Sleep Health最新文献

{"title":"Perceptions of sleep health among African American mothers regarding their preschool-aged children: A qualitative study to decrease sleep health disparities","authors":"","doi":"10.1016/j.sleh.2024.03.007","DOIUrl":"10.1016/j.sleh.2024.03.007","url":null,"abstract":"<div><h3>Objectives</h3><p><span>African American children are documented as having poor sleep health due to shorter sleep duration, sleep timing, and sleep behaviors compared to White peers, contributing to child </span>health disparities. Identifying cultural-environmental, and societal factors impacting a child’s sleep among African American families is essential for developing interventions for this population.</p><p>This study evaluated holistically why African American children may have poorer sleep health by examining sleep duration, timing, and behaviors. This was assessed by examining sleep-related beliefs, barriers, and facilitators to sleep schedules and routines. We also explored parental ideas for a sleep intervention.</p></div><div><h3>Methods</h3><p>African American mothers of preschool-aged children (2-5<!--> <span>years) were recruited using local partnerships and social media. Individual semistructured interviews were conducted by phone. Interviews were transcribed, coded, and analyzed thematically using grounded-theory.</span></p></div><div><h3>Results</h3><p>Eighteen African American mothers completed the study. Five themes related to sleep emerged: The importance of adequate nighttime sleep, the influence of family and friends on parental sleep practices, the relationship between environmental and home dynamics on child sleep duration, the impact of acute and chronic societal-level stressors on family sleep health, and considerations for culturally tailored interventions to improve child sleep health.</p></div><div><h3>Conclusions</h3><p>Good sleep health was important among African American mothers. Cultural-environmental and societal factors significantly impact children's sleep health. Clinicians and researchers should be aware of financial resources and home dynamics leading to challenges with adequate sleep health when developing or adapting sleep interventions. Identifying cultural-environmental, and societal factors must be considered for targeted efforts to improve sleep health in African American children.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 5","pages":"Pages 527-532"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493981","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}

{"title":"The association between Superwoman schema and subjective sleep quality among Black women","authors":"Christy L. Erving PhD ,&nbsp;Rachel A. Zajdel PhD ,&nbsp;Kennedy M. Blevins MA ,&nbsp;Nicole D. Fields PhD ,&nbsp;Zachary T. Martin PhD ,&nbsp;Izraelle I. McKinnon PhD ,&nbsp;Rachel Parker MPH ,&nbsp;Raphiel J. Murden PhD ,&nbsp;Shivika Udaipuria MPH ,&nbsp;Seegar Swanson ,&nbsp;Bianca Booker MA ,&nbsp;Taylor Burey MPH ,&nbsp;Viola Vaccarino MD, PhD ,&nbsp;Reneé H. Moore PhD ,&nbsp;Dayna A. Johnson MPH, PhD ,&nbsp;Tené T. Lewis PhD","doi":"10.1016/j.sleh.2023.12.008","DOIUrl":"10.1016/j.sleh.2023.12.008","url":null,"abstract":"<div><h3>Objectives</h3><p>Similar to women overall, Black women are socialized to be communal and “self-sacrificing,” but unlike women from other racial/ethnic backgrounds, Black women are also socialized to be “strong” and “invulnerable.” This phenomenon is labeled Superwoman schema. This study examined associations between Superwoman schema endorsement and subjective sleep quality.</p></div><div><h3>Methods</h3><p>Participants included 405 Black women (ages 30-46). Superwoman schema was measured using a 35-item scale capturing five dimensions: <em>obligation to present strength</em>, <em>suppress emotions</em>, <em>resistance to vulnerability</em>, <em>motivation to succeed</em>, and <em>obligation to help others</em>. <em>Superwoman schema overall</em> and the five dimensions/subscales were analyzed. The Pittsburgh Sleep Quality Index (PSQI) was used to investigate overall subjective sleep quality (range: 0-19), poor sleep quality (PSQI &gt;5), and specific sleep domains (eg, sleep duration, sleep disturbances). We fit linear and binary logistic regression models, adjusting for health-related and sociodemographic factors.</p></div><div><h3>Results</h3><p>Superwoman schema dimension <em>obligation to help others</em> was associated with lower overall subjective sleep quality (β: .81, 95%CI<!--> <!-->=<!--> <!-->0.29, 1.32) and poor sleep quality (OR: 1.55, 95%CI<!--> <!-->=<!--> <!-->1.10, 2.19), as well as bad subjective sleep quality (OR: 1.76, 95%CI<!--> <!-->=<!--> <!-->1.18, 2.66), sleep disturbances (β: .73, 95%CI<!--> <!--> =<!--> <!-->0.07, 1.41), and daytime sleepiness (OR: 2.01, 95%CI<!--> <!-->=<!--> <!-->1.25, 3.26). <em>Suppress emotions</em> (OR: 1.41, 95%CI<!--> <!-->=<!--> <!-->1.01, 1.99) was associated with poor subjective sleep quality. <em>Superwoman schema overall</em> was associated with daytime sleepiness (OR: 2.01, 95%CI<!--> <!-->=<!--> <!-->1.06, 3.82).</p></div><div><h3>Conclusion</h3><p>Superwoman schema endorsement, especially <em>obligation to help others</em> and <em>suppress emotions</em>, may be important psychosocial risk factors for Black women’s sleep health.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 302-307"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974094","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}

