Public Health最新文献

{"title":"A comparative analysis of Africa's regional demographic and epidemiological transitions: Policy implications for public health","authors":"Fausto Ciccacci ,&nbsp;Annamaria Doro ,&nbsp;Francesca Basile ,&nbsp;Chiara Iazzolino ,&nbsp;Mariagrazia Cicala ,&nbsp;Mariachiara Carestia ,&nbsp;Claudia Mosconi ,&nbsp;Carolina De Santo ,&nbsp;Paola Germano ,&nbsp;Giuseppe Liotta ,&nbsp;Stefano Orlando","doi":"10.1016/j.puhe.2025.105836","DOIUrl":"10.1016/j.puhe.2025.105836","url":null,"abstract":"<div><h3>Objectives</h3><div>Demographic and epidemiological changes have redefined public health priorities globally. Africa is undergoing an unprecedented demographic and epidemiological transformation with implications for public health. This study aims to provide a comparative analysis of these transitions across different African regions.</div></div><div><h3>Study design</h3><div>This is an observational descriptive study based on study utilizes secondary data from the World Bank and the Global Burden of Disease database to analyze demographic and epidemiological trends in Africa from 2000 to 2019.</div></div><div><h3>Methods</h3><div>This study utilizes secondary data from the World Bank and the Global Burden of Disease database to analyze demographic and epidemiological trends in Africa from 2000 to 2019. The analysis is conducted on a regional basis, categorizing Africa into Northern, Western, Central, Eastern, and Southern regions. Birth rates, death rates, and life expectancy were extracted from the World Bank's open database for the years 1960–2020, and disease burden, categorized as communicable diseases (CDs), non-communicable diseases (NCDs) and injuries, were extracted from the Global Burden of Disease (GBD) study for the years 1990–2019 using both mortality data and disability adjusted life years (DALY).</div></div><div><h3>Results</h3><div>Demographic and epidemiological transitions varied significantly. Northern Africa saw birth rates decline (50 per 1000 in 1960 to 20 in 2020), while population growth was most pronounced in Eastern Africa (70–330 million). The epidemiological transition showed a shift from CDs to NCDs across all regions. In Northern Africa, there was a decline in CDs, while NCDs increased (CD deaths: 279,529 in 1990 to 95,491 in 2019; CD DALYs: 25.9 million to 7.5 million; NCD deaths: 513,284 to 923,619; NCD DALYs: 25.2 million to 39.6 million). In contrast, the rest of Africa experienced slower progress in reducing CDs. In Southern Africa, after the peak of CD-related deaths in 2000, the burden of CDs declined, and today the disease burden is almost evenly split between CDs and NCDs (CD deaths: 754,169; NCD deaths: 543,419 in 2019).</div></div><div><h3>Conclusion</h3><div>These findings suggest the need for region-specific public health strategies across Africa. Northern and Southern Africa should prioritize NCD prevention and management, with early detection, care, and lifestyle interventions. Western and Central Africa require sustained infectious disease control, reinforcing vaccination, treatment access, and surveillance, while also addressing the rising burden of NCDs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105836"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756976","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":"Intimate partner violence from current or former marital partners and the risk of depressive symptoms in China: A national cross-sectional study","authors":"Ling Wang ,&nbsp;Jialin Chen ,&nbsp;Yibo Wu ,&nbsp;Yiwen Duan ,&nbsp;Yajuan Weng ,&nbsp;Fulei Wu ,&nbsp;Qingmei Huang ,&nbsp;Tingting Cai ,&nbsp;Changrong Yuan","doi":"10.1016/j.puhe.2025.105863","DOIUrl":"10.1016/j.puhe.2025.105863","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the association between intimate partner violence (IPV) from current or former marital partners and depressive symptoms among Chinese adults.</div></div><div><h3>Study design</h3><div>A multi-center cross-sectional survey was conducted.</div></div><div><h3>Methods</h3><div>The study was conducted between June and August 2023, using a sample representing all 34 provincial-level regions of China. 23,469 participants were involved. IPV from current or former marital partners was assessed using a 5-point Likert scale that measured physical and sexual violence; verbal and emotional abuse; and controlling behaviours. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). Univariate and multivariate logistic regression models adjusted for confounders and stratified analyses were used to examine the association between IPV and depressive symptoms.</div></div><div><h3>Results</h3><div>Of the participants, 48.2 % reported experiencing IPV, and 49.9 % were found to have depressive symptoms. Exposure to IPV carried significantly higher odds of depressive symptoms, with a nonlinear relationship observed. Physical violence (OR: 4.15; 95 %CI: 3.87–4.46) and sexual violence (OR: 4.44; 95 %CI: 4.14–4.77) were most strongly associated with depressive symptoms. Stratified analyses showed that the association between IPV and depression was stronger among those having injuries in the past year.