Disability and Health Journal最新文献

{"title":"Associations of dynamic versus static disability with experiences of stigma and mental health","authors":"Elodie Carel,&nbsp;Ashley C. Woodman,&nbsp;Alexander J. Kellogg,&nbsp;Allecia E. Reid","doi":"10.1016/j.dhjo.2025.101927","DOIUrl":"10.1016/j.dhjo.2025.101927","url":null,"abstract":"<div><h3>Background</h3><div>Prior research recognizes that the visibility of an individual's disability is salient to understanding experiences, such that greater visibility is associated with higher levels of stigma and symptoms of anxiety and depression. Yet, the dynamicity of a disability, defined as the extent to which severity of an impairment fluctuates, has been relatively understudied. We conducted the first known quantitative examination of dynamicity.</div></div><div><h3>Hypotheses</h3><div>We hypothesized that mental health and chronic illnesses would be most frequently characterized as dynamic. We also expected that dynamicity would be associated with greater symptoms of anxiety and depression, and that these relationships would be mediated by greater experiences with discrimination and microaggressions.</div></div><div><h3>Methods</h3><div>The sample included 125 participants with disabilities who answered the Ableist Microaggression Scale, the Everyday Discrimination Scale, the Generalized Anxiety Disorder Screener-7, the Center for Epidemiological Studies Depression Scale, and an author-created six-question measure of disability dynamicity.</div></div><div><h3>Results</h3><div>Mental health conditions were rated by participants as highly dynamic. Consistent with our hypotheses, four linear regressions supported that, above and beyond demographic factors and disability visibility, dynamicity predicted more ableist microaggressions, discrimination, anxiety symptoms, and depressive symptoms. In mediation models, discrimination predicted both depressive and anxiety symptoms, whereas ableist microaggressions did not. Confidence intervals further supported that discrimination, but not microaggressions, mediated the relationship of dynamicity with anxiety and depressive symptoms.</div></div><div><h3>Conclusions</h3><div>Disability dynamicity appears relevant to understanding stigmatizing experiences and resulting anxiety and depression symptoms. Recognition of this association can contribute to advancement of culturally competent mental health care for people with dynamic disabilities.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101927"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718962","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":"Factors associated with uncertainty in parents of children with developmental disabilities: A scoping review","authors":"Heejung Choi ,&nbsp;GyeongAe Seomun ,&nbsp;Jeongeun Song","doi":"10.1016/j.dhjo.2025.101962","DOIUrl":"10.1016/j.dhjo.2025.101962","url":null,"abstract":"<div><h3>Background</h3><div>Parents of children with developmental disabilities (DD) experience ongoing uncertainty, which contributes to various physical and mental health challenges. However, studies mapping the factors influencing this uncertainty and its effects on other variables remain scarce.</div></div><div><h3>Objective</h3><div>This study aimed to analyze and synthesize existing evidence on the factors influencing uncertainty among parents of children with DD and its impact on parental outcomes.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following Arksey and O'Malley's framework. Relevant studies were identified through a literature review conducted across five databases—Medline/PubMed, CINAHL, Cochrane Library, Embase, and APA PsycArticles—up to March 1, 2024. Studies with English abstracts were included without time restrictions.</div></div><div><h3>Results</h3><div>Eight studies involving 1986 participants were analyzed. The identified influencing factors were categorized into health condition-related factors (e.g., the severity of the child's condition), family and community resources (e.g., maternal education level, trust in healthcare professionals, and appraisal support), and appraisals of uncertainty as either a risk (e.g., caregiver burden and marital conflict) or an opportunity (e.g., adaptation, quality of life, parenting efficacy, sense of coherence, optimism, and self-help).</div></div><div><h3>Conclusions</h3><div>The findings of this study provide essential evidence for developing effective healthcare strategies to reduce parental uncertainty. By addressing these factors, the study aims to contribute to decreasing parental uncertainty and promoting the optimal development of children with DD.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101962"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066128","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 disability squeeze: Out-of-pocket expenses and unmet needs for disability-related goods and services in the U.S.","authors":"Zachary A. Morris ,&nbsp;Stephanie Rennane ,&nbsp;Nanette Goodman ,&nbsp;Daniel Mont ,&nbsp;Michelle Ballan ,&nbsp;Amber Davis ,&nbsp;Stephen McGarity ,&nbsp;Brooke Ellison ,&nbsp;Ghenet Weldeslassie","doi":"10.1016/j.dhjo.2025.101930","DOIUrl":"10.1016/j.dhjo.2025.101930","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have quantified the higher cost of living with a disability and the extent of unmet needs for disability-related goods and services as experienced by adults with disabilities in the U.S.</div></div><div><h3>Objective</h3><div>To provide national estimates of total annual out-of-pocket disability-related expenditures, their burden, and the prevalence of unmet needs, and to investigate whether persons with disabilities from underserved communities experience disparate impacts from “the disability squeeze.”