Health & Place最新文献

{"title":"Knowledge, attitudes, and support of women's menstrual experiences: A cross-sectional survey of men in Kampala, Uganda","authors":"Madeleine Patrick ,&nbsp;Nicole Stephan ,&nbsp;Thea Mink ,&nbsp;Tanushree Bhan ,&nbsp;Barbra Mary Aine ,&nbsp;Nabutuwa Viola Matanda ,&nbsp;Amelia Conrad ,&nbsp;Sheela S. Sinharoy ,&nbsp;Bethany A. Caruso","doi":"10.1016/j.healthplace.2025.103439","DOIUrl":"10.1016/j.healthplace.2025.103439","url":null,"abstract":"<div><div>Menstruation has received growing attention in public health research, particularly among adolescents in schools. However, fewer studies have engaged adult men. This secondary analysis (1) assessed alignment between men's perceptions of women's menstruation practices and women's actual practices; 2) examined associations between men's demographic characteristics and their perception of menstruation-related communication norms, and 3) assessed if men's perceptions of these norms are associated with their support of menstruating women or girls in their household.</div><div>Cross-sectional data were collected via household survey from men (n = 344) and women (n = 297) in Kampala, Uganda in 2022. Outcomes were two norms questions on the appropriateness of discussing menstruation in public and in front of men. We used a combination of Poisson and Firth's regressions. Presence of a menstruator in the household was positively associated with men's perception that it is acceptable to discuss menstruation in front of men (PR: 1.37; 95% CI: 1.07, 1.76; p &lt; 0.01) or in public (PR: 1.12, 95% CI: 1.12, 2.46; p &lt; 0.01). Supportive norms were associated with supportive behaviors; men who agreed that women may discuss menstruation in public and in front of men were more likely to report a willingness to talk to women about menstruation-related problems (PR = 1.75, 95% CI: 1.38, 2.22; p &lt; 0.001). Our findings support the need for norms change to reduce stigma around discussing menstruation. Programs aiming to improve menstrual health should consider men's knowledge of menstruation, their role in the household environment around menstruation, and how norms may contribute to how they support menstruators in their households.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103439"},"PeriodicalIF":3.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706268","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":"Air pollution exposure and incidence of cardiometabolic diseases: Exploring the modifying role of dietary antioxidant intake in adults","authors":"Shradha Mishra ,&nbsp;Ilonca Vaartjes ,&nbsp;Yvonne T. van der Schouw ,&nbsp;Esmée M. Bijnens ,&nbsp;Jolanda M.A. Boer ,&nbsp;George S. Downward ,&nbsp;Roel C.H. Vermeulen ,&nbsp;W. Monique M. Verschuren ,&nbsp;Tim S. Nawrot ,&nbsp;Erik J. Timmermans","doi":"10.1016/j.healthplace.2025.103453","DOIUrl":"10.1016/j.healthplace.2025.103453","url":null,"abstract":"<div><div>While the antioxidative potential of certain vitamins and minerals in cardio-protection has garnered increasing interest, their ability to attenuate associations between air pollution exposure and cardiometabolic diseases (CMDs) remains unexplored. This study examined the associations of air pollution (particulate matter including ultrafine particles (UFP), and nitrogen oxides, including NO₂ and NO_x) and six dietary antioxidants with incident non-fatal CMDs in 30,519 EPIC-NL study participants. Data on CMD incidence (total cardiovascular disease (CVD), acute myocardial infarction (AMI), coronary heart disease (CHD) and heart failure (HF)) and Type 2 Diabetes Mellitus (T2DM) diagnoses were obtained from medical registries. Annual average ambient concentrations of air pollutants at the participants’ baseline residential addresses were predicted using land use regression models. Dietary intake of antioxidants was assessed via a food frequency questionnaire. Multivariable Cox regression models were used to explore associations. Exposures to NO₂ and UFP were associated with elevated HF risk (Hazard Ratio (HR) (95 % CI): 1.24 (1.00, 1.54) and 1.69 (1.04, 2.76), respectively). Higher beta-carotene intake was associated with reduced risk of total CVD and CHD incidence (HR (95 % CI): 0.94 (0.89, 0.99) and 0.92 (0.84, 0.99), respectively), whereas, in general, antioxidant intake was positively associated with incident T2DM. Interaction analyses indicated some variability in CMD risk by antioxidant intake, but none of these interactions remained significant after correcting for multiple comparisons. These findings indicate that the associations of air pollution with incident CMD do not differ by dietary antioxidant intake.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103453"},"PeriodicalIF":3.