Maternal and Child Health Journal最新文献

{"title":"Trends and Determinants of Unmet Need for Family Planning Among Adolescent Girls and Young Women Aged 15-24 Years in Nepal: Evidence from Three Demographic and Health Surveys.","authors":"Mamta Verma, Ganesh Bhandari, Amit Timilsina, Wayne Gao, Mattia Sanna","doi":"10.1007/s10995-026-04311-x","DOIUrl":"https://doi.org/10.1007/s10995-026-04311-x","url":null,"abstract":"<p><strong>Introduction: </strong>Unmet need for family planning (UNFP) among adolescent girls and young women (AGYW) remains a major public health concern because it contributes to unintended pregnancy and adverse reproductive health outcomes. Although Nepal has expanded family planning programs over the past decade, evidence on trends and factors associated with UNFP among AGYW is limited. This study assessed trends and factors associated with UNFP among currently married AGYW aged 15-24 years using nationally representative data from the 2011, 2016, and 2022 Nepal Demographic and Health Surveys.</p><p><strong>Study design: </strong>Data from currently married AGYW aged 15-24 years were analyzed. UNFP was categorized as unmet need for spacing or limiting, defined as non-use of contraception despite intending to delay or stop childbearing. A binary overall UNFP variable (no unmet need vs. total unmet need) and a multinomial UNFP variable (no unmet need, unmet need for spacing and unmet need for limiting) were analyzed. In the first case, modified Poisson regression with robust standard errors was used to estimate Adjusted Prevalence Ratios (aPRs), while, in the second case, multinomial logistic regression was performed to calculate adjusted Relative Risk Ratios (RRR) for UNFP related to spacing and limiting needs, compared to no UNFP. All statistical analyses were performed using R version 4.6.1.</p><p><strong>Results: </strong>Overall UNFP declined from 39.1% (95% CI: 36.5-41.7) in 2011 to 29.0% (95% CI: 26.6-31.3) in 2022. In the Poisson regression analysis, AGYW with one living child (2022: aPR = 1.67, 95% CI: 1.36-2.06) or two or more living children (2022: aPR = 1.65, 95% CI: 1.29-2.11) and those living in female-headed households (2022: aPR = 1.20, 95% CI: 1.04-1.37) had a higher prevalence of overall UNFP, whereas AGYW from rich households had a lower prevalence (2022: aPR = 0.69, 95% CI: 0.57-0.84). Multinomial regression showed that AGYW aged 20-24 years were less likely to report unmet need for spacing than those aged 15-19 years in 2016 (RRR = 0.67, 95% CI: 0.51-0.88). AGYW with one living child were more likely to report unmet need for spacing (2022: RRR = 1.86, 95% CI: 1.37-2.52), whereas those desiring three or more children were less likely to report unmet need for limiting (2022: RRR = 0.47, 95% CI: 0.24-0.93).</p><p><strong>Conclusion: </strong>Despite a decline in UNFP among married AGYW between 2011 and 2022, nearly three in ten still reported UNFP in 2022, indicating a persistently high burden. Reducing this gap requires youth-friendly contraceptive counselling, improved access to preferred contraceptive methods, stronger FCHV-facility referral linkages, greater male involvement and couple-based family planning counselling, and interventions that address socioeconomic barriers and support informed fertility decision-making.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Parental Factors in Autism Spectrum Disorder Risk: A Case-Control Study.","authors":"Mahmoud A Bashtawi, Ayah A Al-Zgool, Dima A Al Sharman, Mohammad Y Alsmadi, Fares M Issa","doi":"10.1007/s10995-026-04310-y","DOIUrl":"https://doi.org/10.1007/s10995-026-04310-y","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) is a complex neurodevelopmental condition. Diagnosis is based on developmental history and behavioral observation. Parental age has been identified as a potential risk factor for ASD.</p><p><strong>Objectives: </strong>This study aimed to assess the association between maternal age, paternal age, parental education level, smoking history, and ASD risk.</p><p><strong>Methods: </strong>This case-control study included 154 individuals with ASD and 335 controls. Demographic, clinical, and familial data were collected through structured questionnaires and interviews. Statistical analysis included descriptive statistics and chi-square tests for categorical variables.</p><p><strong>Results and discussion: </strong>A total of 489 participants were included (154 ASD cases and 335 controls). The ASD group was predominantly male (77%), compared with the control group (68%). Mothers in both groups most commonly held a bachelor's degree (40%), while fathers showed more variable educational backgrounds. A family history of ASD was significantly more frequent in the ASD group (23%) compared with controls (5.4%), whereas a family history of psychiatric disorders showed no significant difference (15% vs. 11%). NICU admission (11% vs. 2.4%) and preterm delivery (7.3% vs. 1.8%) were more common in the ASD group. In multivariable analysis, paternal age (adjusted OR = 1.08, 95% CI: 1.03-1.14), maternal age (adjusted OR = 1.09, 95% CI: 1.03-1.15), male sex (adjusted OR = 4.13, 95% CI: 2.38-7.16), and family history of ASD (adjusted OR = 2.40, 95% CI: 1.09-5.30) were independently associated with ASD.