Social Science & Medicine最新文献

{"title":"Understanding health and illness among incarcerated persons in the Slovenian correctional system: A qualitative study","authors":"Mirko Prosen ,&nbsp;Aleksandra Lukić","doi":"10.1016/j.socscimed.2024.117467","DOIUrl":"10.1016/j.socscimed.2024.117467","url":null,"abstract":"<div><div>Understanding the perspectives of incarcerated persons on health and illness, as well as the social contexts influencing these perspectives, is important for developing healthcare interventions that effectively address their specific needs and improve overall well-being. The aim of this study was to explore and understand the complex, multi-dimensional experiences of health and illness among incarcerated persons within the Slovenian correctional system. This study employed an interpretative descriptive design. Using purposive sampling, ten incarcerated persons—five females and five males—were invited to individual, face-to-face, semi-structured interviews. Thematic analysis was conducted in accordance with the interpretative description analytical process. Four major themes were identified: (1) Perspectives on health and illness during incarceration, (2) Healthcare access and self-care during incarceration, (3) Social contacts and their impact on health, and (4) Programmes and activities to enhance well-being. The findings highlighted a shift in perception among participants from a traditional view of health as merely the absence of illness to a more dynamic and holistic understanding, encompassing physical, mental, and social determinants of health. The structured environments within prisons can sometimes paradoxically improve physical health by promoting positive health behaviours, yet they often exacerbate mental health challenges due to restricted freedom and social isolation. The study's implications are significant for policy-making, suggesting that integrated health strategies can significantly improve health outcomes for incarcerated populations, aligning with public health objectives and ensuring better community reintegration.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117467"},"PeriodicalIF":4.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631005","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":"‘Public prostitutes and private prostitutes’: A study of women's perceptions of transactional sex in Cameroon","authors":"Aurélia Lépine ,&nbsp;Charlie Henderson ,&nbsp;Emile Nitcheu ,&nbsp;Fanny Procureur ,&nbsp;Henry Cust ,&nbsp;Létitia Toukam ,&nbsp;Chimene Chimsgueya ,&nbsp;Julienne Noo ,&nbsp;Sandie Szawlowski ,&nbsp;Eric Defo Tamgno ,&nbsp;Silvia Mandop ,&nbsp;Stephanie Moyoum ,&nbsp;Serge Billong ,&nbsp;Iliassou Mfochive ,&nbsp;Ubald Tamoufe","doi":"10.1016/j.socscimed.2024.117492","DOIUrl":"10.1016/j.socscimed.2024.117492","url":null,"abstract":"<div><h3>Context</h3><div>Although AIDS-related deaths continue to decline, there are more people living with HIV than ever before. Sub-Saharan Africa remains disproportionately affected by the epidemic, with women aged 15–24 being over three times as likely to acquire HIV than their male counterparts. One reason for this disparity is that those engaging in ‘transactional sex’ do not benefit from governmental HIV prevention efforts. Transactional sex is both less well understood than sex work and more common, suggesting the need for further research.</div></div><div><h3>Method</h3><div>To this end, we interviewed eighteen women engaging in transactional sex in Yaoundé, Cameroon using snowball sampling. Participants were recruited using respondent-driven sampling, with the help of a nongovernmental organisation that works with women engaging in transactional sex. The objective of this study is to understand how transactional sex differs from commercial sex according to women engaging in transactional sex.</div></div><div><h3>Results</h3><div>We found that participants distinguished themselves from sex workers, but only in a limited sense. They referred to themselves as ‘private prostitutes’, meaning those who sell sex in all but name. ‘Private prostitutes’ avoid red-light districts and do not wear revealing clothing, but exchange sex for money all the same. They are no less profit-oriented than their ‘public’ counterparts (i.e., sex workers), reminding us that the two activities have a lot of similarities in as far as public health is concerned.</div></div><div><h3>Discussion</h3><div>Women engaging in transactional sex would require equal attention than FSWs in terms of HIV prevention. Like FSWs, they have multiple sexual partners and unprotected sex. They should be considered a ‘key population’ for HIV prevention. This would improve public health outcomes, suggesting the need to target women engaging in transactional sex on a greater scale than previously attempted in Sub-Saharan Africa.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117492"},"PeriodicalIF":4.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649271","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":"Valuing mortality risk reductions in a fast-developing society: A meta-analysis of stated preference studies in China from 1998 to 2019","authors":"Yanying Wang ,&nbsp;Yana Jin ,&nbsp;Huan Lin ,&nbsp;Wei Wan ,&nbsp;Shiqiu Zhang","doi":"10.1016/j.socscimed.2024.117471","DOIUrl":"10.1016/j.socscimed.2024.117471","url":null,"abstract":"<div><div>The estimate used to value mortality risk reductions, conventionally expressed as the value of a statistical life (VSL), has long been an important parameter for economic analysis in developed countries. However, the application of VSL in developing countries has been challenging due to insufficient empirical attention. We conduct a comprehensive meta-analysis of 19 stated preference (SP) studies on VSL covering Chinese populations between 1998 and 2019 to provide a unique perspective on VSL in a fast-developing society. In contrast to the findings of research conducted in developed countries, we find no evidence of publication bias. We determine that the income of the population studied, the type of risk and the magnitude of risk reduction are the most important variables affecting VSL estimates. However, the relationship between these key factors and VSL changes as society develops, especially after the social shock of an environmental health risk crisis. We also provide a set of VSL estimates and key parameters needed in benefit transfer that are tailored to the settings of various economic analyses of health effects.