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682671","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":"Accelerated molecular aging in socioeconomically disadvantaged neighborhoods: A racial/ethnic comparison","authors":"Jennifer W. Robinette ,&nbsp;Jennifer A. Smith","doi":"10.1016/j.healthplace.2025.103446","DOIUrl":"10.1016/j.healthplace.2025.103446","url":null,"abstract":"<div><div>In the US, racial/ethnic health disparities are undeniable. These disparities partially stem from residing in low socioeconomic neighborhoods, a circumstance to which racial/ethnic minorities are disproportionately exposed. Associations between socioeconomic status (SES) and health may have some underlying molecular mechanisms reflected in the epigenome. Yet, a growing body of research suggests that neighborhood characteristics are not experienced the same way for individuals from differing racial/ethnic backgrounds. The present study evaluated associations between area-based SES and epigenetic age as assessed by the Horvath, Hannum, PhenoAge, and GrimAge epigenetic clocks in a national sample of older non-Hispanic White, non-Hispanic Black, and Hispanic participants. The present study used epigenetic age data from 3790 participants in the 2016 wave of the Health and Retirement Study and census tract SES data from the 2012–2016 American Community Survey. Four epigenetic clocks were regressed on area-based SES, adjusting for age, sex, and educational attainment. Although area-based SES was not significantly associated with Horvath or Hannum clocks, living in lower SES census tracts was associated with older PhenoAge and GrimAge. After considering smoking status, however, only the association with GrimAge remained. Investigating interactions with race/ethnicity suggested that area-based SES was more strongly associated with accelerated Hannum, PhenoAge, and GrimAge among non-Hispanic White participants than for other racial/ethnic groups. These racial/ethnic differences were completely reduced, however, in models that included smoking status. The present results illuminated racially/ethnically distinct patterns of biological (epigenetic aging) and behavioral (smoking) risk for poor health, and suggested that ameliorating low area-based SES may be beneficial for racially/ethnically diverse populations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103446"},"PeriodicalIF":3.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631725","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":"Exploring socio-ecological factors that influence the use of urban greenspace: A case study of a deprived ethnically diverse community in the UK.","authors":"Erica Jane Cook ,&nbsp;Alfredo Gaitan ,&nbsp;Izobella Kabasinguzi ,&nbsp;Abby Moffat ,&nbsp;Gurch Randhawa ,&nbsp;Faye Powell ,&nbsp;Nasreen Ali","doi":"10.1016/j.healthplace.2025.103437","DOIUrl":"10.1016/j.healthplace.2025.103437","url":null,"abstract":"<div><div>Urban greenspaces are considered an important health asset associated with improved population health and well-being. However, inequalities in access to and use of the outdoors continue to exist, particularly among low-income and minority ethnic populations. Following a socio-ecological approach, this study aimed to investigate the individual, interpersonal, and environmental factors that influence the use of greenspaces among an ethnically diverse community in the UK and explore strategies to increase use. A mixed-methods cross-sectional community survey was conducted between March and June 2022 with residents of two ethnically diverse towns situated in Southeast England, UK. Data were collected on factors that influence greenspace use alongside demographic information on age, ethnicity, and social deprivation. An open-ended question explored respondents’ views on strategies to increase engagement with greenspaces. The survey was completed by 906 participants aged between 16 and 94 (60.7% female; 94.5% non-white British). The findings revealed that age, gender, perceived importance of using greenspaces, awareness of greenspaces, and the natural environment were all significant predictors of greenspace use. Qualitative evidence supported these findings and provided useful strategies for increasing access. The findings have provided an increased understanding of the factors that influence greenspace use and suggest that to improve access. There is a clear need to improve the quality of the available green spaces, making them safe and visually appealing to the local communities they serve. Increasing awareness and providing more opportunities for social and intergenerational interaction were also considered important strategies for increasing use.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103437"},"PeriodicalIF":3.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621511","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":"When the basic seems like a luxury: Menstrual friendly public toilets in six cities","authors":"Sarah C. Blake ,&nbsp;Kim J. Hopper ,&nbsp;Angela-Maithy Nguyen ,&nbsp;Andrew R. Maroko ,&nbsp;Natalie Wyss ,&nbsp;Elli Sugita ,&nbsp;Natalia Fazzioni ,&nbsp;Helen V.S. Cole ,&nbsp;Marian Fe Theresa C. Lomboy ,&nbsp;Ernesto R. Gregorio ,&nbsp;Justine Bukenya ,&nbsp;Eva Polio ,&nbsp;Marni Sommer","doi":"10.1016/j.healthplace.2025.103436","DOIUrl":"10.1016/j.healthplace.2025.103436","url":null,"abstract":"<div><h3>Background</h3><div>Public toilets are an important resource for securing gender equitable access to public space, but they are neglected across global contexts. This qualitative study explored the status, opportunities and challenges to creating menstrual friendly public toilets (MFPTs) in six cities: Barcelona, Kampala, Manila, New York City, Osaka, and Rio de Janeiro.