Health & Place最新文献

{"title":"Labour will progress where māmā feel safe: Constructing birth-place decision making in primary birth centres","authors":"Sarah A. Lovell ,&nbsp;Christina Ergler ,&nbsp;Mary Kensington","doi":"10.1016/j.healthplace.2025.103510","DOIUrl":"10.1016/j.healthplace.2025.103510","url":null,"abstract":"<div><div>High rates of intervention in birth is a significant health issue. Primary birth centres are midwife-led sites for care with lower rates of intervention in birth than hospitals. Yet hospital births dominate birthplace decision-making in New Zealand. In-depth interviews with 24 health workers associated with four primary birth centres aim to identify how confidence in a primary centre birth is built. Thematic analysis demonstrates how midwives discursively and visually re-centred birth as a normal physiological process challenging hospital as the taken-for-granted place for care. We conclude that midwives’ neurohormonal understandings of birth builds responsiveness to the birth-place ontologies of clients.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103510"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556585","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":"Structural drivers of health among transgender women in the United States: A nationwide study","authors":"Tonia C. Poteat ,&nbsp;Sabriya L. Linton ,&nbsp;Andrea L. Wirtz ,&nbsp;Carmen Gutierrez ,&nbsp;Darya Adams ,&nbsp;Carter Brown ,&nbsp;Marissa Miller ,&nbsp;Denise N. Mitchell ,&nbsp;Reed DeAngelis ,&nbsp;Wiley Kornbluh ,&nbsp;Sari L. Reisner","doi":"10.1016/j.healthplace.2025.103511","DOIUrl":"10.1016/j.healthplace.2025.103511","url":null,"abstract":"<div><h3>Introduction</h3><div>Residential segregation and gentrification are associated with a variety of health outcomes. However, few studies in this area have included transgender women, who experience well-documented health inequities. This analysis sought to assess the effects of racialized economic segregation and gentrification on psychological distress and self-rated health (SRH).</div></div><div><h3>Methods</h3><div>398 transgender women in the United States completed a baseline survey between June 14, 2021 and May 1, 2022 and a follow-up survey 12 months later. Neighborhood-level racialized economic advantage and gentrification were measured at the ZIP code level and categorized into tertiles. The first tertile reflected the lowest levels of these measures. Multilevel modified Poisson regression models with individual-level random intercepts and robust variance estimation, were used to estimate unadjusted and adjusted associations of racialized economic residential advantage and gentrification with serious psychological distress (Kessler-6 ≥ 13) and SRH (poor/fair vs good/very good/excellent).</div></div><div><h3>Results</h3><div>Ethnoracial identities included 57 % White, 19 % Black, and 9 % Latine (of any race). The highest tertile of racialized economic advantage (vs the lowest) was associated with increased risk of serious psychological distress (RR = 1.28; 95 %CI = 1.02, 1.61) and higher risk of poor-to-fair SRH (RR = 1.51; 95 % CI = 1.10,2.08) in multivariable models, while gentrification showed no significant association with either outcome.</div></div><div><h3>Discussion</h3><div>These findings are consistent with prior research indicating that minoritized populations may not derive health benefits from residing in more socially and economically advantaged neighborhoods. Future research is needed to better understand the experiences of transgender women who may be exposed to transphobia in both advantaged and disadvantaged neighborhoods.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103511"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556679","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":"Characterizing household food security status, perceived neighborhood food environment, and food shopping behaviors among caregivers of children in the Hispanic Community Health Study/Study of Latinos Youth ancillary study (SOL Youth)","authors":"Amanda C. McClain ,&nbsp;Robert J. Castro ,&nbsp;Jonathan L. Helm ,&nbsp;Carmen R. Isasi ,&nbsp;Krista M. Perreira ,&nbsp;Josiemer Mattei ,&nbsp;Guadalupe X. Ayala ,&nbsp;Yasmin Mossavar-Rahmani ,&nbsp;Daniela Sotres-Alvarez ,&nbsp;Martha Daviglus ,&nbsp;Linda Van Horn ,&nbsp;Greg A. Talavera ,&nbsp;Linda C. Gallo","doi":"10.1016/j.healthplace.2025.103503","DOIUrl":"10.1016/j.healthplace.2025.103503","url":null,"abstract":"<div><div>U.S. Hispanic/Latino households disproportionally experience food insecurity, which may intersect with their food environments and food shopping behaviors to shape diet and health, but more representative findings are needed. We identified latent classes related to household food security (HFS), food environments, and food shopping behaviors among U.S. Hispanic/Latino households, and investigated their relationships with sociodemographic characteristics. We used cross-sectional data from 983 adult caregivers residing with youth (8-16 y) and participating in the multisite Study of Latino Youth. Caregivers completed the USDA HFS Survey Module (high, marginal, low, very low FS), a 5-item perceived neighborhood food environment (healthy food availability, quality, cost) questionnaire, and a 5-item food outlet shopping frequency questionnaire. We identified the best-fitting solution of latent classes by examining standard fit