Social Science & Medicine最新文献

{"title":"Influence of sex on the incidence of colorectal cancer: considering the influence of gender mechanisms","authors":"Amalia Martinez ,&nbsp;Nadine Hamieh ,&nbsp;Hélène Colineaux ,&nbsp;Michelle Kelly-Irving ,&nbsp;Pascale Grosclaude ,&nbsp;Emmanuel Wiernik ,&nbsp;Cyrille Delpierre ,&nbsp;Sébastien Lamy","doi":"10.1016/j.socscimed.2025.118058","DOIUrl":"10.1016/j.socscimed.2025.118058","url":null,"abstract":"<div><h3>Context</h3><div>Differences in colorectal cancer (CRC) incidence between men and women are documented, but the role of gender mechanisms in explaining these disparities remains underexplored. CRC, the third deadliest cancer worldwide, is often analyzed through “biological” sex differences, without a clear distinction between innate and socially acquired factors. Gender mechanisms, including social roles, behaviors, and access to healthcare, may significantly influence CRC risk.</div></div><div><h3>Objective</h3><div>This study quantifies the proportion of the effect of gender mechanisms on the relationship between sex assigned at birth and CRC incidence, adopting a social epidemiology approach.</div></div><div><h3>Method</h3><div>Using data from the CONSTANCES cohort and the French National Health Insurance database (SNDS), we identified relevant covariates with a Directed Acyclic Graph (DAG). Mediation analyses estimated the contribution of socioeconomic, behavioral, anthropometric and medical factors as gender-related mechanisms.</div></div><div><h3>Results</h3><div>Men have a higher risk of CRC compared to women (OR: 1.54 [1.33; 1.79]). Men exhibit lower cultural capital, higher social and economic capital, more frequent risk behaviors, and higher BMI. Gender mechanisms account for 30 % of the association between sex assigned at birth and CRC incidence, in the imputed data, and up to 50 % in the complete cases. Among the gender mechanisms, BMI emerged as the main mediator.</div></div><div><h3>Conclusion</h3><div>This study reveals that gender-based health inequalities in CRC incidence are partially explained by differences in exposure to social and behavioral risk factors. These findings underscore the importance of integrating gender dynamics into public health strategies for CRC prevention and intervention, focusing on addressing gender-based risk factor exposure.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118058"},"PeriodicalIF":4.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870822","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":"Mapping fertility trajectories: An endarkened narrative inquiry of Black women's fertility experiences and pathways through infertility treatment","authors":"Isabel Morgan ,&nbsp;Christine Tucker ,&nbsp;Aunchalee E.L. Palmquist ,&nbsp;Stephanie Baker ,&nbsp;Larissa Jennings Mayo-Wilson ,&nbsp;Chantel L. Martin ,&nbsp;Natalie Hernandez ,&nbsp;Lasha Clarke","doi":"10.1016/j.socscimed.2025.118082","DOIUrl":"10.1016/j.socscimed.2025.118082","url":null,"abstract":"<div><div>While existing literature has documented barriers and facilitators to Black women’s access to infertility treatment, scholars have a limited understanding of the experiences of Black women who have initiated medically assisted reproduction (MAR), including medicated timed intercourse, intrauterine insemination, and in vitro fertilization. Informed by Black feminism and reproductive justice, this endarkened narrative inquiry leveraged data from the Fertility Equity Study at Morehouse School of Medicine to characterize 41 Black women’s infertility treatment outcomes and examine their trajectories through fertility care and infertility treatment. Our analysis provides greater nuance and understanding to Black women’s experiences navigating systems of care to address challenges related to conceiving or maintaining a pregnancy. The results indicate a lack of fertility benefits and out-of-pocket expenses as significant barriers at each stage of the treatment pathway. There is a need for legislation that mandates private and public (e.g., Medicaid) health insurance coverage for fertility treatments and associated costs, inclusive of medication, genetic screening (and other ancillary testing), and donor gametes. Additionally, integration of culturally congruent providers (including mental health practitioners), addressing reproductive health conditions, and providing fertility awareness counseling throughout the life course may optimize Black women’s fertility care and MAR experiences.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118082"},"PeriodicalIF":4.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874940","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":"Are we gatekeeping trauma? A conceptual model to expand criterion A for invisible, identity-based, and systemic traumas","authors":"Tanya C. Saraiya ,&nbsp;Alexandria G. Bauer ,&nbsp;Devin E. Banks ,&nbsp;Delisa G. Brown ,&nbsp;Amber M. Jarnecke ,&nbsp;Chantel T. Ebrahimi ,&nbsp;Donte L. Bernard","doi":"10.1016/j.socscimed.2025.118090","DOIUrl":"10.1016/j.socscimed.2025.118090","url":null,"abstract":"<div><div>Since the inception of the criterion A framework into the posttraumatic stress disorder (PTSD) diagnosis in DSM-III, what qualifies as traumatic has been a fieldwide debate. Historically, social movements coinciding with advances in research have spurred improvements in the definition of criterion A, often by expanding the breadth of experiences that are considered trauma exposure. Contemporary issues of ongoing racial discrimination, ethno-violence, public