Scandinavian Journal of Public Health最新文献

{"title":"Adolescent friendships and their impact on self-rated health in early adulthood. A prospective cohort study.","authors":"Trine N Winding, Jim Bøjstrup, Stine Christensen","doi":"10.1177/14034948251337336","DOIUrl":"https://doi.org/10.1177/14034948251337336","url":null,"abstract":"<p><strong>Aims: </strong>The study aimed to examine the association between adolescent friendships (ages 15 and 18 years) and self-rated health in early adulthood (age 29 years).</p><p><strong>Methods: </strong>The study population consisted of participants from the West Jutland cohort study who reported on their close friendships at ages 15 and 18 years, and self-rated health at age 29 years. The presence of at least one close friend and self-rated health were assessed through questionnaires, and self-rated health was dichotomized as either high or low. Logistic regression analyses were adjusted for sex, family functioning, income, and parental education.</p><p><strong>Results: </strong>Findings indicate that 89% of participants at age 15 years and 92% at age 18 years reported having close friends. The presence of close friendships at age 15 was significantly associated with higher self-rated health at age 29 years (odds ratio 1.9, 95% confidence interval 1.1-3.2). However, the association for friendships at age 18 years was not statistically significant. Experiencing close friendships at both ages 15 and 18 years showed a tendency toward an associated with self-rated health, but the association was not statistically significant (2.0, 95% confidence interval 0.6-6.6). Sensitivity analysis revealed that altering the self-rated health threshold weakened associations.</p><p><strong>Conclusions: </strong>\u0000 <b>This study emphasizes the importance of adolescent friendships for long-term health. While the association was strongest at age 15 years, the findings underscore the need for further research into friendship quality and its lasting impact on health outcomes. The study highlights the importance of close friendships, advocating for interventions to promote social connections and reduce loneliness during this critical period.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251337336"},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do community-dwelling adults aged 70 and older have someone to rely on for help when needed? A Trøndelag Health Study (HUNT).","authors":"Bjørn Heine Strand, Ellen Melbye Langballe","doi":"10.1177/14034948251338678","DOIUrl":"https://doi.org/10.1177/14034948251338678","url":null,"abstract":"<p><strong>Aims: </strong>Independent living among older adults is a global political goal aimed at reducing government spending on health and care services. This study investigates the prevalence of having someone to rely on for help when needed among community-dwelling adults aged 70 and older.</p><p><strong>Methods: </strong>The study sample comprised population-based data from 24,289 adults aged 70 or older participating in the Trøndelag Health Study (HUNT4). Standardized prevalence of having someone to rely on for help if needed in total, and from family, friends, or neighbors was estimated using Trøndelag county as the standard population. Prevalences were additionally stratified by gender, age, living situation, activities of daily living (ADL), and utilization of home-based services.</p><p><strong>Results: </strong>Standardized results showed that overall, 97.3% reported having someone to ask for help if needed, of whom 92.5% relied on family, 31.7% on friends, 23.1% on neighbors. The youngest men living alone had fewer to rely on compared to those living with others. Moreover, living alone was associated with relying less on family and more on friends and neighbors. Factors associated with relying on family members were female gender, younger age, cohabitation, no ADL problems, and no home-based services. Along with education, these factors also correlated with relying on friends for help.</p><p><strong>Conclusions: </strong>\u0000 <b>Nearly all those aged 70 and older in Norway have someone to ask for help, which is positive for aging in place policies. However, those living alone, especially men, are at a higher risk of not having anyone to rely on for help when needed.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251338678"},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoking among immigrants in Norway: a cross-sectional study.","authors":"Marte K R Kjøllesdal, Thor Indseth","doi":"10.1177/14034948231221178","DOIUrl":"10.1177/14034948231221178","url":null,"abstract":"<p><strong>Background: </strong>Smoking among immigrants varies by country background and is high in some groups. More detailed information about smoking prevalence by country background and sociodemographic factors is needed to target interventions.</p><p><strong>Methods: </strong>Data from the Survey on Living Conditions among immigrants 2016 were used, including immigrants from 12 countries and with ⩾2 years of residence (<i>N</i> = 3565). Data on smoking (daily and occasional) by country of birth, sex, age group, education, duration of residence, age at immigration, proficiency in the Norwegian language, and social support were reported.