criteria and determined the relationship of latent classes to distal sociodemographic characteristics. We identified a 5-class solution. The <em>“average quality, somewhat costly food environment”</em> class (19.7 %) had low and high HFS and shopped at a variety of food stores; this class had the highest proportion of participants who were foreign-born (96 %) and reporting Spanish as their preferred language (90 %). The <em>“high quality, high-cost food environment, food-insecure household”</em> class (22.6 %) shopped at supermarkets and had the highest proportion of participants with a household income of ≤$20,000 (68 %). The <em>“poor quality, high-cost food environment”</em> class (16.8 %) had low and high HFS and shopped at supermarkets and convenience stores; this class had the highest proportion of participants who were single (33 %), without a vehicle (53 %), and reporting English as their preferred language (39 %). The <em>“high quality, somewhat costly food environment, food-secure household”</em> class (15.0 %) shopped at a variety of food stores and had the highest proportion (65 %) of participants with a household income of &gt;$20,000. The <em>“high quality, affordable food environment, food-secure household”</em> class (25.9 %) shopped at supermarkets and had the highest proportion of participants who were US-born (25 %). U.S. Hispanic/Latino adults living with youth reported distinct combinations of HFS status, perceived neighborhood food environments, and food shopping behaviors, which underscores the complexity of factors defining adequate food access.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103503"},"PeriodicalIF":3.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550002","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":"Food retail environments around rural Victorian primary Schools: Associations with student diet and weight outcomes","authors":"J. Jacobs ,&nbsp;C. Strugnell ,&nbsp;L. Orellana ,&nbsp;S. Allender ,&nbsp;A. Horta ,&nbsp;G. Sacks ,&nbsp;M. Blake ,&nbsp;K.A. Bolton ,&nbsp;P. Fraser ,&nbsp;A. Brown ,&nbsp;H. Le ,&nbsp;C. Needham","doi":"10.1016/j.healthplace.2025.103506","DOIUrl":"10.1016/j.healthplace.2025.103506","url":null,"abstract":"<div><div>Few studies examine the influence on population diets of the healthiness of food retail outlets in the areas surrounding rural schools in Australia. This exploratory cross-sectional study examined associations between food retail environments within 500m and 1 km of 106 primary schools in rural Victoria, Australia, and self-reported diet and measured weight status of grade 4(9-10yo) and grade 6(12-13yo) students (n = 3236). Few significant results were found with a 500m network buffer. At 1 km, there were reduced odds of meeting sugar sweetened beverage (SSB) recommendations with more unhealthy (OR: 0.51, 95 %CI 0.26, 0.98) or takeaway outlets (OR: 0.58, 95 % CI 0.37, 0.89), compared to none of these outlets. Compared to having no supermarkets, the presence of more supermarkets was associated with higher odds of meeting unhealthy snack recommendations (OR: 2.19 95 %CI 1.28, 3.76), SSB recommendations (OR: 1.96 95 % CI 1.23, 3.13) and reduced odds of having overweight or obesity (OR: 0.75 95 %CI 0.57, 0.99). Further investigation into the impact of the food outlet placement on children's dietary behaviours is warranted, in order to inform policy regarding the placement of outlets in proximity of schools.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103506"},"PeriodicalIF":3.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517474","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":"I speak to the trees because nature is my friend: Conceptualization and assessment of connection to nature in solitude","authors":"Anna Stone ,&nbsp;Tiffany Cheng ,&nbsp;Robert J Coplan","doi":"10.1016/j.healthplace.2025.103499","DOIUrl":"10.1016/j.healthplace.2025.103499","url":null,"abstract":"<div><div>Spending time alone in nature has been found to benefit well-being, but the mechanisms underlying this relation are understudied. The current study validated an assessment of the construct of <em>connectedness to nature in solitude</em> (CNIS) and evaluated a model linking CNIS, time spent alone in nature, and indices of well-being. Participants were <em>N</em> = 812 emerging adults (<em>M</em>_<em>age</em> = 19.45, <em>SD</em> = 1.87) attending university in southeastern Ontario, Canada. Participants completed a series of self-report measures assessing CNIS, time alone in nature, affinity for solitude, nature connectedness, loneliness, aloneliness, and life satisfaction. Factor analysis of the 7-item CNIS Scale indicated a one-factor solution. Regression analyses indicated that at low levels of CNIS, time alone in nature was significantly and positively related to loneliness and aloneliness, but at higher levels of CNIS, this relation was attenuated. The current study provides initial evidence for the importance of CNIS as a moderator of the links between time alone in nature and well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103499"},"PeriodicalIF":3.