health pandemics, warfare, oppression, and climate change warrant a re-examination of the criterion A definition. This critical review builds on prior critiques of criterion A and addresses (1) the limitations to the current criterion A definition in DSM-5 in capturing the experience of minoritized individuals; (2) three categories of trauma that are under-recognized in the current criterion A definition; and (3) the implications of expanding criterion A on clinical and research practice. We critically review three trauma categories that disproportionately affect minoritized individuals—invisible traumas, identity-based traumas, and systemic traumas. Evidence to date suggests that several traumatic experiences in these categories rise to the level of being traumatic, are associated with PTSD symptoms, and are prevalent among minoritized individuals. We discuss the implications of these traumas being omitted from criterion A and call for future work to critically examine the definition of criterion A in the PTSD diagnostic framework. Overall, this critical review captures traumas which remain undertreated, underdiagnosed, and under-represented by our current psychiatric nosology.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"375 ","pages":"Article 118090"},"PeriodicalIF":4.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859719","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":"Abrasion: a phenomenological study of inequity in workplace-based assessment in pediatrics","authors":"Hannah L. Kakara Anderson ,&nbsp;Layla Abdulla ,&nbsp;Pricilla Cabral ,&nbsp;Marjan Govaerts ,&nbsp;Dorene F. Balmer ,&nbsp;Jamiu O. Busari","doi":"10.1016/j.socscimed.2025.118092","DOIUrl":"10.1016/j.socscimed.2025.118092","url":null,"abstract":"<div><div>Despite the centrality of workplace-based assessments in medical education and practice, there is troubling evidence that workplace-based assessments are inequitable. This study investigated the experience of inequity in workplace-based assessment via a phenomenological study with learners (resident physicians) and assessors (physician supervisors) in one specialty in the United States, general pediatrics, from August 2023-June 2024. The authors used critical phenomenology to prompt and iteratively analyze participants' experiences with inequity in workplace-based assessment and their lifeworlds. To understand participants' lifeworlds, the authors applied Collins' domains of power framework to examine participants’ varied and unique locations within intersecting power relations. Participants described the phenomenon of inequity in workplace-based assessment as a type of abrasion, that is, an injury caused by friction that occurred when a workplace-based assessment excoriated their sense of self. Abrasion had three dimensions: physical, affective, and temporal. These findings suggest that inequity in workplace-based assessment cannot be tracked solely by measuring disparities in numbers, grades, differences in narrative language used in comments, and other common measures of inequity, rather, it can be characterized as an experienced, felt, phenomenon that has essential dimensions. These findings have major implications for how inequity is conceptualized and intervened upon in medical education.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"375 ","pages":"Article 118092"},"PeriodicalIF":4.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848744","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":"Medical education as liberatory praxis: Experiences from the UCLA \"structural racism and health equity\" curriculum","authors":"Cydni Baker,&nbsp;Stephanie Bueno,&nbsp;Lizeth Carrillo,&nbsp;Elizabeth Flores,&nbsp;Matthew Hing,&nbsp;Guneet Kaur,&nbsp;Daniel Kennedy,&nbsp;Kathley LeTran,&nbsp;Dailyn Rodriguez,&nbsp;Shamsher Samra,&nbsp;Hanin Sheikh,&nbsp;Lindsay Wells","doi":"10.1016/j.socscimed.2025.118094","DOIUrl":"10.1016/j.socscimed.2025.118094","url":null,"abstract":"<div><div>This paper describes the origins and initial experiences of an innovative student-led, faculty-supported, and community-accountable ongoing experiment in structurally competent anti-racist medical training: the UCLA Structural Racism and Health Equity (SRHE) Curricular Thread. As critical locations of social reproduction for the medical profession and the broader medical-industrial complex, medical schools present opportunities for disrupting professional identities that further settler-colonialism, racial capitalism, and extractive abandonment, and for instead constructing a liberatory health praxis. Scholars have proposed integrating structural analysis into medical training to examine harmful aspects of clinical medicine and medical epistemology that become naturalized and inscribed through professionalization. Coalitions of trainees, faculty, health workers, and community organizers have also long participated in productive disruptions of medical education as usual through creative intra- and extra-institutional pedagogical efforts that reimagine the profession and call attention to medical institutions’ responsibility towards racial and social justice. Drawing on these genealogies, SRHE provides medical education that (1) deconstructs hidden structures that produce and sustain health inequities and (2) imagines liberatory futures for the medical profession that challenge community/clinical binaries and notions of “medical expertise” itself.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118094"},"PeriodicalIF":4.