</p><p><strong>Results: </strong>The highest proportions of daily smokers were seen among immigrants from Turkey (36%), Poland (34%), and Vietnam (29%) for men, and from Turkey (22%), Bosnia-Herzegovina (18%), and Poland (17%) for women. Differences in smoking by sociodemographic factors varied with country background, but for several groups of men, the lowest proportions of smokers were seen among those with the highest educational level, those who were employed, and those who immigrated during childhood or adolescence.</p><p><strong>Conclusions: </strong>\u0000 <b>Policies are warranted that target smoking among immigrant men in general, and particularly among men from Turkey, Poland, and Vietnam, as well as for women from Turkey, Bosnia-Herzegovina, and Poland.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"233-241"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult offspring's education and parental mortality: A nationwide cohort study of the mediating role of lifestyle-related diseases.","authors":"Mathilde M B Sloth, Emma Neble Larsen, Jimmi Mathisen, Charlotte J Nilsson, Merete Osler, Terese S H Jørgensen","doi":"10.1177/14034948241234711","DOIUrl":"10.1177/14034948241234711","url":null,"abstract":"<p><p><i>Aim:</i> The mechanisms behind the association between adult offspring's socioeconomic position and their parents' mortality are not well understood. This study investigates lifestyle-related diseases as a potential mediating pathway between adult offspring's education and parental mortality. <i>Methods:</i> This nationwide register-based cohort study consists of 963,742 older adults aged 65 years between 2000 and 2018. Lifestyle-related diseases were measured between 60 and 65 years and those with prior lifestyle-related diseases were excluded. Natural Effect Models were performed to assess potential mediation through lifestyle-related diseases of the association between offspring's education and parental mortality measured by additive hazard estimates with 95% confidence intervals (CIs). <i>Results:</i> Between 60 and 65 years, 150,501 (15.6%) older adults were diagnosed with lifestyle-related diseases and 149,647 (15.5%) died during follow-up. Compared with having offspring with long education, short education was associated with 631 (95% CI: 555; 707) and 581 (95% CI: 525; 638) additional deaths per 100,000 person-years for women and men, respectively, of which 15.4% (95% CI: 9.0; 21.6) and 16.8% (95% CI: 14.6; 18.9) were mediated by lifestyle-related diseases. The corresponding numbers for medium education were 276 (95% CI: 205; 347) and 299 (95% CI: 255; 343) with 26.2% (95% CI: 12.0; 40.6) and 27.6% (95% CI: 25.1; 31.8) mediated by lifestyle-related diseases. <b><i>Conclusions:</i> Lifestyle-related diseases accounted for 15-28% of the association between offspring's education and parental mortality for both men and women.</b></p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"258-267"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children as next of kin's experiences, practices, and voice in everyday life: a systematic review of studies with Norwegian data (2010-2022).","authors":"Borgunn Ytterhus, Marit Hafting, Vibecke Ulvær Vallesverd, Eli Marie Wiig, Ellen Katrine Kallander, Marianne Vibeke Trondsen","doi":"10.1177/14034948241232040","DOIUrl":"10.1177/14034948241232040","url":null,"abstract":"<p><p><b>Aims:</b> This systematic review aims to identify and describe how children of parents with mental illness, substance dependence, or severe physical illness/injury, experience and practise their everyday life. <b>Methods:</b> The review followed the four stepwise recommendations of Harden and colleagues when including quantitative and qualitative studies on peoples' experiences and views. In all, 23 studies with data from Norway (2010-2022) have been included. Brown and Clark's thematic analysis was applied. <b>Results:</b> Three themes were constructed from the reviewed articles: (a) Children practice their relational agency by actively doing practical tasks, occasionally jobs to maintain family economy, and organising fun activities with the ill parent. (b) Emotional ambivalence when their own needs were set aside in favour of the parents. They loved their parents but also felt guilt, anger, disappointment, shame, fear of inheriting the illness and longed for a 'normal' everyday life. (c) Supportive contextual factors were, for example, at least one significant adult recognising them, participating in leisure activities, socialising with friends, and talking with other peers who shared similar experiences as next of kin. Obstructive factors were lack of information and recognition as well as silence and lack of dialogue within the family and/or health professional. <b>Conclusions:</b> <b>There is a strong need for more knowledge and competence on the situation and needs of these children when it comes to professionals, parents and the public. Public health initiatives are needed to honour their agency and recognise their contributions in present time to prevent psychosocial problems later in life.