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117471"},"PeriodicalIF":4.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683044","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":"Thermal comfort and gender affirmation: A virtual ethnography of extreme heat among trans women in Rio de Janeiro","authors":"Antonella Mazzone","doi":"10.1016/j.socscimed.2024.117481","DOIUrl":"10.1016/j.socscimed.2024.117481","url":null,"abstract":"<div><div>The multisensory experience of feeling hot, breathless, sweaty, and weak during heat spells among transgender people is a critically understudied area in both medical anthropology and thermal comfort research. This article contributes to the anthropology of heat and humidity by intersecting with health and thermal comfort studies. Through virtual ethnography with three trans women in Rio de Janeiro in 2021 and 2022, the research reveals that trans women in the city face heightened risks of heat stress and thermal discomfort due to unsafe living conditions, side effects of gender-affirming modifications, and social discrimination. These findings highlight the urgent need to address the specific challenges transgender individuals face in accessing thermal safety and underscore the importance of considering their unique needs.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117481"},"PeriodicalIF":4.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606931","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":"‘Online boundary-work’: How people with diabetes negotiate what counts as legitimate knowledge in Facebook peer support groups","authors":"Emilie Mølholm Kjærulff ,&nbsp;Mette Andersen Nexø ,&nbsp;Chrysanthi Papoutsi ,&nbsp;Henriette Langstrup","doi":"10.1016/j.socscimed.2024.117480","DOIUrl":"10.1016/j.socscimed.2024.117480","url":null,"abstract":"<div><div>People with chronic conditions such as diabetes use social media to interact with peers. While these online interactions allow them to exchange advice and gain insight into how others cope with their condition, concerns about ‘misinformation’ being shared are persistently raised, especially among medical professionals. Rather than assessing whether information shared on social media is ‘correct’ from a clinical perspective, we explore how people with diabetes negotiate what counts as legitimate knowledge as they interact in Facebook groups. Empirically, we draw on a six-month observation of interactions in two Danish Facebook groups for people with type 1 and 2 diabetes, including a data sample of 300 posts and 7797 comments. Observations were carried out in 2021. Guided by the concept of boundary-work (Gieryn, 1983), we analyse how members of the Facebook groups demarcate legitimate knowledge from what they deem illegitimate, enacted as they scrutinise peer advice and knowledge claims. We refer to this ongoing process as ‘online boundary-work’ and draw out three distinct negotiations, specifying how group members (a) recognise sharing of personal experiences as useful but do not necessarily accept them as valid forms of self-management advice, (b) support each other in evaluating medical issues but delegate certain treatment decisions and responsibility to professionals and (c) do not necessarily agree on the most accurate answer but mobilise scientific or professionally managed sources to legitimise or question claims. Our work contributes to the science and technology studies (STS) literature on how social media facilitates a collective space for people with chronic conditions to ‘diagnose’ issues in daily self-management and reflect on solutions, especially through sharing personal experiences. By demonstrating how these activities involve an ongoing, collective task of negotiating what counts as legitimate knowledge, we elucidate the effort people with diabetes put into upholding peer support groups as digital spaces for solidarity and knowledge useful to daily self-management. However, as we highlight, online boundary-work does not necessarily result in consensus, prevent certain types of advice from being shared or guarantee that answers are considered useful to members or ‘correct’ from a clinical perspective.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117480"},"PeriodicalIF":4.