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501451","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":"Enabling places and the mediation of medication-taking experiences: A mixed qualitative methods study","authors":"Ediomo-Ubong Nelson","doi":"10.1016/j.healthplace.2025.103507","DOIUrl":"10.1016/j.healthplace.2025.103507","url":null,"abstract":"<div><div>Studies have shown that medication-taking experiences are mediated by intricate social, affective and material entanglements. However, less attention has been accorded the role of place in the sociomaterial relations of these experiences. Using four examples drawn from a mixed qualitative methods study with people who use drugs living with chronic non-cancer pain in Nigeria, this study shows that medication-taking experiences are not stable but always relative to the spatio-temporal contexts of their enactment. Consistent with the logic of ‘enabling places’, the study produced findings showing that the actor-networks in different places afforded various resources that mediated medication-taking experiences. Medication-taking experiences were not reducible to simple encounters between bodies and pharmacology; instead, they were constituted through social, affective and material resources of network associations the availability of which made particular places enabling on particular occasions. To conclude, the study calls for the creation of enabling places by transforming actor-networks in ways that enable positive medication-taking experiences.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103507"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481367","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":"Heterogeneous effects of artificial light at night on sleep and mental health: 2SLS augmented geospatial data modeling and geo-correlation analysis","authors":"Ruoyu Dong ,&nbsp;Yanqing Xu ,&nbsp;Rui Zhu","doi":"10.1016/j.healthplace.2025.103504","DOIUrl":"10.1016/j.healthplace.2025.103504","url":null,"abstract":"<div><div>Rapid urbanization has led to a significant increase in artificial light at night (ALAN), raising concerns about its potential adverse effects on human health. Yet, evidence on the relationship between ALAN, sleep, and mental health remains limited. In this study, we utilized the Extended Time-Series of Global NPP-VIIRS-like Nighttime Light Data and population distribution maps to estimate population-weighted ALAN at the census tract level across 500 major U.S. cities from 2013 to 2019. We also obtained the prevalence of frequent mental distress and short sleep duration from the SDOH database. A Two-Stage Least Squares (2SLS) model was applied to investigate the causal relationships between ALAN, sleep, and mental health, as well as heterogeneity across differing educational and urbanization levels. The findings revealed that: (1) Population-weighted ALAN was significantly associated with both sleep and mental health, with a ten-fold increase in O-ALAN corresponding to an 8.05 % (±0.04 %) rise in mental distress prevalence and a 4.99 % (±0.07 %) increase in short sleep duration prevalence; (2) higher education levels intensified the negative impact of ALAN on mental health but mitigated its effect on sleep; and (3) higher urbanization levels amplified ALAN's adverse effects on both sleep and mental health. This study is the first to examine the relationship between population-weighted ALAN and sleep and mental health outcomes while accounting for economic endogeneity, offering a comprehensive view of ALAN's impact on health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103504"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481366","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 tobacco retailer counts by zoning designations and sociodemographic characteristics in Oklahoma City and Tulsa, Oklahoma","authors":"Lily Herbert ,&nbsp;Daniel P. Giovenco ,&nbsp;Iván Flores ,&nbsp;Meng Chen ,&nbsp;Bryce C. Lowery ,&nbsp;Elizabeth Chery-Mullen ,&nbsp;Mark Meaney ,&nbsp;Amanda Y. Kong","doi":"10.1016/j.healthplace.2025.103496","DOIUrl":"10.1016/j.healthplace.2025.103496","url":null,"abstract":"<div><div>Living in a neighborhood with a high count of tobacco retailers (i.e., tobacco retailer availability, TRA) is associated with youth and adult tobacco use behaviors. As such, policies that reduce TRA have been identified as an important intervention for reducing tobacco use and achieving an equitable tobacco endgame. Zoning regulations could be leveraged as an innovative policy tool to reduce inequities in TRA, especially in states that may preempt local tobacco retail licensing. This study analyzed TRA inequities by zoning designations and sociodemographic characteristics in Oklahoma City and Tulsa (Oklahoma, USA) in 2023. We obtained locations of all licensed tobacco retailers in OKC and Tulsa and downloaded spatial zoning files containing all zoning designations (e.g., C-3, Community Commercial). We created quintiles of 2019–2023 American Community Survey census tract ethnic, racial, and socioeconomic characteristics. We spatially joined these data and calculated the total count of tobacco retailers within zoning designations and across all census tracts. To identify zoning-based inequities, we fit linear regression models examining associations between sociodemographic quintiles of census tracts and the total count of tobacco retailers in each zoning designation in a tract. Across both cities, tobacco retailer counts were generally higher in neighborhoods with greater percentages of Black and Hispanic or Latine residents, lower percentages of White residents, higher income inequality, lower median household income, and higher percentages of residents living below the federal poverty line.