</div></div><div><h3>Methods</h3><div>We designed and fielded a survey in June of 2023 to a nationally representative sample of adults with disabilities through the Understanding America Study, an online panel survey. Multivariate regression analyses examine correlates with out-of-pocket expenditures, the financial burden of the expenditures, and unmet needs.</div></div><div><h3>Results</h3><div>Among 1168 working-age adults with disabilities, mean annual expenditures on disability-related goods and services was $5341 in June 2023, equating to 20 % of household income. Additionally, 67 % of adults with disabilities reported an unmet need. Controlling for sociodemographic characteristics, adults with disabilities with incomes below the federal poverty level reported significantly lower expenditures (p &lt; .05) but greater financial burden from their out-of-pocket expenses (p &lt; .05). Hispanic persons with disabilities also reported significantly lower expenditures (p &lt; .05) but higher rates of unmet need (p &lt; .05).</div></div><div><h3>Conclusion</h3><div>Adults with disabilities in the U.S. experience considerable financial strain from their disability-related expenses and sustain high rates of unmet needs with disproportionate impacts identified for those from underserved communities.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101930"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718963","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":"Incentivizing, enforcing and improving disability accessible health care: Current gaps and potential solutions","authors":"Megan Morris ,&nbsp;Steve Lockhart ,&nbsp;Kori Eberle ,&nbsp;Jennifer Oshita","doi":"10.1016/j.dhjo.2025.101933","DOIUrl":"10.1016/j.dhjo.2025.101933","url":null,"abstract":"<div><h3>Background</h3><div>Despite federal requirements for health care organizations (HCOs) to provide accessible care to patients with disability, care often remains inaccessible.</div></div><div><h3>Objective</h3><div>To explore stakeholders’ perspectives of the effectiveness of federal requirements and factors motivating HCOs to provide accessible care to patients with disability.</div></div><div><h3>Methods</h3><div>We conducted 55 interviews with key informants (e.g., Disability Coordinators, researchers, policymakers, professional organizations, advocates) between May 2019 and August 2020. All interviews were conducted by qualitatively trained researchers and analyzed using content analysis methodology.</div></div><div><h3>Results</h3><div>We identified 3 themes: 1) existing laws are necessary, but not sufficient; 2) education is needed for health care organizations on disability as an equity issue; 3) health care is motivated by cost, quality and competition.Interview participants reported legal mandates as a major mechanism incentivizing healthcare organizations to invest in accessible care for patients with disability. These mandates, enforced through patient lawsuits and complaints, have been ineffective in driving systemic change.Additionally, organizational leaders lack knowledge on their legal obligations to provide equitable access to healthcare and the needs of patients with disability.</div><div>Participants identified a need for research demonstrating that accessible care improves outcomes and costs. Finally, participants expressed a desire for methods to facilitate competition amongst healthcare organizations to encourage provision of accessible care.</div></div><div><h3>Conclusion</h3><div>Federal requirements are necessary but insufficient in ensuring accessibility. Alternative solutions are needed which educate leadership and align with cost, quality and competition incentives. Diversifying the levers which incentivize accessible care could drive meaningful change in equitable healthcare for patients with disability.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101933"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765729","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 limited role of sex education and contraception use in unintended pregnancy by disability status among young adults","authors":"Darcy L. Sullivan","doi":"10.1016/j.dhjo.2025.101960","DOIUrl":"10.1016/j.dhjo.2025.101960","url":null,"abstract":"<div><h3>Background</h3><div>By examining young adult women with disabilities’(WWD) experiences with pregnancy, scholars have concluded that WWD are more likely to experience unintentional pregnancies compared to women without disabilities. Yet, the reasons for this increase in unintended pregnancy observed among WWD remains unclear. While WWD lack access to sexual health education and reproductive health care, they continue to engage in sexual behaviors and experience pregnancy at similar rates compared to able-bodied women.</div></div><div><h3>Objective</h3><div>This study investigates if sexual health education and contraception use mediate the relationship between disability status and unintended pregnancy for women aged 15–24.</div></div><div><h3>Methods</h3><div>Data come from 2011 to 2019 National Survey of Family Growth and include a sample of 6988 women. The sample is examined descriptively using chi-square tests and t-tests. Mediated path analysis within a structural equation modeling (SEM) framework is used to analyze the relationship between sexual health education, contraception use, disability status, and unintended pregnancy.