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877561","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":"Equal before luck? Well-being consequences of personal deprivation and transition","authors":"Joan Costa-Font ,&nbsp;Anna Nicińska ,&nbsp;Melcior Rossello Roig","doi":"10.1016/j.socscimed.2025.117975","DOIUrl":"10.1016/j.socscimed.2025.117975","url":null,"abstract":"<div><div>Past trauma resulting from personal life shocks, especially during periods of particular volatility such as regime transition (or regime change), can give rise to significant long-lasting effects on people’s health and well-being. We study this question by drawing on longitudinal and retrospective data to examine the effect of past exposure to major individual-level shocks (specifically hunger, persecution, dispossession, and exceptional stress) on current measures of an individual’s health and mental well-being. We examine the effect of the timing of the personal shocks, alongside the additional effect of ‘institutional uncertainty’ resulting from regime change in post-communist European countries. Our findings are as follows. First, we document evidence of the detrimental effects of shocks on a series of relevant health and well-being outcomes. Second, we show evidence of more pronounced detrimental consequences of such personal shocks experienced by individuals living in formerly communist countries (which accrue to about 8% and 10% in the case of persecution and hunger, respectively) than in non-communist countries. The effects are robust and take place in addition to the direct effects of regime change and exposure to personal shocks.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 117975"},"PeriodicalIF":4.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864332","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":"Measurement invariance and differential item functioning of a care staff proxy measure of nursing home resident dementia-specific quality of life (DEMQOL-CH): do care aides' first language, and care aides' and residents’ ethno-cultural background matter?","authors":"Matthias Hoben ,&nbsp;Sevilay Kilmen ,&nbsp;Janice Keefe ,&nbsp;Hannah M. O'Rourke ,&nbsp;Sube Banerjee ,&nbsp;Carole A. Estabrooks","doi":"10.1016/j.socscimed.2025.118089","DOIUrl":"10.1016/j.socscimed.2025.118089","url":null,"abstract":"<div><div>Quality of life (QoL) is a priority goal of dementia care, but measuring QoL becomes increasingly difficult as a person's ability to self-report declines. QoL measurement is particularly challenging among Nursing home (NH) residents, due to their often advanced cognitive impairment. The DEMQOL-CH is a validated tool to assess NH residents' QoL, using care staff proxy reports. Care staff and residents often have diverse ethno-cultural backgrounds, which may affect the measurement of QoL. Our objective was to assess measurement invariance and differential item functioning (DIF) of the DEMQOL-CH based on care staff ethno-cultural background, language, and resident ethno-cultural background. In a convenience sample of 9 NHs in the Canadian province of Alberta, research assistants conducted structured interviews with 119 care staff between July and September 2021 to complete DEMQOL-CH assessments of 612 residents. We performed confirmatory factor analyses, multiple group item response theory analyses, and DIF analyses. Measurement of the overall DEMQOL-CH score was affected by care staff ethno-cultural background and language (lack of scalar measurement invariance), but not by resident ethno-cultural background. Six of the 31 DEMQOL-CH items had DIF based on both, care staff ethno-cultural background and language, 2 items had DIF based on care staff ethno-cultural background, 4 items had DIF based on care staff language. Resident ethno-cultural background did not lead to DIF. The lack of measurement invariance and the presence of DIF affects the comparability of DEMQOL-CH assessments collected from care staff with diverse ethno-cultural and/or language backgrounds. However, the extent of the issues identified is small and the tool's other psychometric properties are robust. Therefore, we suggest that it is reasonable to continue to use the DEMQOL-CH in its current form, with careful consideration of methods to deal with and adjust for measurement invariance.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"375 ","pages":"Article 118089"},"PeriodicalIF":4.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844043","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":"Socioeconomic position and type 2 diabetes: Examining the mediating role of social cohesion—The Maastricht Study","authors":"Jeroen D. Albers ,&nbsp;Annemarie Koster ,&nbsp;Bengisu Sezer ,&nbsp;Rachelle Meisters ,&nbsp;Jeffrey A. Chan ,&nbsp;Anke Wesselius ,&nbsp;Miranda T. Schram ,&nbsp;Bastiaan E. de Galan ,&nbsp;Jeroen Lakerveld ,&nbsp;Hans Bosma","doi":"10.1016/j.socscimed.2025.118046","DOIUrl":"10.1016/j.socscimed.2025.118046","url":null,"abstract":"<div><div>The relationship between socioeconomic position and type 2 diabetes is well-established; individuals of lower socioeconomic position experience substantially higher rates of the disease. This study investigated the mediating role of perceived and ecometric area-level social cohesion in the association between socioeconomic position and incident type 2 diabetes.