Journal of Urban Health-Bulletin of the New York Academy of Medicine最新文献

{"title":"Relationships Between Extreme Ambient Temperatures, Neighborhood Structural Deprivation, and Fatal Police Violence: A Case-Crossover Analysis.","authors":"Janelle R Edwards, Gabriel L Schwartz, Mark A Hernandez, Sharrelle Barber, Shreya Patel, Jaquelyn L Jahn","doi":"10.1007/s11524-026-01079-x","DOIUrl":"https://doi.org/10.1007/s11524-026-01079-x","url":null,"abstract":"<p><p>Police violence is increasingly recognized as a public health crisis, disproportionately affecting Black, Indigenous, and other communities of color due to long-standing patterns of racialized surveillance and disinvestment. Environmental stressors such as heat have also been linked to increased aggression, stress reactivity, and violence, suggesting that as climate change drives more frequent and intense extremes in temperature, these conditions may amplify existing risks of fatal police encounters. This study evaluated whether extreme ambient temperatures were associated with fatal police violence and whether structural neighborhood deprivation modified this relationship. Our nationwide case-crossover analysis examined daily maximum temperature and fatal police violence in the United States (2013-2024) using data from Mapping Police Violence. We estimated odds ratios across percentiles of the temperature distribution and analyses were stratified by neighborhood-level measures of deprivation, using Index of Concentration at the Extremes metrics for education, income, racialized income, and homeownership. Our main analysis revealed that compared to the median temperature (23.5 °C), the odds of fatal police violence at the 5th temperature percentile were reduced by 12% (95 percent CI: 0.806 to 0.955), while the odds at the 99th percentile were increased by 11% (CI: 1.037 to 1.185). While there was limited evidence of effect modification by neighborhood deprivation metrics, we found neighborhoods with higher levels of deprivation were disproportionately burdened by fatal police violence. These findings highlight the importance of temperature as a determinant of fatal police violence, suggesting that policies that address neighborhood deprivation and fatal policing may be needed on a warming planet.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823021","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 Contribution of Homelessness to Opioid Overdose Mortality and Associated Racial Disparities.","authors":"Nora Anderson, Vanessa M McMahan, Irina Tomashevsky, Jeffrey K Hom, Phillip O Coffin","doi":"10.1007/s11524-026-01084-0","DOIUrl":"https://doi.org/10.1007/s11524-026-01084-0","url":null,"abstract":"<p><p>To elucidate the role of housing status in observed racial disparities in opioid overdose mortality, we conducted a cross-sectional study using vital statistics, medical, and housing records in San Francisco, California from 2021 to 2023. We reported standardized mortality ratio (SMR); indirectly age- and sex-standardized mortality rate; and observed, expected, and excess deaths for each race or ethnicity group among people experiencing homelessness, using adult Californians as the standard population. Forty-seven percent (812/1727) of overdose decedents were recently homeless, and people experiencing homelessness had 33 times the rate of opioid overdose mortality (SMR 33.2, CI 29.1-37.3) compared to the general population, standardized by age, race, and sex. There were a minimum of 244 excess deaths per year in San Francisco due to the increased risk of overdose among people experiencing homelessness, which disproportionally affected Black people. Reducing opioid overdose mortality and related disparities requires addressing the housing crisis.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787471","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":"Housing Insecurity, Behavioral Health Disorders, and Acute Care Utilization: A Cross-Sectional Study of Medicaid Members in the Portland, Oregon Metropolitan Area.","authors":"Megan Holtorf, Daniel J Fish, Kristen A Lacijan, Benjamin Gronowski, Graham Bouldin, Andrew Mendenhall, Taylor Doren, Hannah Cohen-Cline, Catherine J Livingston","doi":"10.1007/s11524-026-01073-3","DOIUrl":"https://doi.org/10.1007/s11524-026-01073-3","url":null,"abstract":"<p><p>Housing insecurity and substance use disorder (SUD) are critical public health issues in the USA, with significant implications for health outcomes. This study evaluated the intersection of housing insecurity, SUD, and psychosis among Medicaid enrollees in an urban center in Oregon. Using data from Health Share of Oregon, we identified three distinct cohorts-individuals with housing insecurity, those with SUD/psychosis, and those with both conditions. Key outcomes included inpatient admission rates, average lengths of stay, and 30-day readmissions. The findings indicate that housing-insecure individuals with SUD/psychosis show greater acute care utilization than the other two cohorts. Inpatient admissions for housing-insecure individuals with SUD/psychosis were over twice as high as those without housing insecurity (29.7% vs. 12.4%), nearly three times as high as those without SUD/psychosis (29.7% vs. 9.5%), and almost ten times higher than those without either (29.7% vs. 3.0%). There were likewise corresponding increases in ambulatory-sensitive hospitalizations, 30-day readmissions, and longer hospital stays. Effective interventions should address both housing and healthcare needs, including comprehensive case management and improved access to physical, behavioral, and mental health services integrated with housing programs and services. These strategies could mitigate acute care utilization and improve overall health outcomes for these vulnerable populations.