</div></div><div><h3>Results</h3><div>WWD were more likely to experience unintended pregnancy, less likely to receive sexual health education, and use less effective forms of contraception. No mediation effect of sexual health education or contraception use on the relationship between disability status and unintended pregnancy was found for this age group.</div></div><div><h3>Conclusion</h3><div>Sexual health education and contraception use did not mediate the relationship between disability status and unintended pregnancy for young adult women with disabilities. More research is needed to adequately explore the mechanisms leading to increased unintended pregnancy among WWD, particularly across additional age groups.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101960"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859848","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":"Healthcare disparities in colorectal cancer prevention for people with intellectual and developmental disabilities: A caregiver perspective","authors":"Elisabeth L. Zeilinger ,&nbsp;Theresa Wagner ,&nbsp;Amelie Fuchs ,&nbsp;Manon Schroeder ,&nbsp;Nadine Brunevskaya ,&nbsp;Jakob Pietschnig ,&nbsp;Pavol Mikula ,&nbsp;Matthias Unseld","doi":"10.1016/j.dhjo.2025.101967","DOIUrl":"10.1016/j.dhjo.2025.101967","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal cancer (CRC) screening is crucial for early detection, but people with intellectual and developmental disabilities (IDD) face significant healthcare disparities, including lower screening rates.</div></div><div><h3>Objective</h3><div>This study explores barriers and facilitators to CRC screening for individuals with IDD from the caregiver perspective.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 13 caregivers (eight women, mean age 45) of individuals with IDD in Austria and analyzed using thematic analysis. A modified version of the Bowel Cancer Awareness Measure (CAM) questionnaire was used to assess CRC-related healthcare literacy of the caregivers.</div></div><div><h3>Results</h3><div>The modified CAM revealed low CRC knowledge among caregivers, with gaps in symptom and risk factor recognition and low self-reported confidence in symptom detection. Four themes emerged from the interviews: (1) <em>Improving access to inclusive healthcare</em>, highlighting systemic healthcare challenges, inclusive environments, clinician expertise, and health education; (2) <em>Managing IDD-specific challenges</em>, including communication difficulties, reliance on routines, and comorbidities; (3) <em>The critical role of caregiver</em> support, focusing on the empowerment of people with IDD; and (4) <em>Challenging stigma and bridging social gaps</em>, addressing stereotypes and social segregation of people with IDD.</div></div><div><h3>Conclusions</h3><div>This study serves as a case study, illustrating how the exclusion of people with IDD from the design of preventive healthcare perpetuates inequities in CRC screening, and emphasizing the need for more inclusive systems and practices. Addressing these shortcomings requires improved knowledge and educational resources, disability-sensitive training for professionals, accessible healthcare environments and systemic efforts to promote autonomy and reduce stigma.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101967"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114560","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":"Analyzing the relationship between ableist microaggressions and well-being in a cross-sectional sample of adults with varied disabilities","authors":"Whitney M. Morean ,&nbsp;Abigail Hayden,&nbsp;Angela Maccarrone,&nbsp;Jacob A. Bentley","doi":"10.1016/j.dhjo.2025.101925","DOIUrl":"10.1016/j.dhjo.2025.101925","url":null,"abstract":"<div><h3>Background</h3><div><span>In prior research ableist microaggressions have correlated with higher measures of psychological distress. However, research has not yet examined the relationship between ableist microaggressions and well-being as measured not merely by the absence of distressing </span>mental health symptoms, but rather about effective functioning and flourishing.</div></div><div><h3>Objective</h3><div>The present study addressed this gap by analyzing the relationship between ableist microaggressions and well-being and assessing if different coping strategies moderate the relationship in a sample of adults with varied disabilities.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with (n = 132) adults who self-identified as having a health condition that significantly impacts one or more major life activities. Participants were recruited online to complete a Qualtrics survey of measures of well-being, ableist microaggressions, coping, and depression symptoms.</div></div><div><h3>Results</h3><div>Ableist microaggression scores did not significantly predict well-being. Depression scores and disability visibility predicted well-being. In planned exploratory post-hoc analyses, those who endorsed having a more visible disabilities reported experiencing statistically significant more ableist microaggressions and statistically significant higher well-being scores than those endorsing less visible disabilities.</div></div><div><h3>Conclusions</h3><div>Consistent with prior literature, depression scores predicted lower well-being. Participants with more visible disabilities reported experiencing more ableist microaggressions and also endorsed higher well-being. This research supports that depression and well-being are independent constructs. Further research needs to examine factors such as, positive disability identity, connection to the disability community, and disability pride, that might contribute to why those with more visible disabilities experience more ableist microaggression while also endorsing higher levels of well-being.