</div><div>In a prospective population-based cohort, The Maastricht Study, we analyzed data from 6,604 participants (<span><math><mover><mrow><mi>age</mi></mrow><mo>¯</mo></mover></math></span> = 58.6 years, 55% female) with a median follow-up of 8.1 (IQR 5.1–10.1) years. We examined whether perceived or area-level social cohesion (in 500 m squares, five-character postal code areas, and neighborhood areas) mediated the association between socioeconomic position (represented by educational attainment, occupational status, or income) and incident type 2 diabetes. We employed a causal mediation approach based on linear regression and Cox proportional hazards models.</div><div>Individuals with lower socioeconomic position were more likely to perceive lower social cohesion and to live in areas with diminished social cohesion. Lower area-level social cohesion was associated with an increased risk of developing type 2 diabetes. The mediating effect of social cohesion was more pronounced in urban areas. In urban areas, the total effect of education (contrasting the 83rd and 17th percentiles) on type 2 diabetes incidence was a hazard ratio (HR) of 2.03 (95% CI: 1.62–2.58), with area-level social cohesion mediating 24.4% (11.1%–40.3%) of this effect. In less urban areas, social cohesion mediated 12.6% (5.2%–23.0%) of a HR of 1.89 (1.50–2.40). Similar findings were observed with occupational status and income, and across other aggregation levels.</div><div>Socioeconomic position is linked to lower social cohesion, which is associated with an increased risk of type 2 diabetes. Enhancing social cohesion in disadvantaged areas may help reduce diabetes-related health disparities, particularly in urban settings. Further research is needed to better understand the mechanisms underlying these relationships.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118046"},"PeriodicalIF":4.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870821","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":"Provision of primary healthcare centers and women's healthcare-seeking behaviour: Evidence from Bangladesh","authors":"Mohammad Riaz Uddin","doi":"10.1016/j.socscimed.2025.118079","DOIUrl":"10.1016/j.socscimed.2025.118079","url":null,"abstract":"<div><div>This study examines the association between the establishment of primary healthcare providers- community clinics (CCs)- and healthcare-seeking behavior in Bangladesh. Initiated in 1998, CCs aim to provide accessible healthcare services to remote households, particularly focusing on women and children. Using cluster-level data on healthcare provider availability alongside individual-level data from the Bangladesh Demographic and Health Survey (BDHS) for 2011, 2014, and 2017-18, the respective sample sizes are 17842, 17886, and 20127 ever-married women, the study offers robust estimates that address endogeneity concerns present in individual-level analyses. Lagged health indicators are utilized to consider contextual factors influencing CC establishment in specific regions. Results indicate positive associations between CC presence and various healthcare-seeking behaviors, such as increased contraceptive use, higher attendance at antenatal care visits, and improved treatment-seeking for children's illnesses. Notably, rural-urban disparities in healthcare-seeking behavior highlight existing access inequalities. To mitigate this divide, the study recommends expanding CCs nationwide, demonstrating that low-cost healthcare interventions can enhance healthcare-seeking behaviors and suggest potential scalability in similar contexts.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"375 ","pages":"Article 118079"},"PeriodicalIF":4.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850114","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":"Web and/or MD?: Empirically testing the relationships between internet use and visits to healthcare professionals","authors":"Cayley Ryan-Claytor","doi":"10.1016/j.socscimed.2025.118071","DOIUrl":"10.1016/j.socscimed.2025.118071","url":null,"abstract":"<div><div>The proliferation of the internet as a widely accessible repository of health information has sparked theoretical and empirical concerns about its potential use as a replacement for traditional healthcare services. Existing research highlights how use of the internet as a health information resource has influenced individuals' experiences in healthcare settings, but has not yet explored its relationship with use of healthcare services. Using data from the National Health Interview Survey, I find a significant positive association between use of the internet to seek health information and visits to traditional healthcare providers. This association is not explained by factors related to respondents' social and demographic characteristics, health status, or access to health services. This relationship is strongest among adults aged 18–39, suggesting that younger adults may be more inclined than their older counterparts to address health concerns using both the internet and traditional medical services. In line with Fundamental Cause Theory, the relationship is strongest among the highly educated, such that individuals with a Bachelor's degree are more likely than their peers to use both the internet and traditional healthcare services as health resources. This study provides evidence in favor of the hypothesis that U.S. adults – and especially young adults with college degrees – are largely using the internet as a <em>complement</em> to the information and services provided by traditional medical providers, rather than a replacement.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118071"},"PeriodicalIF":4.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864335","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}