</div></div><div><h3>Conclusions</h3><div>This study highlights a significant relationship between IPV from current or former marital partners and depressive symptoms in China, emphasizing the need for targeted mental health interventions for victims of IPV. Addressing IPV is crucial in mitigating depressive symptoms risk, particularly among vulnerable populations.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105863"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748811","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":"A shared care program for the management of patients with chronic hepatitis B in a Canadian primary care refugee clinic","authors":"Rachel Talavlikar ,&nbsp;Andrea R. Hull ,&nbsp;Jazmin Marlinga ,&nbsp;Biniam Soquar ,&nbsp;Stephen E. Congly ,&nbsp;Samuel S. Lee","doi":"10.1016/j.puhe.2025.105894","DOIUrl":"10.1016/j.puhe.2025.105894","url":null,"abstract":"<div><h3>Objectives</h3><div>Refugees in Canada are disproportionately affected by chronic hepatitis B (CHB) and its complications due to healthcare barriers and resettlement challenges. In 2011 the Mosaic Refugee Health Clinic (MRHC) in Calgary, Canada began a shared care model for CHB. Family physicians identify and monitor chronically infected patients, reviewing cases with hepatology.</div></div><div><h3>Study design</h3><div>A cohort of all adult patients (≥18 years old) with a positive hepatitis B surface antigen result (HBsAg) between January 1, 2011 and December 31, 2020 was assessed through retrospective chart review.</div></div><div><h3>Methods</h3><div>Variables collected included basic demographics and disease characterization, monitoring parameters, and follow-up intervals. These were analyzed using descriptive statistics.</div></div><div><h3>Results</h3><div>A total of 171 cases were managed during the study time frame, representing 2.6 % of the total number of adult patients (6511) taken into the clinic. Of the cohort, 139 patients (81.0 %) were followed for more than a year. Nearly all patients (98 %) completed a full panel of recommended baseline lab testing, 88 % met ongoing ALT lab surveillance targets, and 70 % ultrasound surveillance. The majority (83 %) were reviewed by the hepatologist within 6 months.</div></div><div><h3>Conclusions</h3><div>This unique model is the first example of a registry of CHB patients in a longitudinal program at a refugee primary care clinic. The observed high rates of adherence were likely achieved by empowering a primary health care interdisciplinary team with specialty support. No funding was utilized for this study.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105894"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748812","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":"Inclusive national policies in Europe supported LGBTQ+ youth mental health during COVID-19","authors":"Giulia Graziano ,&nbsp;Sara Costa ,&nbsp;Stephen T. Russell ,&nbsp;Salvatore Ioverno","doi":"10.1016/j.puhe.2025.105890","DOIUrl":"10.1016/j.puhe.2025.105890","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate whether the presence of inclusive national policies was associated with low levels of depression and anxiety among lesbian, gay, bisexual, trans, questioning, and other sexual and gender minority (LGBTQ+) youth during the COVID-19 pandemic and to determine if these associations were mediated by the perceived negative impact of COVID-19 on social and emotional wellbeing.</div></div><div><h3>Study design</h3><div>A total of 8917 LGBTQ + youth (mean age [M] = 15.89, standard deviation [SD] = 1.53) from 13 European countries participated in an online survey conducted between 2020 and 2022.</div></div><div><h3>Methods</h3><div>Participants reported on the perceived impact of COVID-19 on their lives, as well as symptoms of depression and anxiety. The survey data were then linked to the International Lesbian and Gay Association (ILGA) Index, which provides a national-level assessment of the legal and policy human rights situation for LGBTQ + individuals.</div></div><div><h3>Results</h3><div>LGBTQ + youth living in countries with more inclusive policies reported lower levels of perceived negative impact from COVID-19. However, moderation analyses revealed that this association was not significant for adolescents with emerging sexual and gender identities (e.g., those questioning their sexual orientation, or those with a sexual orientation other than gay, lesbian, or bisexual). Additionally, the perceived impact of COVID-19 significantly mediated the negative relationship between inclusive policies and symptoms of depression and anxiety.</div></div><div><h3>Conclusions</h3><div>Comprehensive and inclusive policies that address the specific needs of all LGBTQ + youth may reduce disparities and promote mental health resilience in marginalized communities, particularly during global crises.