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101925"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621016","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":"Healthcare's blind spot—why people with disabilities remain marginalized and overlooked","authors":"Michael M. McKee MD, MPH (Professor,Director of MDisability,Co-Director of Center of Disability Health & Wellness,Co-Editor-in-Chief) ,&nbsp;Monika Mitra (Co-Editors-in-Chief,Director,Nancy Lurie Marks Professor of Disability Policy)","doi":"10.1016/j.dhjo.2025.101975","DOIUrl":"10.1016/j.dhjo.2025.101975","url":null,"abstract":"","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101975"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453272","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":"Unequal impact of housing, food, and healthcare hardships on depression among persons with disabilities: A quantile regression approach","authors":"Gum-Ryeong Park ,&nbsp;Mihi Parikh ,&nbsp;Jiya Patel","doi":"10.1016/j.dhjo.2025.101932","DOIUrl":"10.1016/j.dhjo.2025.101932","url":null,"abstract":"<div><h3>Background</h3><div>While material hardships have been widely studied, less is known about whether baseline psychological health mitigates these hardships—or how its role varies by type of essential good or service (e.g., housing, food, healthcare) among persons with disabilities.</div></div><div><h3>Objective</h3><div>This study examines how different types of material hardship—specifically housing, food, and healthcare hardships—affect psychological health across different points in the depressive symptom distribution among people with disabilities.</div></div><div><h3>Methods</h3><div>This study used data from the Disability and Life Dynamic Panel (DLDP) survey (2018–2020). Individual level fixed effects models were conducted to estimate within-individual differences in depressive symptoms in relation to housing, food, and healthcare hardships. Quantile regression was used to examine how the effects of material hardships vary across the distribution of depressive symptoms, allowing us to assess whether individuals with relatively better or worse psychological health are differently impacted.</div></div><div><h3>Results</h3><div>Individuals with mental disabilities and those categorized with brain lesion disorders reported higher levels of depressive symptoms and greater difficulties related to housing, food, and healthcare. Quantile regression results indicate that the association between these material hardships and depressive symptoms is more pronounced among individuals with higher baseline levels of depression.</div></div><div><h3>Conclusions</h3><div>This study highlights the impact of material hardship on depression in individuals with disabilities, emphasizing the need for policies and support systems that address both material and psychological health needs.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101932"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718964","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":"Bayesian modeling of underreported disabilities: Gender insights from the Bangladesh national household survey","authors":"Maiko Sakamoto,&nbsp;Nanami Kakuta","doi":"10.1016/j.dhjo.2025.101922","DOIUrl":"10.1016/j.dhjo.2025.101922","url":null,"abstract":"<div><h3>Background</h3><div>According to the World Health Organization, about 16 % of the global population has a disability, with many residing in developing countries. The Washington Group (WG) on Disability Statistics recommends the WG Short Set on Functioning to foster consistent, internationally comparable measures. However, this data is subject to biases due to societal misunderstandings and misreporting, including false positives and, more commonly, false negatives, particularly in developing countries.</div></div><div><h3>Objective</h3><div>This paper examines discrepancies between reported and actual numbers of persons with disabilities and aims to advance methodological approaches and highlight the challenges faced by persons with disabilities in Bangladesh.</div></div><div><h3>Methods</h3><div>We employ a classification error modeling framework with a binary response variable and a Bayesian approach to estimate the true percentage of persons with disabilities and investigate associations with social variables. The 2016 Household Income and Expenditure Survey from Bangladesh serves as our case study.</div></div><div><h3>Results</h3><div>Bayesian analysis suggests a prevalence of 7.71 %–4.8 times higher than the raw estimates—with a notable false negative rate of 0.79 under the WG's initially recommended guidelines, which define persons with “at least a lot of difficulty” as disabled. The rate drops to 0.33 when “some difficulty” is also included. The findings underscore the detrimental effects of disability on educational attainment, earning capacity, and marital experiences, highlighting the need for targeted support, especially for male persons with disabilities up to the junior secondary level.</div></div><div><h3>Conclusions</h3><div>This study emphasizes the importance of a deeper understanding of the complexities of disability data and the societal structures that influence its reporting to inform effective policy and support mechanisms.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101922"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602059","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}