Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-10DOI: 10.1007/s11121-024-01763-x
Erika Westling, James Gordon, Paul M Meng, Cassandra A O'Hara, Brandon Purdum, Andrew C Bonner, Anthony Biglan
{"title":"Harmful Marketing: An Overlooked Social Determinant of Health.","authors":"Erika Westling, James Gordon, Paul M Meng, Cassandra A O'Hara, Brandon Purdum, Andrew C Bonner, Anthony Biglan","doi":"10.1007/s11121-024-01763-x","DOIUrl":"10.1007/s11121-024-01763-x","url":null,"abstract":"<p><p>This paper reviews evidence about the impact of marketing on ill health. We summarize evidence that marketing practices in six industries (tobacco, alcohol, pharmaceutical, processed food, firearm, and fossil fuel) are causal influences on the occurrence of injury, disease, and premature death. For each industry, we provide a brief overview on the extent of harmful marketing, efforts from each industry to obscure or otherwise conceal the impact of their marketing strategies, and efforts to counter the impact of harmful marketing in these industries. However, considering the ubiquitous belief that regulation is harmful to society, little headway has been made in reducing harmful marketing. We propose the substitution of a public health framework for the currently dominant free market ideology. Doing so would situate harmful marketing as a social determinant of health and consolidate the disparate efforts to regulate marketing of harmful products. Implications for future policy and research efforts are discussed.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"138-148"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956760","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}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-08DOI: 10.1007/s11121-025-01766-2
Lauren E Oddo, Bryce D McLeod, Kevin S Sutherland, Jason C Chow, Jennifer R Ledford, Grace W Li
{"title":"A Novel Approach to Research Synthesis with the Distillation and Matching Model: Application to the Prevention of Youth Social, Emotional, and Behavioral Problems.","authors":"Lauren E Oddo, Bryce D McLeod, Kevin S Sutherland, Jason C Chow, Jennifer R Ledford, Grace W Li","doi":"10.1007/s11121-025-01766-2","DOIUrl":"10.1007/s11121-025-01766-2","url":null,"abstract":"<p><p>It is difficult for consumers to access the evidence base for prevention programs to determine which models or practices have the strongest empirical support for improving youth social, emotional, and behavioral (SEB) outcomes within their specific service contexts. Researchers can address this evidence-to-practice gap through innovations in research synthesis. The Distillation and Matching Model (Chorpita et al., 2005), an approach to research synthesis developed for the mental health field, is designed to identify what works for whom and under what conditions via three steps. In this paper, we describe the Distillation and Matching Model and suggest that applying this approach to the prevention literature for youth SEB problems may help bridge the evidence-to-practice gap. The first step, distillation, involves identifying \"practice elements,\" defined as the goal or general principle guiding a discrete practice (e.g., praise) targeting a specific domain of SEB outcomes. This step produces a standard set of terms for the individual practices used across the literature that are studied in isolation and comprise comprehensive intervention models. The second step involves identifying \"common elements,\" or the practice elements found in studies that meet standards of methodological rigor and report significant improvements in youth SEB outcomes. The third step, \"matching,\" is a method for matching common element profiles (combinations of common elements) to intervention and personal characteristics to identify what combinations of common elements work for whom and under what conditions. The Distillation and Matching Model can provide a method for researchers to generate actionable information about common elements that can be used to develop and evaluate tailored interventions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"69-79"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956680","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}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-23DOI: 10.1007/s11121-025-01771-5
Ashley M Witmer, Yali Deng, Ramin Mojtabai, Holly C Wilcox, James Aluri
{"title":"The Association Between College Enrollment and Suicide Attempts by Race and Ethnicity.","authors":"Ashley M Witmer, Yali Deng, Ramin Mojtabai, Holly C Wilcox, James Aluri","doi":"10.1007/s11121-025-01771-5","DOIUrl":"10.1007/s11121-025-01771-5","url":null,"abstract":"<p><p>Little is known about how race and ethnicity influence the association between college enrollment and past-year suicide attempts. In this brief report, the relationship between college enrollment and past-year suicide attempts varied across racial groups in a nationally representative sample of 12,474 full-time college enrolled and unenrolled young adults. Only White students displayed a protective association between enrollment and past-year suicide attempts (aOR, 0.32; 95% CI, 0.17, 0.62). Race and ethnicity significantly moderated the relationship between enrollment and past-year suicide attempts for Black/African American (P = 0.003) and multiracial (P = 0.03) compared to White young adults.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"25-30"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-11DOI: 10.1007/s11121-025-01770-6