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105890"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757621","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":"How does the credibility of vaccine information compare across traditional search engines and AI-based conversational agents?","authors":"Amalie Dyda ,&nbsp;Kristian Stanceski ,&nbsp;Alexa Dakiniewich ,&nbsp;Angela Pan ,&nbsp;Adam G. Dunn","doi":"10.1016/j.puhe.2025.105876","DOIUrl":"10.1016/j.puhe.2025.105876","url":null,"abstract":"<div><h3>Objectives</h3><div>Generative AI interfaces like ChatGPT offer a new way to access health information, but it is unclear if information presented is credible compared to traditional search engines. This study aimed to compare the credibility of vaccination information across generative AI interfaces and traditional search engines.</div></div><div><h3>Study design</h3><div>Cross sectional content analysis and comparison.</div></div><div><h3>Methods</h3><div>Questions were drawn from existing literature on common questions about vaccines and vaccination. Responses were retrieved in December 2023 by querying Google, Bing, Bard, ChatGPT 3.5, ChatGPT 4.0, and Claude AI. Credibility was measured using DISCERN and grade reading score was measured using standard measures via the SHeLL Editor.</div></div><div><h3>Results</h3><div>Across 12 questions, traditional search engines scored higher than generative AI in specific aspects of DISCERN, namely clarity of information sources (P &lt; 0.0001), clarity of information recency (P &lt; 0.0001) and provision of additional sources (P &lt; 0.001). Generative AI interfaces performed better in relevance of information (P &lt; 0.0001) and overall quality (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Overall credibility of generative AI interfaces and traditional search engines is similar, but generative AI interfaces rarely provide sources and external links to high-quality information. In their current forms, generative AI interfaces may make information easy to read and appear credible, without providing typical credibility cues.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105876"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748809","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":"\"Street sweeps\": The municipal government-enforced confiscation of personal belongings among unstably housed people who use drugs in Vancouver, Canada.","authors":"Irem Mia Eren, Eric C Sayre, Caitlin Shane, Tyson Singh Kelsall, Molly Beatrice, Ryan Sudds, Kora DeBeck, M-J Milloy, Thomas Kerr, Kanna Hayashi","doi":"10.1016/j.puhe.2025.105885","DOIUrl":"10.1016/j.puhe.2025.105885","url":null,"abstract":"<p><strong>Objectives: </strong>Street sweeps, involving the state-enforced removal of makeshift residences and confiscation of personal belongings from people in public spaces, are a common tool employed by urban governments to address public health and safety concerns. Amidst the ongoing housing and toxic drug poisoning crises in Vancouver, Canada, we sought to characterize experiences of confiscation of personal belongings by city workers among unstably-housed people who use drugs people who use drugs.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Methods: </strong>We used multivariable generalized estimating equations models to longitudinal data derived from unstably-housed people who use drugs (including those reporting homelessness and living in single room occupancy hotels) participating in three harmonized cohort studies of community-recruited people who use drugs in Vancouver in 2021-2023.</p><p><strong>Results: </strong>In total, 13.6 % of 691 eligible participants (and 23.6 % of 233 reporting homelessness) reported municipal government-enforced belonging confiscation in the past six months at least once. In multivariable analyses, violent victimization (adjusted odds ratio [AOR] = 2.14; 95 % confidence interval [CI]: 1.27, 3.60) and inability to access health/social services (AOR = 2.19, 95 % CI: 1.32, 3.65) were significantly and positively associated with belonging confiscation, and so was non-fatal overdose (AOR = 1.94, 95 % CI: 1.01, 3.74) among those reporting homelessness.</p><p><strong>Conclusion: </strong>Findings underscore that confiscation of belongings was relatively widespread among our cohort of people who use drugs and concentrated among individuals who are structurally marginalized, emphasizing the need to end street sweeps and prioritize development of dignified housing and harm reduction policies involving affected communities in decision-making.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":" ","pages":"105885"},"PeriodicalIF":3.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001864","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":"Physical activity paradox and aging: A population-based study on the association of domain-specific physical activity with biological aging","authors":"Xingxu Song ,&nbsp;Chengxiang Hu ,&nbsp;Zhong Tian,&nbsp;Yue He,&nbsp;Xue He,&nbsp;Kexin Jiang,&nbsp;Yuhan Huang,&nbsp;Yuchun Tao ,&nbsp;Lina Jin","doi":"10.1016/j.puhe.2025.105874","DOIUrl":"10.1016/j.puhe.2025.105874","url":null,"abstract":"<div><h3>Objectives</h3><div>A physical activity paradox is suggested by recent evidence that leisure-time physical activity (LTPA) is beneficial, whereas it may be detrimental to those with high occupational physical activity (OPA) levels. We aimed to investigate the association of domain-specific PA on the age of the whole body and organs (heart, kidneys, and liver).