{"title":"Objectively measured daytime sleepiness predicts weight change among adults: Findings from the Wisconsin Sleep Cohort Study","authors":"Yin Liu PhD ,&nbsp;Jodi H. Barnet MS ,&nbsp;Erika W. Hagen PhD ,&nbsp;Paul E. Peppard PhD ,&nbsp;Emmanuel Mignot MD, PhD ,&nbsp;Eric N. Reither PhD","doi":"10.1016/j.sleh.2024.03.002","DOIUrl":"10.1016/j.sleh.2024.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>Body mass index (BMI) trajectories are associated with night-time sleep, but it is not clear how they relate to daytime sleepiness in population data. This study aimed to examine longitudinal associations between levels and changes in daytime sleepiness and BMI trajectories among men and women.</p></div><div><h3>Methods</h3><p>We estimated growth curve models among 827 participants in the Wisconsin Sleep Cohort Study (mean [<em>sd</em>] age = 55.2 [8.0] years at baseline). The outcome variable was BMI (kg/m²) and the key predictor was daytime sleepiness measured by Multiple Sleep Latency Test (MSLT) scores. Covariates included demographics, health behaviors, retirement status, stimulant use, and depressive symptoms. In sensitivity analyses, we evaluated the potential effects of cardiovascular disease, shift work status, and sleep apnea on the robustness of sleepiness and BMI associations.</p></div><div><h3>Results</h3><p>At the between-person level, men who were sleepier had higher BMI levels. At the within-person level, age moderated the positive association between sleepiness and BMI among women. Specifically, young women who became sleepier over time gained more BMI than older women with comparable increases in sleepiness. Furthermore, while BMI tended to increase with age among women, BMI trajectories were steeper among sleepy women than among well-rested women, who experienced less increase in BMI over time.</p></div><div><h3>Conclusion</h3><p>The study suggested that levels and changes in daytime sleepiness as objectively measured by MSLT scores are associated with body mass among adults.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 327-334"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866358","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}

{"title":"Examining sleep characteristics in Canada through a diversity and equity lens","authors":"Jean-Philippe Chaput PhD ,&nbsp;Lianne M. Tomfohr-Madsen PhD ,&nbsp;Colleen E. Carney PhD ,&nbsp;Rébecca Robillard PhD ,&nbsp;Hugues Sampasa-Kanyinga MD, PhD ,&nbsp;Justin J. Lang PhD ,&nbsp;on behalf of the Canadian Sleep Research Consortium","doi":"10.1016/j.sleh.2024.02.001","DOIUrl":"10.1016/j.sleh.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>To examine specific sleep characteristics of adults living in Canada according to sex, gender, ethnoracial background, socioeconomic status, immigration status, sexual orientation, and language spoken at home.</p></div><div><h3>Methods</h3><p>This cross-sectional and nationally representative study used self-reported data from the 2021 Canadian Community Health Survey (n = 39,346 adults aged 18 years and older). Sleep characteristics (sleep duration, nighttime insomnia symptoms, unrefreshing sleep, and difficulty staying awake) were assessed and compared across groups.</p></div><div><h3>Results</h3><p>Females were more likely than males to report nighttime insomnia symptoms (23.1% vs. 14.8%) and unrefreshing sleep (17.2% vs. 13.5%). The same was also observed for gender identity. Although White respondents were more likely to meet sleep duration recommendations (58.3%), they had the highest prevalence of nighttime insomnia symptoms (20.9%) compared to respondents with other ethnoracial backgrounds. Respondents coming from lower socioeconomic backgrounds were more likely to report poorer sleep compared to those coming from higher socioeconomic backgrounds. Insomnia symptoms were lower among immigrants (13.9%) compared to nonimmigrants (21.1%). Respondents with a sexual orientation not classified as heterosexual, gay, or lesbian reported poorer sleep. Finally, for language spoken at home, those who responded “French only” were more likely to meet sleep duration recommendations (64.1%) and were less likely to report unrefreshing sleep (8.8%). Nighttime insomnia symptoms were the lowest among those who reported speaking a language other than French or English at home (9.5%).</p></div><div><h3>Conclusion</h3><p>This study highlights important sleep disparities among Canadians. Future intervention strategies should aim to reduce sleep health disparities.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 316-320"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190220","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}