</div><div>Among tracts with commercial zones near residential areas, tracts with the highest (vs. lowest) percentage of residents living below the federal poverty line had 1.4 more retailers (SE, 0.3, p &lt; 0.001) in OKC. This pattern was similar in Tulsa though not significant. In contrast, TRA in tracts with commercial zoning near residential areas was lower in tracts with the highest (vs. lowest) percentage of White residents (OKC: B = −1.1; SE, 0.3, p &lt; 0.01; Tulsa: B = −3.0; SE, 0.8, p &lt; 0.001) and highest (vs. lowest) median household income (OKC: B = −1.4; SE, 0.3, p &lt; 0.001; Tulsa: B = −1.9; SE, 0.8, p &lt; 0.05). For places that are prohibited from implementing licensing-based policies to reduce TRA, zoning laws may be the only viable policy approach to reducing TRA, which may also reduce inequities in tobacco use, promoting health equity.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103496"},"PeriodicalIF":3.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306516","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":"Is neighborhood sense of community good for mental health in a pandemic? Paradoxical findings from longitudinal analyses of Wisconsin health survey","authors":"Eunice Y. Park ,&nbsp;Jodi H. Barnet ,&nbsp;Kristen C. Malecki ,&nbsp;Thomas R. Oliver","doi":"10.1016/j.healthplace.2025.103494","DOIUrl":"10.1016/j.healthplace.2025.103494","url":null,"abstract":"<div><div>Social capital is known to function as a protective buffer during disasters and crises. This study examines the relationship between neighborhood-level sense of community–a social capital indicator–and mental health before and after widespread COVID-19 vaccine distribution. It uses health survey data from community-dwelling adults in Wisconsin (n = 2048), a series of longitudinal analyses (Generalized Estimating Equation), adjusting for demographic and socioeconomic status, between neighborhood sense of community and mental health across two timepoints. Before the vaccines, participants with strong sense of community showed significantly lower prevalence of symptoms of depression (PR = 0.81; 95 % CI = 0.70, 0.94; p = 0.004) and anxiety (PR = 0.88; 95 % CI = 0.79, 0.99; p = 0.03), compared to participants with neutral sense of community. After the vaccines, however, the protective effect drastically diminished for both depressive symptoms (PR for interaction = 1.76; 95 % CI = 1.38, 2.25; p &lt; 0.001) and anxiety symptoms (PR for interaction = 1.42; 95 % CI = 1.16, 1.73; p &lt; 0.001). This study yields intriguing and somewhat paradoxical findings that challenge a conventional assumption that social capital–as measured by sense of community at the neighborhood level–protects people during an infectious disease outbreak. The results highlight that neighborhood-level sense of community functioned as a protective buffer early in the pandemic but offered significantly less protection once there was a sense of normalcy with loosened pandemic restrictions and more in-person socializing. Such nuanced results offer insights on the multifaceted nature of social capital, particularly complex and dynamic role of neighborhood sense of community, which may provide insights for future interventions during challenging times.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103494"},"PeriodicalIF":3.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306604","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":"Connecting to home in transitional accommodation: Exploring the perspectives of people with mental health issues in Hong Kong","authors":"Jialiang Cui,&nbsp;Jialing Wu","doi":"10.1016/j.healthplace.2025.103500","DOIUrl":"10.1016/j.healthplace.2025.103500","url":null,"abstract":"<div><div>For people with mental health issues (MHIs), the experience of being at home is widely recognised as a universal aspiration. Yet, research on home in the mental health context has largely marginalised the role of transitional accommodation. This paper examines how residents construct the idea of home and how homelike qualities are enacted and sustained in transitional accommodation in Hong Kong, where such services remain the primary response to the (temporary) housing needs of people with MHIs. With the support of a panel of experts with lived experience of MHIs and transitional accommodation, we conducted in-depth interviews using both visual and verbal methods with 60 residents across 16 hostels. Findings revealed that external, relational, and socially connected qualities of home were more likely to be prioritized by residents. Participant accounts also reflected a broad continuum in how transitional accommodation is perceived in relation to home, ranging from full acceptance to firm rejection. Four themes, including safety risk coming from inside, spaces for extending family connection, dimensional interpretations of personal space, and living with a diminished sense of ownership, are discussed, highlighting the influence of personal, socio-cultural, and political contexts in the homemaking process. The paper underscores the need for more culturally and contextually sensitive research on at-homeness and offers insights into improving the design and delivery of transitional accommodation services.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103500"},"PeriodicalIF":3.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272271","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}