</div></div><div><h3>Study design</h3><div>The analysis utilized data from NHANES, a cross-sectional study with 14,168 enrolled adult participants.</div></div><div><h3>Methods</h3><div>Domain-specific PA (i.e., Leisure, Transportation, and Occupation) was assessed using the Global Physical Activity Questionnaire (GPAQ). Biological age was calculated from circulating biomarkers. To quantify differences in physiological age between participants, biological age acceleration (BAA) was assessed. Linear regression analysis was used to assess the association of domain-specific PA with BAA of the whole body and organs (heart, kidney, and liver).</div></div><div><h3>Results</h3><div>The multivariate linear model showed that total PA was negatively associated with whole-body BAA (β −0.47, 95 % CI (−0.71, −0.22)). In addition, LTPA was negatively associated with whole-body BAA (β −0.41, 95 % CI (−0.60, −0.21)) and liver BBA (β −1.20, 95 % CI (−2.05, −0.35)). Whereas OPA was positively associated with heart BAA (β 1.69, 95 % CI (1.05, 2.33)), and we found that only participants who performed OPA≥300 min/week were positively associated with heart BAA (β 1.97, 95 % CI (1.27, 2.66)).</div></div><div><h3>Conclusions</h3><div>LTPA was associated with slower whole-body and live BAA, while high OPA is associated with higher heart BAA. Associations between domain-specific physical activity and biological aging may differ across activity domains.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105874"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722262","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":"EngAGE4Change: Co-creating outdoor community spaces with care home residents and community-dwelling older adults to improve movement behaviour and reduce social isolation - A Health CASCADE study protocol","authors":"Jorge R. Zapata-Restrepo ,&nbsp;Giuliana R. Longworth ,&nbsp;Philippa M. Dall ,&nbsp;Dawn A. Skelton ,&nbsp;Mai JM. ChinAPaw ,&nbsp;Sacra Morejón Torné ,&nbsp;Maria Giné-Garriga","doi":"10.1016/j.puhe.2025.105872","DOIUrl":"10.1016/j.puhe.2025.105872","url":null,"abstract":"<div><h3>Objectives</h3><div>To present and structure the use of co-creation as an overarching approach to position older adults—particularly care home residents and community-dwellers—and other key stakeholders as active decision-makers in an urban design and spatial planning project aimed at creating inclusive outdoor spaces.</div></div><div><h3>Study design</h3><div>A multi-step, context-based, iterative protocol using co-creation for designing public spaces with older adults.</div></div><div><h3>Methods</h3><div>A structured co-creation process engaged 20 older adults (both care home residents and community-dwellers), along with 3 family members, 2 health professionals, 2 caregivers, 1 researcher, and 2 urban designers. The process included three phases: (1) exploratory stage for context assessment, (2) planning through a needs assessment, and (3) a co-creation core for public space ideation and prototyping. AR and VR technologies were used to support spatial visualization and immersive prototyping. A mixed-methods evaluation assessed the co-creation process, including participant engagement and outcomes.</div></div><div><h3>Results</h3><div>As a protocol paper, no empirical results are reported. However, the structure of the co-creation process, participant roles, and evaluation framework are detailed to guide implementation and inspiration for planning future projects using co-creation for urban design and healthy ageing.</div></div><div><h3>Conclusions</h3><div>This protocol offers a transferable model for integrating co-creation into urban design and planning with older adults. It supports inclusive design and adds to the growing evidence on participatory methods for addressing complex urban health challenges.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105872"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724072","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":"Perceived acceptability of sexual violence against women in Spain and associated factors","authors":"Ruiz-Pérez Isabel ,&nbsp;Pastor-Moreno Guadalupe ,&nbsp;Benítez-Hidalgo Vivian","doi":"10.1016/j.puhe.2025.105870","DOIUrl":"10.1016/j.puhe.2025.105870","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105870"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738090","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":"Corrigendum to ‘Prioritizing performance and outcome indicators for quality assessment of cancer screening programs in the EU’ [Public Health Volume 239, February 2025, Pages 185–192]","authors":"Brian Sheridan ,&nbsp;Abyan Irzaldy ,&nbsp;Eveline A.M. Heijnsdijk ,&nbsp;Nadya Dimitrova ,&nbsp;Carlo Senore ,&nbsp;Partha Basu ,&nbsp;Harry J. de Koning","doi":"10.1016/j.puhe.2025.105868","DOIUrl":"10.1016/j.puhe.2025.105868","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105868"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762108","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}