</p><p><strong>Conclusions: </strong>ASD risk was independently associated with parental age, male sex, and family history of ASD, highlighting the role of genetic and demographic factors. Prospective longitudinal studies are needed to further clarify ASD risk trajectories.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key Determinants of Delivery Choices at Healthcare Facilities in Rural Indonesia: Insights from Riskesdas.","authors":"Nilam Sari, Haerawati Idris","doi":"10.1007/s10995-026-04305-9","DOIUrl":"10.1007/s10995-026-04305-9","url":null,"abstract":"<p><strong>Objective: </strong>Maternal delivery in non-healthcare facilities remains high in rural Indonesia, contributing to increased maternal mortality. Understanding the determinants influencing delivery choices is crucial for policy intervention. This study investigates the determinants influencing delivery at healthcare facilities in rural Indonesia.</p><p><strong>Methods: </strong>A cross-sectional data analysis of the 2018 Basic Health Research or Riset Kesehatan Dasar (Riskesdas) was conducted, involving 34,012 mothers meeting inclusion criteria. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (multiple logistic regression) methods.</p><p><strong>Results: </strong>Among rural mothers, 69.3% delivered at healthcare facilities. Significant determinants included maternal age, education, parity, antenatal care (ANC) visits, labor complications, travel time, and health insurance. Health insurance was the strongest predictor (OR = 4.5, 95% CI: 4.152-4.869). Employment status of mothers and husbands showed no significant association.</p><p><strong>Conclusions: </strong>Health insurance ownership strongly predicts healthcare facility delivery. Policymakers should prioritize awareness campaigns and accessible health insurance for uninsured rural mothers.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1061-1068"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the Gaps: A Critical Review of National Dietary and Lifestyle Guidelines for Pregnant Women in the Eastern Mediterranean Region.","authors":"Israa Mohamed Fadla Alla Elhaj, Fatima Al Zahraa Chokor, Katia AbuShihab, Maryam Alameddine, Hadia Radwan, Farah Naja","doi":"10.1007/s10995-026-04308-6","DOIUrl":"10.1007/s10995-026-04308-6","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal nutrition and lifestyle during pregnancy critically influence health outcomes for mother and child. While many countries developed national dietary and lifestyle guidelines (DGs) for pregnant women, in the Eastern Mediterranean Region (EMR), the availability, quality, and coverage of such guidelines remain largely undocumented and inconsistent. This review assesses national DGs for pregnant women in the EMR, identifying gaps, strengths, and opportunities for enhancement.</p><p><strong>Methods: </strong>A scoping review was conducted between October 2024 and January 2025, following the PRISMA-ScR framework. Systematic searches were performed across general search engines (Google Search and Google Scholar) and academic databases (PubMed and Scopus). National DGs were included if they addressed nutrition or lifestyle recommendations for pregnant women in any of the 22 EMR countries. Thematic analysis was used to map and evaluate content and structure. Themes were identified inductively from the EMR guidelines and contextualized against established international guidelines.</p><p><strong>Results: </strong>Eleven EMR countries had DGs targeting pregnant women. Fourteen key themes were identified. Most guidelines covered diet, supplements, and gestational weight gain; meanwhile, hydration, physical activity, food safety, religious fasting, and gestational diabetes (GDM) were partially-addressed or absent. Lebanon and Saudi Arabia had the most comprehensive guidelines, addressing over 11 themes each. Only Lebanon adopted a dietary pattern-based approach. Few guidelines included medical consultation for supplementation or culturally-sensitive messaging.</p><p><strong>Conclusions: </strong>This review revealed that several EMR countries lack national DGs for pregnant women, highlighting the importance of encouraging and supporting their development. Few existing guidelines were comprehensive, with key themes like GDM, hydration, and religious fasting often absent. There is a need for more structured, context-specific, and inclusive guidelines across the region.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"982-993"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Engagement in Infant Obesity Preventative Interventions: Maternal Awareness, Barriers, and Facilitators Identified in a Cross-Sectional Survey.","authors":"Agnes Gelmini, Cassandra L Tellegen, Alina Morawska","doi":"10.1007/s10995-026-04294-9","DOIUrl":"10.1007/s10995-026-04294-9","url":null,"abstract":"<p><strong>Objectives: </strong>Although close to 1 in 10 children under age 2 gain excess weight and can remain overweight throughout life, engaging parents in early preventative interventions is challenging because they may not recognize the issue of overweight in infancy. This study aimed to inform knowledge about maternal perceptions of infant obesity, to investigate topics of interest for program content and identify barriers and facilitators to parental engagement.