study is to translate and validate the Aging Sexual Knowledge and Attitudes Scale (ASKAS) for the Portuguese population. A sample of 994 Portuguese adults (70.9% women, n = 705) completed the ASKAS-PT along with a series of self-report measures. Confirmatory factor analysis and the psychometric properties of the Portuguese (European) version of ASKAS-PT were investigated, particularly reliability, temporal stability, and convergent and critical validity. This study also examined the gender measurement invariance of the ASKAS-PT. After confirmatory factor analysis, a two-factor model fit the Portuguese version best. Reliability and validity results also showed good results, and the ASKAS-PT appears to be a gender-invariant measure. Overall, the Portuguese version of the ASKAS showed good psychometric properties and appears to be a valid and reliable measure for assessing knowledge and attitudes about aging.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"397-414"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}