{"title":"Self-reported neighborhood stressors and sleep quality among Puerto Rican young adults","authors":"Ryan Saelee PhD ,&nbsp;Ayana K. April-Sanders PhD ,&nbsp;Hector R. Bird MD ,&nbsp;Glorisa J. Canino PhD ,&nbsp;Cristiane S. Duarte PhD ,&nbsp;Claudia Lugo-Candelas PhD ,&nbsp;Shakira F. Suglia ScD","doi":"10.1016/j.sleh.2024.01.008","DOIUrl":"10.1016/j.sleh.2024.01.008","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the association between changes in self-reported neighborhood stressors and sleep quality and determine whether this varied by sociocultural context among Puerto Rican young adults.</p></div><div><h3>Methods</h3><p>Data come from the Boricua Youth Study Health Assessment, a sample of Puerto Rican young adults from San Juan, Puerto Rico, and South Bronx, New York (n = 818; mean age<!--> <!-->=<!--> <!-->22.9<!--> <!-->years)<em>.</em> Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Neighborhood social stressors (disorder, social cohesion, and safety) were parent-reported in childhood and self-reported in young adulthood and categorized into: low in childhood/young adulthood (reference group), high in childhood/low in young adulthood, low in childhood/high in young adulthood, and high in childhood/young adulthood. Sociocultural context was based on participant residence during childhood (San Juan vs. South Bronx).</p></div><div><h3>Results</h3><p>Adjusting for sociodemographic factors, living with high neighborhood stressors in both childhood and young adulthood (prevalence ratios<!--> <!-->=<!--> <!-->1.30, 95% CI: 1.01, 1.66) was associated with overall poor sleep (PSQI score &gt;5). Among PSQI components, living with high neighborhood stressors in young adulthood only or in both time periods was associated with worse subjective sleep quality and daytime dysfunction. Additionally, there were various associations between the neighborhood stressor measures and PSQI components. Results did not differ by sociocultural context.</p></div><div><h3>Conclusion</h3><p>Findings suggest that living with high levels of neighborhood stressors during childhood and young adulthood may have a cumulative adverse impact on sleep quality in young adulthood.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 295-301"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770847","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}

{"title":"Development of the Couples' Sleep Conflict Scale: A new tool to assess conflict around sleep in romantic relationships","authors":"Josh R. Novak PhD ,&nbsp;Kaleigh Miller ,&nbsp;Heather E. Gunn PhD ,&nbsp;Wendy M. Troxel PhD","doi":"10.1016/j.sleh.2024.01.009","DOIUrl":"10.1016/j.sleh.2024.01.009","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to evaluate the psychometric properties of the Couples' Sleep Conflict Scale, a new measure designed to identify the extent of conflict around sleep in romantic relationships.</p></div><div><h3>Methods</h3><p>Data from an individual sample (<em>N</em> = 158) and dyadic sample (<em>N</em> = 143 mixed-gender couples) in romantic relationships were used to examine the psychometric properties of the Couples' Sleep Conflict Scale, including internal consistency, convergent and divergent validity, and whether the factor structure differed between couples with concordant and discordant chronotypes.</p></div><div><h3>Results</h3><p>Results revealed that the Couples' Sleep Conflict Scale fit a 1-factor solution of 5 items, a summed or mean score can be used, and that it is reliable for both men and women. In addition, more relational sleep conflict was associated with both their own and their partners’ poorer sleep hygiene, worse sleep quality, and more daytime sleepiness as well as more general relationship conflict, lower relationship satisfaction, and higher anxious and avoidant attachment. Finally, we found partial measurement invariance for factor loadings, intercepts, and latent variable variances between couples with concordant vs. discordant chronotypes.</p></div><div><h3>Conclusion</h3><p>The Couples' Sleep Conflict Scale is a brief measure that can be used in both research and in health care settings to examine how sleep-related conflict can affect both sleep and relationship quality among couples.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 308-315"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785639","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}

{"title":"Sacred Dreams","authors":"Sanjana Mittal ,&nbsp;Meir Kryger MD","doi":"10.1016/j.sleh.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.05.003","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 261-262"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294948","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}