</p><p><strong>Methods: </strong>Mothers (N = 240) of 0 to 24-month-old children completed an online cross-sectional survey.</p><p><strong>Results: </strong>The majority of mothers were aware that overweight can affect infants, however most considered that excess weight becomes an issue only after 2 years of age and believed that parents should be more worried about their child being underweight than overweight. Mothers were also open to participating in a parenting program, were mostly interested in program content about promoting babies' health but not feeding, and preferred advertisements for positive parenting and promoting babies' health rather than preventing infant obesity.</p><p><strong>Conclusions for practice: </strong>These findings can help to develop effective strategies to enhance parental engagement and optimize parenting interventions in infant obesity prevention research.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1094-1102"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680534","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":"Social Responsibility in Perinatology: An Evolving Paradigm in Healthcare Management.","authors":"Assaad Kesrouani, Cecilia Villalain","doi":"10.1007/s10995-026-04303-x","DOIUrl":"10.1007/s10995-026-04303-x","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"979-981"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum Implications of Screening for Social Determinants of Health at the Time of Delivery.","authors":"Nuong Truong, Marina Feffer, Nicole Sprawka, Layan Alrahmani, Ann Lal","doi":"10.1007/s10995-026-04288-7","DOIUrl":"10.1007/s10995-026-04288-7","url":null,"abstract":"<p><strong>Objectives: </strong>The Illinois Perinatal Quality Collaborative (ILPQC) aims to enhance perinatal care in Illinois. However, up to 50% of women do not attend postpartum care. This study assessed the impact of universal screening for social determinants of health (SDoH) during labor and delivery on postpartum care attendance.</p><p><strong>Methods: </strong>A retrospective chart review was conducted for women who delivered at a large academic medical center. The study received exempt status from Loyola University Institutional Review Board. Universal SDoH screening was implemented in March 2022. Data were collected from a control group (six months pre-implementation) and an intervention group (six months post-implementation). The primary outcome was attendance at both scheduled postpartum visits. Comparisons were made using Pearson chi-square for categorical variables and ANOVA for continuous variables. Finally, a multinomial regression model, adjusted for patient characteristics, was used to estimate the effect of universal screening on postpartum appointment attendance. Significance was set at p < .05.</p><p><strong>Results: </strong>The sample included 1,098 women, with 541 in the control group and 557 in the intervention group. The SDoH screening completion rate was 75.0% (n = 415). Basic demographics were similar, with minor differences addressed in regression models. Women in the intervention group were 1.69 times more likely to attend both postpartum visits (RRR = 1.69, 95% CI [1.14, 2.51], p = .009) compared to those in the control group.</p><p><strong>Conclusions: </strong>Implementing SDoH screening at our hospital improved postpartum visit attendance.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"994-1000"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives' Views and Practices on Non-pharmacological Methods Used to Relieve Labor Pain: A Cross-Sectional Study from Türkiye.","authors":"Sinem Kurt, Aytül Hadımlı","doi":"10.1007/s10995-026-04295-8","DOIUrl":"10.1007/s10995-026-04295-8","url":null,"abstract":"<p><strong>Objectives: </strong>Labor is generally considered as an indescribably painful condition. Non-pharmacological methods applied by midwives during labor are very effective in relieving labor pain. This study was conducted to determine what the opinions of midwives working in the delivery room about non-pharmacological methods used to relieve labor pain are and how they perform such methods.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted in public hospitals in Izmir, a province in western Türkiye. The study sample comprised 151 midwives who volunteered to participate in the study and met the inclusion criteria.</p><p><strong>Results: </strong>The participating midwives' mean length of service in the profession was 19.07 years. Of them, 80.1% stated that non-pharmacological methods should be used during labor. There was a statistically significant relationship between their working in a mother-friendly hospital and their opinions on the use of pharmacological methods during labor (p < 0.05). There was a statistically significant and negative relationship between the midwives' length of service in the profession and the number of non-pharmacological methods they had heard of (r=-0.198, p < 0.05).