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640083","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":"Looking to the past: Investigating 10-year place histories as a determinant of home food environments in the Healthy Communities Study","authors":"Ian-Marshall Lang ,&nbsp;Yeonwoo Kim ,&nbsp;Lorrene D. Ritchie ,&nbsp;Lauren E. Au ,&nbsp;Natalie Colabianchi","doi":"10.1016/j.socscimed.2024.117478","DOIUrl":"10.1016/j.socscimed.2024.117478","url":null,"abstract":"<div><div>Emerging research suggests there is a need to consider the importance of place histories in studying neighborhood effects. Guided by a life course of place framework, the objective of this study is to investigate the relationship between two place history exposures and three contemporary home food environment outcomes. Exposures included 10-year neighborhood socioeconomic status (SES) histories and multi-year nutrition community programming and policy (CPP) histories. Outcomes included the availability of healthy foods in the home, the availability of unhealthy foods in the home, and household food insecurity. Associations are investigated using cross-sectional and retrospective data on 4210 US families in the national, observational Healthy Communities Study (2013–2015). Multilevel regression models, adjusted for household income and other factors, were fit for each exposure and outcome. Households residing in neighborhoods with intermittently low, consistently moderate, intermittently high, and consistently high SES histories had greater availability of healthy foods in the home than households in neighborhoods with consistently low SES histories (adjusted <em>β</em>s: 0.11 [95% CI: 0.02, 0.20], 0.13 [95% CI: 0.06, 0.21], 0.23 [95% CI: 0.13, 0.34], and 0.24 [95% CI: 0.15, 0.33], respectively). Households in consistently high SES neighborhoods also had a lower likelihood of household food insecurity than those in consistently low SES neighborhoods (adjusted OR: 0.54 [95% CI: 0.42, 0.71]). Neighborhood SES histories were not significantly associated with the availability of unhealthy foods in the home. Nutrition CPP histories were not significantly associated with food insecurity or the availability of unhealthy foods in the home. However, more intense nutrition CPP histories were significantly associated with greater availability of healthy foods in the home. Moreover, effect estimates increased with more long-term historical accounts of CPPs (adjusted <em>βs</em>: 1-year CPP histories, 0.21 [95% CI: 0.03, 0.39]; 3-year CPP histories, 0.22 [95% CI: 0.03, 0.41]; 6-year CPP histories, 0.25 [95% CI: 0.04, 0.46]; 10-year CPP histories, 0.28 [95% CI: 0.05, 0.50]). To curb food insecurity and promote the availability of healthy foods, the findings suggest considering how neighborhoods develop and evolve over time with respect to SES and nutrition CPP implementation.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117478"},"PeriodicalIF":4.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630963","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":"Patterns of shared meaning across personal narratives surrounding experiences with palliative care, serious illness, and the end of life","authors":"Marjolein Matthys ,&nbsp;Kenneth Chambaere ,&nbsp;Benedicte Deforche ,&nbsp;Joachim Cohen ,&nbsp;Luc Deliens ,&nbsp;Kim Beernaert ,&nbsp;Leen Van Brussel ,&nbsp;Naomi Dhollander","doi":"10.1016/j.socscimed.2024.117473","DOIUrl":"10.1016/j.socscimed.2024.117473","url":null,"abstract":"<div><div>Prior observations of persistent public misconceptions and negative beliefs surrounding palliative care have led to extensive calls for public education on palliative care. Yet, the development of effective initiatives to improve public perceptions of palliative care is still hindered by a lack of research providing a deeper, contextualized understanding of the way people perceive and give meaning to palliative care. This study therefore set out to explore patterns of shared meaning across personal narratives surrounding experiences with palliative care, serious illness, and the end of life. These narratives were collected during a broad public engagement initiative on palliative care in Flanders, Belgium which included a call to share personal stories surrounding palliative care (which 72 persons did) as well as a Citizens' Forum in which 24 persons engaged in live conversations on palliative care. Reflexive thematic analysis was used to analyze the personal narratives and yielded four axes of meaning: 1) ‘Sense of Support’, describing feeling supported or abandoned on multiple levels with key elements of open and empathetic communication, being informed and listened to; 2) ‘Being-in-Time’, incorporating a renewed sense of temporality and the weight of uncertain prognosis; 3) ‘Constituting a Sense of Self while Coping with Life-Threatening Illness’, involving concerns surrounding role adjustments and posthumous reputation; and 4) ‘Going Through the Process of Dying’, unique to bereaved individuals' narratives, highlighting the importance of being informed during the dying process and honoring the wishes of the dying person. Together, these axes illuminate how both positive and stigmatized views on palliative care are shaped by broader patterns of meaning attribution, deeply ingrained in personal and social contexts. The identified narrative elements can play a crucial role in improving the content, reach, and impact of future public communication and education on palliative care, effectively enhancing public receptivity and engagement.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117473"},"PeriodicalIF":4.9,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631118","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":"Divergence in smoking and drinking trends: Results from age-period-cohort analytical approach","authors":"Duyen Nguyen ,&nbsp;Michael Donnelly ,&nbsp;Ciaran O'Neill","doi":"10.1016/j.socscimed.2024.117474","DOIUrl":"10.1016/j.socscimed.2024.117474","url":null,"abstract":"<div><h3>Background</h3><div>Smoking has dropped substantially over time while alcohol consumption has increased. Understanding how smoking and drinking relate to age, time-period or birth cohorts may improve public health measures.