</div></div><div><h3>Methods</h3><div>We conducted key informant interviews (KIIs) representing public, private, and non-governmental organizations familiar with public toilets or menstrual health and equity advocacy in their respective cities. Interviews covered various topics related to the quality and priority of public toilets, status of menstruation-related provisions, and opportunities and challenges for creating menstrual friendly public toilets. We conducted thematic analysis of interview transcripts to identify overarching emerging themes and their city-specific implications.</div></div><div><h3>Results</h3><div>Three themes emerged: 1) “Menstrual friendly public toilet” is a compelling concept 2) Bureaucratic complexity and low priority for public toilets present barriers to MFPTs; and 3) Connecting menstrual stigma and public toilet inadequacy are advocacy opportunities.</div></div><div><h3>Discussion</h3><div>Despite variations in resourcing, infrastructure, and priorities for public sanitation across cities, the idea of an MFPT prompted a common reflection on the inequities inherent in deficiencies in public toilet infrastructure; challenges posed by the combination of complicated public toilet decision-making and under-resourcing; and menstrual stigma. Mobilizing action around the shared need to improve public toilets and defining concrete context-specific features of an MFPT are common strategic priorities.</div></div><div><h3>Conclusion</h3><div>Findings highlight the value of the concept of an MFPT and its potential to contribute to improving gender equitable access to urban public spaces through investments in sanitation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103436"},"PeriodicalIF":3.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621510","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":"Variation in U.S. county-level cardiovascular disease death rates by measure of rural-urban status","authors":"Kara B. Beck ,&nbsp;Michele L. Casper ,&nbsp;Adam S. Vaughan","doi":"10.1016/j.healthplace.2025.103431","DOIUrl":"10.1016/j.healthplace.2025.103431","url":null,"abstract":"<div><div>This study examined variation in county-level cardiovascular disease (CVD) death rates among adults aged 35–64 years using four measures of rural-urban status: Urban Influence Codes, Rural-Urban Continuum Codes (RUCC), National Center for Health Statistics Urban-Rural Classification Scheme, and Core-Based Statistical Areas. We estimated 2021 CVD death rates and used Poisson regression models to calculate rate ratios (RR) for full and dichotomized rural-urban measures. All measures identified the largest RR in the middle of the rural-urban spectrum. RUCC demonstrated patterns by population size and adjacency. RR magnitude varied across dichotomization methods. These findings demonstrate complexity underlying rural-urban differences and can guide public health practice.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103431"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of neighborhood walkability and food environment with incident cardiovascular disease in The Maastricht Study","authors":"Jeffrey Alexander Chan ,&nbsp;Rachelle Meisters ,&nbsp;Jeroen Lakerveld ,&nbsp;Miranda T. Schram ,&nbsp;Hans Bosma ,&nbsp;Annemarie Koster","doi":"10.1016/j.healthplace.2025.103432","DOIUrl":"10.1016/j.healthplace.2025.103432","url":null,"abstract":"<div><div>Built environmental determinants can drive lifestyle behaviors and potentially reduce chronic disease prevalence. Few studies exist that have examined the association of obesogenic environment exposures with cardiovascular disease (CVD) outcomes. We aim to specifically examine the association between neighborhood walkability, food environment and CVD. Data from 6117 Dutch participants of The Maastricht Study, between the ages of 40 and 75 years in the Netherlands were examined. Home addresses were linked to geographic information systems data from the Geoscience and Health Cohort Consortium to create neighborhood exposures of walkability and food environment. Perceived walkability was obtained from the Abbreviated Neighborhood Environment Walkability Scale. An 11-year incidence of CVD was defined by self-reported non-fatal or fatal event (as registered by Statistics Netherlands). Cox regression models examined the association of environment exposures with incident CVD adjusted for demographic and socioeconomic variables. There was lower incidence of CVD using the perceived walkability questionnaire in those living in the most walkable neighborhood (Quartile 4 HR: .77; 95% CI = .62, .97) but not using the objective walkability index (Quartile 4 HR: 1.10; 95% CI = .89, 1.38). There was no association between the food environment and incident CVD (Quartile 4 HR: .82; 95% CI = .65, 1.04). The discordant findings between walkability measures suggest integrating residential feedback and accounting for lived experiences should be prioritized by policymakers when designing equitable neighborhoods to prevent CVD.