</b></p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"311-329"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality and causes of death among long-term care residents in Helsinki, Finland 2017-2021, a longitudinal cohort study.","authors":"Lara Kuokkanen-Estrada, Hanna-Maria Roitto, Ulla L Aalto, Satu K Jyväkorpi, Riitta K T Saarela, Hannu Kautiainen, Kaisu H Pitkälä","doi":"10.1177/14034948251331314","DOIUrl":"https://doi.org/10.1177/14034948251331314","url":null,"abstract":"<p><strong>Aims: </strong>Knowledge about mortality and causes of death is needed to improve the quality of end-of-life care in long-term care (LTC). This study aimed to investigate mortality and causes of deaths in LTC. We explored how age, sex, and having dementia at baseline were associated with the standardized mortality ratio (SMR) and causes of death.</p><p><strong>Methods: </strong>Participants comprised residents (<i>N</i> = 2513) living in LTC facilities in Helsinki, Finland in March 2017. Background data on demographics, diagnoses, and medications were retrieved from medical charts. Causes of death were retrieved from the Finnish Cause of Death Register for deaths that were registered up to 31 December 2021.</p><p><strong>Results: </strong>Of the 2513 participants, 2033 died during follow-up. All-cause SMR was 3.31 (95% CI 3.17-3.46) compared with the same-aged general population in Finland. SMR for men was 4.33 (95% CI 3.98-4.70), for women was 3.05 (95% CI 2.90-3.20), and for residents younger than 70 years 13.80 (95% CI 11.17-17.05). SMR decreased linearly with age. There was no difference in SMR among those with and without dementia. For both sexes the most common cause of death was dementia (67.0%), followed by cardiovascular disease (CVD; 15.9%), neurological diseases (5.2%), and cancer (3.1%). The most common cause of death in residents with dementia was dementia (77.7%), whereas in residents without dementia it was CVD (36.0%).</p><p><strong>Conclusions: </strong>\u0000 <b>Male sex and younger age were associated with a higher SMR. Residents most frequently died of dementia. End-of-life care in LTC needs to be tailored to meet the needs of people with dementia.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251331314"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The intensity of informal caregiving and its implications for older caregivers: a national survey in Sweden.","authors":"Mariam Kirvalidze, Elizabeth Hanson, Lennart Magnusson, Lena Dahlberg, Anders Wimo, Lucas Morin, Amaia Calderón-Larrañaga","doi":"10.1177/14034948251335113","DOIUrl":"https://doi.org/10.1177/14034948251335113","url":null,"abstract":"<p><strong>Background: </strong>Informal caregiving is a crucial-albeit often invisible-part of the support system that enables older people with chronic diseases, disability, or age-related conditions to live in the community. However, providing informal care can affect caregivers' lives.</p><p><strong>Aims: </strong>To explore 1) the level of care intensity among older caregivers, 2) the relationship between the intensity of caregiving and the negative experiences reported by caregivers, and 3) the variations in unmet support needs depending on the intensity of caregiving.</p><p><strong>Methods: </strong>Between May and September 2023, we conducted a national representative survey to map informal caregivers in Sweden. A total of 25,776 older adults aged ⩾65 years were sampled. Marginal probabilities were calculated to obtain results adjusted for age, sex, and level of education.</p><p><strong>Results: </strong>A total of 15,129 people aged ⩾65 years responded to the survey (58.7%), of which 2157 were informal caregivers (14.3%). During a typical week, 68.6% of caregivers provided 1-10 h of informal care, 14.6% provided 11-29 h, and 16.8% provided at least 30 h of care. Women (63.1%) and caregivers aged ⩾75 years (64.1%) were overrepresented in the group providing high-intensity informal care. A higher intensity of care was related to reporting more negative experiences and worse health, as well as to experiencing more unmet support needs.</p><p><strong>Conclusions: </strong>While most older informal caregivers reported low-intensity engagement and overall good satisfaction with their situation, a non-negligible fraction provides high-intensity help and has unmet needs that should be addressed by targeted interventions rather than one-size-fits-all policies.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251335113"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing smoking initiation in adolescents living in vulnerable socioeconomic conditions: Study protocol of the KickAsh!-intervention.","authors":"Babette Demeester, Maïté Verloigne, Sara Willems, Kenji Leta, Emelien Lauwerier","doi":"10.1177/14034948241236232","DOIUrl":"10.1177/14034948241236232","url":null,"abstract":"<p><strong>Aims: </strong>Adolescents living in vulnerable socioeconomic conditions are confronted with tobacco-related health disparities. As school-based interventions appear to be less effective among these youngsters, other approaches are necessary. One promising avenue is youth social work settings that offer sport and recreational activities (SR-settings). SR-settings have been examined as a levering context for health promotion, but evidence regarding smoking prevention is currently lacking.