{"title":"Sleep characteristics and changes in sleep patterns among infants in Bhaktapur, Nepal","authors":"Ram K. Chandyo PhD ,&nbsp;Suman Ranjitkar PsyD ,&nbsp;Jaya S. Silpakar MA ,&nbsp;Manjeswori Ulak PhD ,&nbsp;Ingrid Kvestad PhD ,&nbsp;Merina Shrestha MD ,&nbsp;Catherine Schwinger PhD ,&nbsp;Mari Hysing PhD","doi":"10.1016/j.sleh.2024.02.004","DOIUrl":"10.1016/j.sleh.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>Sleep undergoes major changes during the first year of life, but the characteristics of sleep among infants in low and middle-income countries are not well documented. This study describes sleep characteristics and changes in sleep patterns in infants at 6 and 12<!--> <!-->months of age from Bhaktapur, Nepal.</p></div><div><h3>Methods</h3><p>This was a community-based longitudinal study comprising 735 infants. Sleep characteristics were obtained by interview with the mother using the Brief Infant Sleep Questionnaires. The stability of sleep duration and night awakenings were estimated by logistic regression analysis.</p></div><div><h3>Results</h3><p>Cosleeping in the parent’s bed at 6 and 12<!--> <!-->months of age was almost universal (&gt;97%). At 6<!--> <!-->months of age, 254 (35%) and at 12<!--> <!-->months of age, 341 (46%) infants had a total 24-hour sleep duration &lt;12 hours. Night awakenings <u>&gt;</u>3 times per night were common (65%) both at 6 and 12<!--> <!-->months of age. Infants with frequent nightly awakenings at 6<!--> <!-->months had increased odds of frequent nightly awakenings at 12<!--> <!-->months (OR<!--> <!-->=<!--> <!-->2.2; 95% CI: 1.6, 2.9). Very few (&lt;3%) mothers reported sleep problems in their infants at 6 and 12<!--> <!-->months of age.</p></div><div><h3>Conclusions</h3><p>Cosleeping was almost universal among Nepalese infants, and very few of the mothers reported sleep problems in their infants. Infants at 6 and 12<!--> <!-->months had similar patterns for both sleep duration and nocturnal awakenings. For infants, there were increased odds of having similar sleep duration and nocturnal awakening at 6 and 12<!--> <!-->months.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 279-285"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352721824000299/pdfft?md5=2c8a01ab4e28c42633ef60c270a53de8&pid=1-s2.0-S2352721824000299-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190253","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}

{"title":"Pulling the ACEs card to enhance sleep health in primary care visits","authors":"Shermeeka Hogans-Mathews MD,&nbsp;DanTasia Welch MS,&nbsp;Annu Lisa Kurian BS,&nbsp;Roxann Mouratidis MSLIS, AHIP","doi":"10.1016/j.sleh.2024.01.006","DOIUrl":"10.1016/j.sleh.2024.01.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Page 263"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307379","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}

{"title":"Which adolescents are more likely to complete home-based sleep manipulation trials?","authors":"Andrea L. Fidler PhD, MPH ,&nbsp;Gargi Rajput BS ,&nbsp;Nanhua Zhang PhD ,&nbsp;Dean W. Beebe PhD, ABPP","doi":"10.1016/j.sleh.2024.01.010","DOIUrl":"10.1016/j.sleh.2024.01.010","url":null,"abstract":"<div><h3>Objectives</h3><p>Attrition and nonadherence are common concerns that can distort findings in clinical trials. This study examines the potential for systematic attrition in the largest sample to date of adolescents undergoing sleep manipulation.</p></div><div><h3>Methods</h3><p>Using pooled data across two trials involving 242 adolescents, a cumulative logistic regression tested whether demographics and baseline sleep predicted study completion/adherence.</p></div><div><h3>Results</h3><p>Race, a composite measure of socioeconomic status, and its elements (e.g., income, education) individually predicted completion/adherence. When entered concurrently into a multivariate predictive model, only socioeconomic status and study (trial A vs. B) were significant. Adolescents from households with higher socioeconomic status were more likely to complete or adhere to the protocol than those from households with lower socioeconomic status, <em>p</em> &lt; .001.</p></div><div><h3>Conclusions</h3><p>Systematic attrition in sleep manipulation research could distort conclusions about under-resourced groups. Future sleep trials should intentionally measure systemic/structural factors and adopt strategies to recruit and retain participants from various backgrounds.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 3","pages":"Pages 291-294"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319542","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}