Jorge Gaete, Daniela Meza, Javiera Andaur, Samuel McKay, Jo Robinson, Daniel Nuñez
{"title":"Acceptability and Feasibility of a Blended School-Based Intervention to Prevent Suicidal Ideation Among Adolescents in Chile: Results from a Randomized Control Pilot Study.","authors":"Jorge Gaete, Daniela Meza, Javiera Andaur, Samuel McKay, Jo Robinson, Daniel Nuñez","doi":"10.1007/s11121-025-01770-6","DOIUrl":"10.1007/s11121-025-01770-6","url":null,"abstract":"<p><p>Suicide prevention programs delivered in school settings have been shown to reduce suicide attempts and ideation among adolescents. School-based digital interventions targeting at-risk youth are a promising avenue for suicide prevention, and some evidence has shown that blending digital and face-to-face components may improve the effectiveness. However, further evidence on its acceptability, feasibility, and effectiveness is needed, especially in Latin America, where mental health support is limited. Reframe-IT is an internet-based Cognitive Behavioral Therapy (CBT) program to reduce youth suicidal ideation in school settings. We created four complementary face-to-face CBT sessions and, through a pilot study, tested the acceptability, feasibility, and effectiveness of a blended intervention (Reframe-IT +) in adolescents (N = 52) from 6 public schools in Chile, randomized into two groups: Reframe-IT + (N = 33) and Control (N = 19). We found that the intervention was acceptable and feasible, with high degrees of satisfaction and adherence. We also observed a significant reduction in suicidal ideation and depressive symptoms in the intervention group compared to the control group at post-intervention. Our results suggest that the Reframe-IT + could be delivered as a suitable, acceptable, and effective intervention to reduce suicide ideation in adolescents in school settings. Further research is needed to confirm these preliminary results.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"12-24"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-01-01Epub Date: 2024-12-12DOI: 10.1007/s11121-024-01760-0
Ayesha Siddiqua, Jeanine M Parisi, Todd M Manini, Christopher N Kaufmann, Emily J Smail
{"title":"Effects of Situational Loneliness on Mental Health and Sleep Health Outcomes among White Older Adults during the COVID-19 Pandemic.","authors":"Ayesha Siddiqua, Jeanine M Parisi, Todd M Manini, Christopher N Kaufmann, Emily J Smail","doi":"10.1007/s11121-024-01760-0","DOIUrl":"10.1007/s11121-024-01760-0","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the cross-sectional and 2-year prospective associations between situational loneliness and health outcomes in older adults during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Data were collected using an online survey that evaluated behaviors (e.g., socialization) and health outcomes at two points (May-June 2020 and October-November 2022) during the pandemic. Logistic regression was used to analyze the cross-sectional associations between situational loneliness and health outcomes (i.e., depressive symptoms, anxiety symptoms, and sleep health) while linear regression was used to examine the prospective associations.</p><p><strong>Results: </strong>In a sample of 428 older adults (age 65 +), situational loneliness was associated with short-term, but not long-term, increases in depressive symptoms, anxiety symptoms, and problems with sleep.</p><p><strong>Conclusion: </strong>Findings suggest that the older adult population demonstrates resilience in the face of short-term increases in loneliness. Thus, promoting resilience may be a promising strategy for mitigating the negative consequences of situational loneliness.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"31-42"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-17DOI: 10.1007/s11121-025-01765-3
Pamela R Buckley, Charleen J Gust, Sarah Gonzalez Coffin, Sheba M Aikawa, Christine M Steeger, Fred C Pampel
{"title":"Applying an Equity Lens to Evidence-Based Preventive Interventions: a Systematic Review of Subgroup Findings from Experimental Evaluations.","authors":"Pamela R Buckley, Charleen J Gust, Sarah Gonzalez Coffin, Sheba M Aikawa, Christine M Steeger, Fred C Pampel","doi":"10.1007/s11121-025-01765-3","DOIUrl":"10.1007/s11121-025-01765-3","url":null,"abstract":"<p><p>Evidence reveals that minoritized groups face disparities, underscoring the need for interventions to address behavioral health inequities. This review examined which minoritized populations are represented in evidence-based preventive interventions (EBPIs) and whether they equitably benefit from these programs. Using the Blueprints for Healthy Youth Development online clearinghouse, we synthesized findings from 240 high-quality experimental evaluations of EBPIs conducted in the U.S. between 2010 and 2023 and performed a descriptive analysis based on consensus coding to assess (1) the prevalence of culturally tailored EBPIs; (2) how frequently tests for subgroup effects were conducted; and (3) whether subgroup tests indicated differential benefits for minoritized groups. We found few culturally tailored interventions (31%), with 4% evaluating EBPIs developed for African American or Black populations and 1% for Hispanic or Latino youth. Additionally, only 25% and 15% tested for subgroup effects by race and ethnicity, respectively. For other subgroups, few (28%) evaluations included effects by economic disadvantage while 47% examined outcomes by binary gender categories. Essentially no reports tested for subgroup effects by sexual identity, location, or nativity status. Encouraging findings were that EBPIs more often benefited racial and ethnic minoritized groups, and there was an upward trend in reporting subgroup tests across time. EBPIs should test for subgroup effects to answer the questions of \"what works for whom?\" and \"in which settings?\" and to better understand the generalizability of findings. Investments are needed in culturally grounded programs developed for historically marginalized populations and trials of EBPIs that investigate mitigating health disparities.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"93-106"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014274","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}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-01-09DOI: 10.1007/s11121-025-01772-4
Joseph R Cohen, Jae Wan Choi, Jaclyn S Fishbach, Jeff R Temple
{"title":"A Trauma-Focused Screening Approach for Teen Dating Violence Prevention.","authors":"Joseph R Cohen, Jae Wan Choi, Jaclyn S Fishbach, Jeff R Temple","doi":"10.1007/s11121-025-01772-4","DOIUrl":"10.1007/s11121-025-01772-4","url":null,"abstract":"<p><p>Developing accurate and equitable screening protocols can lead to more targeted, efficient, and effective, teen dating violence (TDV) prevention programming. Current TDV screening protocols perform poorly and are rarely implemented, but recent research and policy emphasizes the importance of leveraging more trauma-focused screening measures for improved prevention outcomes. In response, the present study examined which adversities (i.e., indices of family violence), trauma-focused risk factors (i.e., threat and reward biases) and strengths (i.e., social support and racial/ethnic identity) best classified concurrent and prospective risk for physical and psychological forms of TDV-perpetration. Participants included 584 adolescents aged 12-18 years (M<sub>Age</sub> = 14.43; SD = 1.22), evenly distributed across gender (48.9% female), race (35% African American; 38.5% White) and ethnicity (40% Hispanic). Surveys completed at baseline and 1-year follow-up were analyzed using an evidence-based medicine (EBM) analytic protocol (i.e., logistic regression, area-under-the-curve; (AUC), diagnostic likelihood ratios (DLR), calibration curves) and compared to machine learning models. Results revealed hostility best classified risk for concurrent and prospective physical TDV-perpetration (AUCs > 0.70; DLRs > 2.0). Additionally, domestic violence (DV) exposure best forecasted prospective psychological TDV-perpetration (AUC > 0.70; DLR > 3.0). Both indices were well-calibrated (i.e., non-significant Spiegelhalter's Z statistics) and statistically fair. Machine learning models added minimal incremental validity. Results demonstrate the importance of prioritizing hostility and DV-exposure for accurate, equitable, and feasible screening for physical and psychological forms of TDV-perpetration, respectively. Integrating these findings into existing prevention protocols can lead to a more targeted approach to reducing TDV-perpetration.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"80-92"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-01-01Epub Date: 2025-02-03DOI: 10.1007/s11121-025-01776-0
Hannah G Calvert, Christopher M Fleming, Michaela Lowe, Teri Lewis, Carl F Siebert, Ashley Havlicak, Nate Anderson, Tate Castleton, Lindsey Turner
{"title":"Training and Technical Assistance Increase the Fidelity of Implementation of a Universal Prevention Initiative in Rural Schools: Results from a 3-Year Cluster-Randomized Trial.","authors":"Hannah G Calvert, Christopher M Fleming, Michaela Lowe, Teri Lewis, Carl F Siebert, Ashley Havlicak, Nate Anderson, Tate Castleton, Lindsey Turner","doi":"10.1007/s11121-025-01776-0","DOIUrl":"10.1007/s11121-025-01776-0","url":null,"abstract":"<p><p>The need for well-implemented evidence-based interventions (EBIs) for the prevention of behavioral issues among children and adolescents is substantial. In rural areas, the need often matches or surpasses that of urban areas. Schools have a wide reach for prevention-focused EBIs. However, implementation in rural schools is often hindered by limited resources and capacity. Rural School Support Strategies (RS3) are a bundle of implementation supports that address implementation challenges in rural settings. They include providing additional leadership and coaching training, individualized technical assistance (mostly virtual), and monthly meetings of a virtual learning collaborative. A