Maternal and Child Health Journal最新文献

{"title":"African-American Women's Early-Life Exposure to Neighborhood Mortgage Discrimination and Preterm Birth Rates: A Population-Based Study.","authors":"Christina Kim, S J Cavé Doi, Liz Lamere, Kristin Rankin, Nana Matoba, Nikhil Prachand, James W Collins","doi":"10.1007/s10995-025-04171-x","DOIUrl":"https://doi.org/10.1007/s10995-025-04171-x","url":null,"abstract":"<p><strong>Objective: </strong>To determine the extent to which African-American women's early-life residence in urban neighborhoods with mortgage discrimination (compared to neighborhoods without mortgage discrimination) is associated with preterm birth (< 37 weeks, PTB).</p><p><strong>Methods: </strong>Stratified and multivariable binominal regression analyses were performed on a Chicago transgenerational dataset of African-American women (born 1989-1991) and their infants (born 2005-2017) with appended Home Mortgage Disclosure Act and Index of Concentration at the Extremes (ICE) data.</p><p><strong>Results: </strong>In mortgage discriminated neighborhoods, the proportion of non-Hispanic White residents exceeded that of neighborhoods without mortgage discrimination: 84% vs. 31%, p < 0.01. Additionally, mean ICE_{race/ethnicity} for mortgage discriminated neighborhoods equaled 0.78 (0.64-0.91) confirming the greater concentrations of non-Hispanic White populations. African-American women (n = 735) with early-life residence in mortgage discriminated neighborhoods had a PTB rate of 15.8% compared to 13.1% for those (n = 23,369) with early-life residence in non-mortgage discriminated neighborhoods; RR = 1.20 (1.01, 1.43). The adjusted (controlling for trimester of prenatal care usage and cigarette smoking) RR of early (< 34 weeks), late (34-36 weeks), and total PTB for African-American women with early-life residence in mortgage (compared to non-mortgage discriminated) neighborhoods equaled 1.60 (1.20, 2.14), 1.18 (0.92,1.53), and 1.31 (1.09,1.57), respectively. The subgroup of African-American women (n = 536) with early-life residence in mortgage discriminated neighborhoods and adulthood residence in non-mortgage discriminated neighborhoods had an early PTB rate of 8.0% versus 5.1% for those (n = 20,298) with a lifelong residence in non-mortgage discriminated neighborhoods; RR = 1.58 (1.18, 2.12).</p><p><strong>Conclusions: </strong>Urban African-American women's early-life residence in predominately non-Hispanic White, mortgage discriminated neighborhoods is associated with an increased risk of PTB, particularly its' early component, independent of adulthood risk status.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087800","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":"\"Remember One Size Doesn't Fit All\": A Scoping Review of Postpartum Supports for Neurodivergent Mothers.","authors":"Noreen O'Leary, Catherine V George, Zeinab ElDirani, Ruth Jenks, Gráinne Kent","doi":"10.1007/s10995-025-04161-z","DOIUrl":"https://doi.org/10.1007/s10995-025-04161-z","url":null,"abstract":"<p><strong>Introduction: </strong>Neurodivergence affects how women experience the world and life transitions such as motherhood and the postpartum period. Postpartum supports are designed from a neurotypical perspective and may not meet the needs of neurodivergent women. For example, breastfeeding groups may not support the sensory needs of autistic women. The aim of this scoping review was to document postpartum experiences of neurodivergent women.</p><p><strong>Methods: </strong>A scoping review methodology underpinned this review. The socio-ecological model was used to report findings and generate recommendations.</p><p><strong>Results: </strong>18 records were included primarily representing experiences of autistic women and women with ADHD. Women reported that acting in the best interests of their baby was their highest priority. This often involved making adaptations that disrupted their coping strategies and engaging in social situations such as baby groups, which required them to accept cultural norms and adopt expected neurotypical behaviours. Healthcare professionals did not always account for the needs of neurodivergent women; in some cases, this led to situations whereby neurodivergent women experienced greater parenting scrutiny.</p><p><strong>Discussion: </strong>This review highlighted a small but growing body of research relating to the postpartum experiences of neurodivergent women. Neurodivergent women need access to tailored supports during the postpartum period as they balance managing the needs of an infant with necessary neurodiversity adjustments. However, there is also a need for greater healthcare professional training specific to supporting neurodivergent women and better public understanding of neurodiversity to ensure neurodivergent women feel safe to be their authentic selves in motherhood.