</p><p><strong>Methods: </strong>This study describes the protocol of a non-randomised cluster controlled trial evaluating a smoking prevention intervention for adolescents. At least 24 SR-settings are needed for the intervention and control group. A mixed-method design will be used. Quantitative measures will be used to assess effectiveness, involving validated questionnaires on smoking initiation behaviour and influencing factors (i.e. attitude, self-efficacy, social influence and risk perception). In addition, feasibility will be assessed with regard to intervention fidelity, dose and reach. Data will be collected at baseline, three and nine months following the intervention. To gain deeper understanding on the impact and underlying processes of the intervention, we will conduct qualitative interviews with users (adolescents) and implementers (youth workers within the SR-settings) of the intervention.</p><p><strong>Conclusions: </strong>Conducting this trial will offer novel insights into the effectiveness of a smoking prevention intervention designed for adolescents living in vulnerable socioeconomic conditions. A mixed-method design will enable to measure impact, implementation and underlying processes of the intervention. Overall, this design will enhance our understanding on the suitability of SR-settings as contexts for smoking prevention initiatives targeting hard-to-reach youth. This trial is registered on Clinicaltrials.gov: NCT05920772.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"330-341"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shushing the press shortens lives: cross-national evidence of the impact of press freedom on life expectancy.","authors":"Qiang Li, Chung-Ping A Loh, Yuli Ye","doi":"10.1177/14034948231178879","DOIUrl":"10.1177/14034948231178879","url":null,"abstract":"<p><strong>Aims: </strong>Press freedom around the globe has deteriorated over the past decade, especially during the COVID-19 pandemic. This paper explores the effect of press freedom, as a cornerstone of democracy, on life expectancy.</p><p><strong>Methods: </strong>Exploring cross-country data, we use the ordinary least square method to estimate the association between press freedom and life expectancy. In addition, we adopt three novel instrumental variables to explore the causal relationship.</p><p><strong>Results: </strong>Our estimations indicate that a freer press leads to higher life expectancy, and the effect exists independently of the level of democracy. In addition, the effect of continuous exposure to press freedom is stronger than sporadic free press status. The results are robust to measurement errors, influential outliers, and country-specific heterogeneity.</p><p><strong>Conclusions: </strong><b>This study reveals the fundamental role of press freedom in promoting public health that was previously underexplored. Therefore, enhancing freedom of expression can be an effective tool to address three of the United Nations Millennium Development Goals, that is, reduce under-five mortality, improve maternal health, and combat HIV/AIDS.</b><b>JEL:</b>I1 H7 D02.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"225-232"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust and easy access to home care staff are associated with older adults' sense of security: a Swedish longitudinal study.","authors":"Rose-Marie Johansson-Pajala, Moudud Alam, Annelie K Gusdal, Lena Marmstål Hammar, Anne-Marie Boström","doi":"10.1177/14034948241236830","DOIUrl":"10.1177/14034948241236830","url":null,"abstract":"<p><strong>Aim: </strong>Older adults are increasingly encouraged to continue living in their own homes with support from home care services. However, few studies have focused on older adults' safety in home care. This study explored associations between the sense of security and factors related to demographic characteristics and home care services.</p><p><strong>Methods: </strong>The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (aged 65+ years) granted home care services at any time between 2016 and 2020 (<i>n</i>=82,834-94,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent (demographics, health and care-related factors) variables.</p><p><strong>Results: </strong>The sense of security tended to increase between 2016 and 2020, and was significantly associated with being a woman, living outside big cities, being granted more home care services hours or being diagnosed/treated for depression (cumulative odds ratio 2-9% higher). Anxiety, poor health and living alone were most strongly associated with insecurity (cumulative odds ratio 17-64% lower). Aside from overall satisfaction with home care services, accessibility and confidence in staff influenced the sense of security most.</p><p><strong>Conclusions: </strong>\u0000 <b>We stress the need to promote older adults' sense of security for safe ageing in place, as mandated by Swedish law. Home care services profoundly influence older adults' sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults. Given the increasing shortage of staff, integrating complementary measures, such as welfare technologies, is crucial to promoting this sense of security.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"250-257"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}