cluster-randomized Hybrid Type 3 implementation-effectiveness trial tested RS3 for implementing school-wide positive behavioral interventions and supports (PBIS), a universal prevention approach to improving student behavior, academic outcomes, and school climate. Forty rural schools received a multi-day training on PBIS each summer for 3 years. Half were randomized to also receive RS3 support. Linear and logistic regression models examined the effect of treatment condition and dosage of support on implementation fidelity for Tier 1 (universal) PBIS. Condition and dosage (number of hours) of support increased the odds of schools achieving the 70% threshold for adequate implementation fidelity. In the first year, the higher dosage of technical assistance events increased the likelihood of schools reaching fidelity, whereas later in the trial, the higher dosage of attendance at the virtual learning collaborative sessions yielded significant improvements in fidelity. Implications for accelerating the implementation of universal prevention initiatives in schools-particularly in rural settings-are discussed. This study was prospectively registered on ClinicalTrials.gov (NCT03736395), on November 9, 2018.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"56-68"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081542","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}
Prevention SciencePub Date : 2025-01-01Epub Date: 2024-12-10DOI: 10.1007/s11121-024-01759-7
Sunhye Bai, Gregory M Fosco, Mark E Feinberg, Richard L Spoth
{"title":"Crossover Effects of PROSPER on Young Adult Suicide Risk: the Role of Adolescent Belongingness to Family and School.","authors":"Sunhye Bai, Gregory M Fosco, Mark E Feinberg, Richard L Spoth","doi":"10.1007/s11121-024-01759-7","DOIUrl":"10.1007/s11121-024-01759-7","url":null,"abstract":"<p><p>Universal and selective preventive interventions targeting youth behavioral problems have shown crossover effects on suicide risk, the second leading cause of death among youth. However, the mechanisms that explain this long-term unanticipated benefit are understudied and unclear. The current study examines the crossover effects of PROSPER, a community-university partnership model for delivering interventions for the prevention of adolescent substance misuse. We examine whether intervention effects on developmental trajectories of parent-child relationship quality and school belongingness explain the putative crossover effects. The analytical sample was 1,974 youth who participated in a randomized controlled trial of PROSPER in the 6th grade and completed an age 19 follow-up assessment. Participants completed annual assessments of parent-child relationship quality and school belongingness from the 6th to 12th grades, and reported on suicidal thoughts during the young adulthood assessment. Our developmental cascade model showed that PROSPER reduced the magnitude of declines in youths' reports of school belongingness from the 6th to 12th grade. In turn, youth who reported less decline in school belongingness reported fewer depression symptoms and suicidal thoughts during young adulthood. Study findings highlight the role of decline in school belongingness as a factor that contributes to the effects of universal prevention programs on youth suicide risk.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2024-12-01Epub Date: 2024-11-20DOI: 10.1007/s11121-024-01756-w
Diana H Fishbein, John Roman
{"title":"Practical, Economic, and Policy Implications of the Leve et al. Paper.","authors":"Diana H Fishbein, John Roman","doi":"10.1007/s11121-024-01756-w","DOIUrl":"10.1007/s11121-024-01756-w","url":null,"abstract":"<p><p>This commentary responds to the paper recently published in Prevention Science, entitled \"The Promise and Challenges of Integrating Biological and Prevention Sciences: A Community-Engaged Model for the Next Generation of Translational Research\" by Leve and colleagues (2024). A framework is advanced to provide a rationale for and facilitate the difficult and oft-avoided task of integrating concepts, techniques, methods, and datasets from diverse disciplines. The unfortunate reality is that disciplines germane to prevention continue to be highly siloed. The field of prevention science stands to benefit from knowledge that leads to greater precision-based-and thereby more effective-approaches to intervention. What is particularly underappreciated is the potential for this information to also guide policymaking based on what we could learn about the social-ecological conditions that impact child and youth brain and behavioral development and are alterable in response to evidence-informed public health policies. In this commentary, we offer some context for and appraisal of the paper and provide additional rationale for a precision-based approach with appropriate precautions for the research and utility of findings. Discussion ensues on the economic pros and cons and the policy implications of this integrative \"neuroprevention\" strategy should the field of prevention science accept the challenge.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"1200-1206"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}