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087837","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":"Correction: Characteristics of Interaction Between Caregivers and Children with Chronic Diseases in Oral Medication‑Taking Situations: A Validation Study of the Interaction Rating Scale.","authors":"Takuya Yasumoto, Tomoka Yamamoto, Atsuko Ishii, Hiroko Okuno, Haruo Fujino","doi":"10.1007/s10995-025-04180-w","DOIUrl":"https://doi.org/10.1007/s10995-025-04180-w","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065942","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 Opioid Use in the United States and the Implications to Maternal and Public Health: A Scoping Review.","authors":"Allison N Miller, Dennis E N Daniels, Sarah Cercone Heavey","doi":"10.1007/s10995-025-04163-x","DOIUrl":"https://doi.org/10.1007/s10995-025-04163-x","url":null,"abstract":"<p><strong>Introduction/purpose: </strong>Postpartum opioid prescription rates remain high, leading to increased morbidity and mortality and increased licit opioid medications diverted into communities. This scoping analysis examined the current processes of postpartum opioid prescribing patterns in America and the implications to maternal and public health.</p><p><strong>Methods: </strong>From the databases PubMed, Medline, and Web of Science, a scoping review was performed utilizing the PRISMA-ScR checklist (Tricco et al. in Ann Intern Med 169(7):467-473, 2018, https://doi.org/10.7326/M18-0850 ). The primary objective of the search strategy was to identify studies that focused on the postpartum timeframe (obstetric delivery to one year postpartum) and prescribed opioids.</p><p><strong>Results: </strong>A total of 26 articles met inclusion criteria. Articles were broken down into four themes: trends or current state of postpartum opioid prescribing practices (n = 7); postpartum opioid related risk factors (n = 6); rates of new persistent opioid use and opioid use disorder (OUD; n = 5); protocols or research into reducing postpartum opioid use (n = 8).</p><p><strong>Discussion/conclusion: </strong>A variety of interventions and protocols have been found to be advantageous in reducing postpartum opioid use. Despite many of these successful efforts, postpartum opioid prescription rates remain high. Implementation of any number of interventions and protocols may be beneficial to reducing postpartum opioid use. Initiating a postpartum pain task force protocol (PPTFP) before obstetric delivery is recommended.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065919","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":"Breastfeeding Conversations with a Home Visitor and Breastfeeding Continuation in Postnatal Enrollees.","authors":"Maile C Ray, Margaret M Gullick, Sandra L McGinnis, Kristen A Kirkland","doi":"10.1007/s10995-025-04173-9","DOIUrl":"10.1007/s10995-025-04173-9","url":null,"abstract":"<p><strong>Introduction: </strong>Breastfeeding is associated with many health benefits for both mothers and children, yet U.S. breastfeeding rates are far below the Healthy People 2030 goals. Furthermore, disparities in breastfeeding rates exist, whereby some demographic groups have even lower rates. This study examines the association between dosage of breastfeeding conversations with a home visitor on breastfeeding continuation in participants who enrolled postnatally.</p><p><strong>Methods: </strong>This cohort study examines the impact of breastfeeding conversations with a home visitor on breastfeeding continuation on 1,422 mother-child pairs enrolled postnatally in Healthy Families New York (HFNY), a family support home visiting program. Multivariable logistic regression models analyzed longitudinal data, adjusting for several known predictors of breastfeeding that could confound the association between breastfeeding conversations and breastfeeding continuation.</p><p><strong>Results: </strong>The analyses reveal a significant association between the rate of breastfeeding conversations during home visits in the preceding period and increased odds of breastfeeding continuation for 1-2 months (p = 0.013), 2-3 months (p < 0.001), 3-6 months (p < 0.001), and six months or greater (p = 0.001). The dose-response relationship and longitudinal nature of the data could suggest causality. Importantly, the impact of breastfeeding conversations is more pronounced among mothers born in the U.S., a group with known disparate breastfeeding outcomes. Further, this study finds that the number of home visits predicts breastfeeding continuation past six months (p < 0.001).</p><p><strong>Discussion: </strong>This study offers important insights into the role of a home visiting intervention to promote breastfeeding and reduce breastfeeding disparities without the excessive costs of an intervention designed solely for breastfeeding.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065886","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":"Group Prenatal Care for Afghan Refugees: A Pilot Program and Initial Demonstration of Feasibility.","authors":"Shoshana Aleinikoff, Amber Schwed Maratas, Lauren Marcell, Erin M Mann, Elizabeth Dawson-Hahn, Kimberly Yu","doi":"10.1007/s10995-025-04165-9","DOIUrl":"https://doi.org/10.1007/s10995-025-04165-9","url":null,"abstract":"<p><strong>Introduction: </strong>In 2018 approximately 2400 Afghan refugees resettled in Washington state, and with approximately 16% arriving pregnant, many were in need of immediate prenatal care and psycho-social support. Because it has been shown to alleviate disparities in pregnancy outcomes, CenteringPregnancy, a group prenatal care model, was chosen as an evidence-based program to meet the needs of this community. This article aims to describe the feasibility and experience of CenteringPregnancy for pregnant refugees from Afghanistan as piloted in a community health center setting in Washington State.