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103432"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526917","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":"Exploring relationships between household crowding and health in two First Nations communities","authors":"Shannon Hyslop ,&nbsp;Shelley Kirychuk ,&nbsp;Chandima P. Karunanayake ,&nbsp;Wanda Martin ,&nbsp;Donna Rennie ,&nbsp;Lori Bradford ,&nbsp;Vivian R. Ramsden ,&nbsp;Brooke Thompson ,&nbsp;Clarice Roberts ,&nbsp;Jeremy Seeseequasis ,&nbsp;Kathleen McMullin ,&nbsp;Mark Fenton ,&nbsp;Sylvia Abonyi ,&nbsp;Punam Pahwa ,&nbsp;James A. Dosman","doi":"10.1016/j.healthplace.2025.103441","DOIUrl":"10.1016/j.healthplace.2025.103441","url":null,"abstract":"<div><div>Lasting results of federal government influence for housing on-reserve include challenges with housing quantity and quality. Some First Nations communities face distressing housing shortages and household crowding. This study used a cross-sectional survey and the Canadian National Occupancy Standard definition of crowding to explore how household crowding affects health of people living on-reserve. and. First Nations Peoples from two reserve communities in Saskatchewan participated, a total of 831 individuals 18 years and older from 379 households. Household crowding and reports of respiratory diseases were high. The household crowding measure was significantly associated with chronic bronchitis. A culturally appropriate lens and more context are needed to understand household crowding on-reserve.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103441"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577364","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":"Exploring neighborhood transformations and community gardens to meet the cultural food needs of immigrants and refugees: A scoping review","authors":"Elizabeth Onyango,&nbsp;Destiny Otoadese,&nbsp;Keji Mori,&nbsp;Nkechinyere Chinedu-Asogwa,&nbsp;Joyce Kiplagat,&nbsp;Binita Jirel","doi":"10.1016/j.healthplace.2025.103433","DOIUrl":"10.1016/j.healthplace.2025.103433","url":null,"abstract":"<div><div>International migration is contributing to changes in the sociocultural and the economic landscapes of many cities in the world. As part of the changes in cities, we are witnessing an increased use of community gardens as spaces for wellbeing restoration, for social connection, and for addressing the challenge of food insecurity, particularly cultural food insecurity. Cultural food security is one major under-recognized issue, yet is pivotal to address given its role in positively supporting immigrants’ settlement and health. However, there is lack of comprehensive evidence of how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Our scoping review explored evidence from existing literature on how neighborhoods are changing to accommodate community gardens (CG) as a novel means to address cultural food insecurity among immigrant communities and support place-making and resettlement. Our literature search identified several areas of transformations including the different kinds of community gardens that have emerged, the associated physical, social, cultural, environmental, economic, and policy changes that have been reported in other countries in the Global North. The review also identified multifold benefits of CG in this regard, including benefits to health and wellbeing – the physical (i.e. nutrition and physical activity), mental (e.g., a place for healing for immigrants fleeing war-torn countries, domestic violence, trauma; fostering a connection to the land in new environments via place-making), and social (e.g., fostering community connections and cultural knowledge exchange). Despite the known benefits of community gardens to immigrants' health and wellbeing, there remains a lack of comprehensive evidence in Canada on how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Such studies will serve as sources of evidence for novel ideas to address the cultural food needs and food insecurity of immigrant communities, which is becoming a growing public health concern.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103433"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549601","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":"Policymaker and stakeholder perspectives on determinants of fertility decisions through changing environmental and economic conditions in Greenland","authors":"Malory Peterson ,&nbsp;Augustine Rosing ,&nbsp;Gitte Adler Reimer ,&nbsp;Christina VL. Larsen ,&nbsp;Julia Haggerty ,&nbsp;Mark Schure ,&nbsp;Elizabeth Rink","doi":"10.1016/j.healthplace.2025.103443","DOIUrl":"10.1016/j.healthplace.2025.103443","url":null,"abstract":"<div><div>This study explored linkages between natural resources and determinants of fertility decisions in Greenland. Interviews were conducted with 26 policymakers and key stakeholders in two communities about climate adaptation, hunting and fishing, economic development, and fertility and reproductive health. Participants link fertility outcomes to disparate community socioeconomic circumstances that affect individual access to education and financial mobility. Workforce and education challenges in Greenland limit ability to expand culturally grounded reproductive healthcare. Coordinating healthcare, education, and housing policy may improve material resources to support fertility decisions in Greenland. We contextualize drivers of fertility decisions within Greenland's climate adaptation policy options.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103443"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600859","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}