</div></div><div><h3>Method</h3><div>The cross-sectional Continuous Household Survey in Northern Ireland provided bi-annual, household-level data on smoking and drinking from 1985 to 2015. An age-period-cohort approach was employed using 10-year age groups and 9 birth cohorts. A descriptive analysis of smoking and drinking by birth cohort was performed and supplemented by a joinpoint analysis. An Intrinsic Estimator model was used to examine behaviour patterns defined separately by age, time-period, and cohort.</div></div><div><h3>Results</h3><div>Age effects showed that smoking and drinking peaked during adolescence and young adulthood (relative risk (RR) of age 25–34 vs. all ages: RR _smoking = 1.59, RR _drinking = 1.61, p &lt; 0.001), followed by a progressive subsequent decline with age. Distinct secular trends were observed whereby smoking decreased over time but non-abstinence rates in relation to alcohol consumption increased substantially from 1985 to 2015. Cohort effects in smoking and drinking suggested that Generation X (born around 1961–1980) appeared to have a slightly higher likelihood of smoking and drinking but this converged with other cohorts over time.</div></div><div><h3>Conclusion</h3><div>The absence of similar policy efforts for alcohol as given to smoking may explain the divergence in secular trends of smoking and drinking. Targeting interventions towards adolescents and young adults may offer the best chance of reducing smoking and drinking prevalence. Cohort effects suggest the need for further research about the relationship between drinking and Northern Ireland's political history.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117474"},"PeriodicalIF":4.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592955","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":"Longitudinal bidirectional relations between psychological maltreatment by teachers and psychosocial adjustment during early adolescence","authors":"Meiru Deng ,&nbsp;Mao Wen ,&nbsp;E. Scott Huebner ,&nbsp;Lili Tian","doi":"10.1016/j.socscimed.2024.117475","DOIUrl":"10.1016/j.socscimed.2024.117475","url":null,"abstract":"<div><div>This study examined three models (relationship-driven model, symptom-driven model and transactional model) testing the across-time bidirectional relations between psychological maltreatment by teachers and early adolescents' psychosocial adjustment (i.e., internalizing problems, externalizing problems, and academic achievement) during early adolescence. A total of 4169 Chinese early adolescents (<em>M</em>_age = 9.93 years, <em>SD</em> = 0.73, 54% males) completed assessments across five waves, every six months. Employing autoregressive latent trajectory models with structured residuals (ALT-SR), the results revealed that adolescents’ internalizing problems and academic achievement were predicted by psychological maltreatment by teachers (supporting the relationship-driven model), whereas externalizing problems and psychological maltreatment by teachers were bidirectionally related (supporting the transactional model). Moreover, sex moderated the relations between psychological maltreatment by teachers and psychosocial adjustment. The finding of differential relations between psychological maltreatment by teachers and three components of psychosocial adjustment (i.e., internalizing problems, externalizing problems, and academic achievement) indicated that prevention and interventions should be tailored to different psychosocial adjustment difficulties.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117475"},"PeriodicalIF":4.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142587450","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":"Indigenous Australian perspectives on the perinatal period: Social well-being, culture and early infant attachments","authors":"Jodie A. Mottram ,&nbsp;James A. Dimmock","doi":"10.1016/j.socscimed.2024.117476","DOIUrl":"10.1016/j.socscimed.2024.117476","url":null,"abstract":"<div><h3>Objective</h3><div>Although social factors and culture are significant determinants of health in Aboriginal and Torres Strait Islander peoples, little is known academically about key interpersonal and social experiences of this population during the perinatal period, or how early attachments are formed through culture. This study addressed this gap in the literature.</div></div><div><h3>Methods and measures</h3><div>A reflexive thematic analysis approach was applied to the data gathered from focus groups (<em>N</em> = 14) held with Aboriginal (<em>N</em> = 7) and Torres Strait Islander (<em>N</em> = 7) mothers and their kinship systems.</div></div><div><h3>Results</h3><div>Five prominent interpersonal and social themes were identified: maternal-fetal attachment, infant-kinship attachment, caretaking roles/shared caregiving, traditional adoption, and ceremonies and rites of passage. Characteristics of maternal-fetal attachment were aligned with the construct in non-Indigenous literature. Post-utero, caretaking/shared caregiving roles such as ‘big mum/dad’ and ‘small mum/dad’ were identified. Ceremonies and rites of passage were understood to cement cultural roles within the kinship system, and the role of the maternal uncle was highlighted. A cultural obligation to help raise the child for biological mothers' other siblings, known as ‘mums’ and ‘dads’, was identified.</div></div><div><h3>Conclusion</h3><div>Discussion is centred around the necessity for ‘grass roots’ research from the perspectives of Aboriginal and Torres Strait Islanders, and on suggestions for future research in further exploring the themes derived from this research.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"364 ","pages":"Article 117476"},"PeriodicalIF":4.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692764","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}