</p><p><strong>Methods: </strong>This retrospective cohort and qualitative analysis utilized pregnancy-related outcome data extracted from electronic health records, as well as post-participation surveys to inform the feasibility of offering CenteringPregnancy in languages other than English. Two separate groups were conducted in 2018-2019 (n = 21) in Dari.</p><p><strong>Results: </strong>Of 21 participants, 95% were reported to have adequate prenatal care as defined by Healthy People 2030 (> 9 visits during pregnancy). Delivery outcomes were generally positive, with no \"very low birth weight\" babies, and 86% vaginal delivery. Attendance at postpartum visits was 100% and 90% reported using contraception at 3 months postpartum. Post-participation surveys were generally positive; staff and physicians also reported positive views on the program and their participation in it.</p><p><strong>Discussion: </strong>Group prenatal care, delivered as CenteringPregnancy in a community health center, is a feasible option for Afghan refugee women with this pilot demonstrating that patient experience and pregnancy related outcomes are largely positive; in addition to providing staff and physicians high levels of satisfaction with care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065877","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":"Prevalence of Postpartum Depression in Adolescents in an Urban Teen Clinic.","authors":"Melanie Watt Ramos, Sofia Gonzalez de Corcuera, Yiming Mirabile, Salma M A Musaad, Meghna Raphael, Catherine M Gordon","doi":"10.1007/s10995-025-04178-4","DOIUrl":"https://doi.org/10.1007/s10995-025-04178-4","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine the frequency of postpartum depression (PPD) screening, the prevalence of PPD, and the factors associated with PPD screening amongst adolescents and young adults (AYA) at a free urban teen clinic.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of postpartum visits at a free urban teen health clinic serving AYA ages 13-24. Two trained researchers extracted study data including patient demographics, pregnancy outcomes, time from delivery to first postpartum clinic visit, prenatal mental health diagnoses, and postpartum mental health assessments from charts between 2017 and 2022 with a postpartum visit billing code.</p><p><strong>Results: </strong>280 charts were retrieved from which nine were excluded. The majority of subjects identified as White and Hispanic or Latino. Ages ranged from 14 to 24 years and most were 18-24 at the time of the infant's birth. 103 (35.2%) were publicly insured and the remainder were uninsured. 140 (51.7%) of patients received PPD screening with the Edinburgh Postpartum Depression Screen or a validated alternative, though the rate of PPD screening significantly improved (p < 0.00001) after clinic flow was changed in 2020. Of those screened (n = 140), the rate of positive scores was 9.9%, lower than expected.</p><p><strong>Conclusions for practice: </strong>Despite clinical recommendations, only just over half of AYA women had documented mental health screening at the time of postpartum visits. Rates of PPD in this sample were low. As PPD is an adverse childhood event with lifelong implications for the parent and child, efforts to improve PPD screening are warranted.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070737","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":"Medicaid Dental Coverage and Preventive Dental Care Use Among Pregnant Adults.","authors":"Julie C Reynolds, Tabitha K Peter, Tessa Heeren, Stephanie E Lewis, Peter C Damiano, Xianjin Xie","doi":"10.1007/s10995-025-04149-9","DOIUrl":"https://doi.org/10.1007/s10995-025-04149-9","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to examine the relationship between Medicaid dental coverage for pregnant adults and receipt of a dental cleaning during pregnancy among adults with Medicaid.</p><p><strong>Methods: </strong>In this cross-sectional study, 2019 Pregnancy Risk Assessment Monitoring System data were used to measure individuals' receipt of a dental cleaning during pregnancy and in the year prior to pregnancy. The independent variable was the state-level degree of Medicaid dental coverage for pregnant adults as of 2019, ranging from none to extensive. Weighted logistic regression models estimated the odds of having a dental cleaning during pregnancy, both for the full sample and stratified by whether or not a cleaning was received pre-pregnancy.