</p><p><strong>Conclusions for practice: </strong>The participating midwives were aware of the necessity of applying non-pharmacological pain relief methods in delivery. Their application of non-pharmacological methods was greatly affected by the institutions' approaches to this issue and their not having received training on the subject.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1038-1046"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of State Medicaid Expansions Affecting Parental Eligibility on Children's Healthcare Access and Health During the COVID-19 Pandemic.","authors":"Joel M James, George L Wehby","doi":"10.1007/s10995-026-04292-x","DOIUrl":"10.1007/s10995-026-04292-x","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether pre-pandemic state Medicaid expansions for adults affected children's healthcare access and utilization, child health, and parental health during the COVID-19 pandemic.</p><p><strong>Methods: </strong>The sample includes children from households with incomes up to 138% of the Federal Poverty Level using data from the 2016-2023 National Survey of Children's Health. Child outcomes include insurance coverage, usual place for sick care, personal doctor or nurse, unmet healthcare needs, past 12-month utilization of any medical services, preventive medical and dental visits, mental health professional treatments, non-mental health specialist visits, emergency department visits, hospitalizations, and general/oral health ratings. Parent outcomes include physical and mental health ratings. Difference-in-differences models estimate year-by-year differences in outcomes between Medicaid expansion and non-expansion states.</p><p><strong>Results: </strong>There is a decline in usual place for sick care, personal doctor or nurse, and preventive medical visits in the first or second pandemic year and in child health in 2020/2023 in expansion versus non-expansion states. In contrast, there is an increase in mental health professional treatments and other specialist visits in 2021-2023 in expansion states. Lastly, there are declines in maternal physical/mental health and father's mental health in 2020 but increase in father's mental/physical health in 2023 in expansion states.</p><p><strong>Conclusion: </strong>During the pandemic, children in low-income households had less care continuity and preventive care but more mental health treatments and non-mental specialist visits in Medicaid expansion versus non-expansion states. There were also declines in both child and parent health. Findings potentially reflect intertwined effects from greater parental coverage but more pandemic-related social mobility restrictions disrupting routine/preventive care and worsening mental health more in expansion states.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1080-1093"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686482","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":"Associations Between Virtual Prenatal Care Utilization, Social Determinants of Health, and Stressful Life Events: A Multistate Analysis of U.S. Women, 2020-2021.","authors":"Don E Willis, Pearl A McElfish, Clare C Brown, Jennifer A Andersen, George C Pro, James P Selig, Cari A Bogulski","doi":"10.1007/s10995-026-04289-6","DOIUrl":"10.1007/s10995-026-04289-6","url":null,"abstract":"<p><strong>Objectives: </strong>To examine associations between virtual prenatal care utilization, social determinants of health, and stressful life events.</p><p><strong>Methods: </strong>We analyzed cross-sectional pooled survey data (N = 11,966) from phase 8 of the Pregnancy Risk Assessment Monitoring System for women who gave birth in 2020 or 2021 and received prenatal care.</p><p><strong>Results: </strong>A third (35%) of women utilized virtual rather than in-person-only prenatal care. Adjusted odds of receiving any virtual prenatal care were greater for women who identified as Asian (aOR = 1.23; 95% CI[1.01, 1.51]) or Hispanic (aOR = 1.61; 95% CI[1.37, 1.88]), and for those who experienced homelessness (aOR = 1.90; 95% CI[1.27, 2.84]) or job loss (aOR = 1.25; 95% CI[1.04, 1.51]). Adjusted odds were lower for women who did not have a bachelor's degree, had previously given birth, had no insurance pre-pregnancy (aOR = 0.69; 95% CI[0.56, 0.85]), were rural residents (aOR = 0.51; 95% CI[0.41, 0.63]), had been exposed to incarceration (aOR = 0.49; 95% CI[0.30, 0.79]), and had given birth in 2021 (aOR = 0.77; 95% CI[0.69, 0.86]).</p><p><strong>Conclusions: </strong>Social determinants of health and stressful life events are not uniformly associated with greater or lesser odds of utilizing virtual prenatal care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1069-1079"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680605","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}