</p><p><strong>Results: </strong>Approximately one-third (31%) of respondents reported receiving a dental cleaning during pregnancy. In multivariable results, pregnant adults living in states with emergency (OR 0.58, 95% CI 0.41-0.83, p = 0.002) or no (OR 0.60, 95% CI 0.41-0.86, p = 0.006) dental coverage had significantly lower odds of having a dental cleaning during pregnancy than those living in states with extensive dental coverage. This association was concentrated among people who did not have a dental cleaning pre-pregnancy; those without a cleaning pre-pregnancy who lived in a state with extensive dental coverage had approximately twice the odds or more of having a dental cleaning during pregnancy than those who lived in states with emergency or no dental coverage.</p><p><strong>Conclusions: </strong>Having dental insurance is critically important to be able to access needed dental care and avoid substantial out-of-pocket costs. This study found that for pregnant adults in Medicaid who who hadn't had a dental cleaning in the year prior to pregnancy, having extensive dental coverage was significantly associated with much higher odds of having a dental cleaning during pregnancy relative to having emergency or no dental coverage. Our findings, together with the body of evidence on the impact of Medicaid dental coverage on dental care access, underscore the importance of providing comprehensive dental coverage in Medicaid regardless of age and pregnancy status.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056025","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":"A Pilot Program to Promote Maternal and Infant Oral Health Through Collaboration Between Dental and Obstetric Providers: Impact on Dental Visits During Pregnancy.","authors":"Sarah J Clark, Divesh Byrappagari, Lindsay Sailor","doi":"10.1007/s10995-025-04158-8","DOIUrl":"https://doi.org/10.1007/s10995-025-04158-8","url":null,"abstract":"<p><strong>Objectives: </strong>The Michigan Initiative for Maternal and Infant Oral Health (MIMIOH) program provided funding to federally qualified health centers (FQHCs) to hire and embed a dental hygienist in the obstetrics clinic, with the goal of increasing the provision of dental care during pregnancy. Ten sites participated in two cohorts. Our objective was to assess the impact of the MIMIOH program on receipt of dental visits during pregnancy.</p><p><strong>Methods: </strong>Using Medicaid paid claims, we documented quarterly trends in dental visits during pregnancy, describing trends for each MIMIOH sites and comparing aggregate results for MIMIOH Cohorts 1 and 2 vs. FQHCs that did not participate in MIMIOH.</p><p><strong>Results: </strong>The proportion of women with a dental visit during pregnancy varied across MIMIOH sites, and was higher during periods of active participation. For both MIMIOH Cohorts 1 and 2, the aggregate proportions of dental visits during periods of active participation was higher than that for non-MIMIOH FQHCs. In contrast, dental visits were lower for Cohort 1 after MIMIOH participation ended, and for Cohort 2 before MIMIOH began.</p><p><strong>Conclusions: </strong>The MIMIOH program was successful at increasing dental visits among pregnant women during periods of active participation.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034345","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":"Associations Between Food Insecurity and Child BMI: Cross-Sectional Versus Longitudinal Mediational Analysis of Maternal Weight-Related Parenting Practices and Concerns.","authors":"Eleanor Shonkoff, Tyler Mason, Christine Naya, Genevieve F Dunton","doi":"10.1007/s10995-025-04146-y","DOIUrl":"https://doi.org/10.1007/s10995-025-04146-y","url":null,"abstract":"<p><strong>Objective: </strong>To test whether parent restriction, pressure to eat, and maternal concern for child weight mediated the positive association between food insecurity and child body mass index (BMI) in cross-sectional and longitudinal analysis.</p><p><strong>Methods: </strong>Data were from mother-child pairs (n = 202 at baseline). Children were M = 10.1 y (range 8-12) at baseline, 56% Hispanic, and 49% female; mothers were M = 41.2 y, and 58% had a college education or higher. Mediation models with maximum likelihood multiple imputation were conducted in MPlus, controlling for child age, child gender, and baseline scores on mediator and outcome variables (in longitudinal models).</p><p><strong>Results: </strong>Greater maternal concern for child weight mediated the association between greater food insecurity and higher child BMI in the cross-sectional model (indirect effect = 0.115, p < .010) but not the longitudinal model (indirect effect = < .001, p =.960). No evidence of mediation was found for pressure to eat or restriction in cross-sectional or longitudinal models. In cross-sectional models, food insecurity was associated with higher child BMI (B_{restriction model} = 0.20; B_{pressure model} = 0.24; B_{concern model} = 0.90, ps <.01); and greater concern with child weight (B = 0.19, p < .01, which was a precondition for mediation).</p><p><strong>Conclusions: </strong>Current findings suggest that food insecurity is associated with higher subsequent maternal concern for child weight and in turn higher child BMI (cross-sectionally). However, there was no support for feeding practices or concern as longitudinal mediators of food insecurity and child BMI change.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030970","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}