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787485","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":"Impact of Housing Construction Materials on Indoor Temperatures in Urban Slums of Dhaka, Bangladesh.","authors":"Syed Manzoor Ahmed Hanifi, Md Sharoardy Sagar, Daniel D Reidpath","doi":"10.1007/s11524-026-01078-y","DOIUrl":"https://doi.org/10.1007/s11524-026-01078-y","url":null,"abstract":"<p><p>Extreme, high indoor temperatures in urban slums of tropical regions pose significant health risks, particularly for vulnerable populations. This study investigates the influence of housing construction materials on indoor temperatures in Dhaka, Bangladesh, in the context of rising global temperatures. A longitudinal prospective survey was conducted between January and December 2022 in five urban slums of Dhaka, covering 44 dwellings purposively selected to ensure good spatial coverage and to reflect predominant construction materials. Temperature data loggers were placed unobtrusively to record hourly indoor temperatures. Housing construction materials, including cement, tin, or a combination of both, were examined. Negative binomial models were employed to analyze the impact of construction materials on hours per day exceeding 32 °C and 35 °C. Descriptive statistics showed wide temperature variations based on construction materials, with tin-tin dwellings exhibiting the widest temperature range (19.1 °C to 47.2 °C). Negative binomial models showed that houses with tin elements, especially those with both tin roofs and walls, experienced significantly more hours above 35 °C compared to cement-cement houses. Tin-tin dwellings had the greatest risk of extreme, high indoor temperatures. The study underscores the substantial influence of housing construction materials on indoor temperatures, with tin sheeting contributing to rapid temperature increases. This has critical implications, particularly for vulnerable populations, as mean temperatures continue to rise. Policies addressing building materials and climate resilience are essential to mitigate heat-related health risks in urban slums.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787534","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 Emergence of an Urban Mortality Advantage in Brazil: An Assessment of Age and Causes-of-Death Contributions to the Urban-Rural Mortality Gap.","authors":"José H C Monteiro da Silva, Eugenio Paglino, Gabriel M Borges, Marília R Nepomuceno","doi":"10.1007/s11524-026-01076-0","DOIUrl":"https://doi.org/10.1007/s11524-026-01076-0","url":null,"abstract":"<p><p>Brazil has historically seen higher mortality among urban residents compared to rural counterparts, despite better self-reported health among urban residents and better access to healthcare services. However, recent trends in these urban-rural mortality differentials and the specific causes of death contributing to them have not been well documented. We address this gap by analyzing trends in adult life expectancy in Brazil's five macro-regions from 2006 to 2023. We decompose changes in the life expectancy gap by age, sex, and cause of death. Our findings reveal an emerging urban advantage in male life expectancy in Brazil, beginning in the mid-2000s and continuing until the start of the COVID-19 pandemic. For females, a small initial urban survival penalty had shifted to an urban advantage by 2019. The North and Northeast regions showed larger urban penalties for both sexes than the southern regions. For males, the emerging urban life expectancy advantage was primarily driven by a more rapid decrease in mortality from external causes among urban residents aged 20-39. For females, the urban advantage was fueled by relative gains in mortality from neoplasms, respiratory diseases, and external causes. The COVID-19 pandemic initially widened the urban mortality penalty or narrowed the urban advantage in 2020 due to higher COVID-19 mortality in urban areas. However, this trend reversed from 2021 to 2023, as the urban penalty in COVID-19 mortality turned into an urban advantage, reversing the relative gains seen in rural areas.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787514","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 Battle for Beds before Health: Unpacking the Crisis of Healthcare in Ghana's Low-Income Communities.","authors":"Anthony Nkrumah Agyabeng, Andrews Ayiku, Sylvester Mensah, George Cudjoe Agbemabiese, Marco Elikem Mensah","doi":"10.1007/s11524-026-01064-4","DOIUrl":"https://doi.org/10.1007/s11524-026-01064-4","url":null,"abstract":"<p><p>Disparities in health services remain one of the pressing issues engaging the attention of many stakeholders. Although this issue is more prevalent in developing countries, the impact of limited hospital beds on healthcare for residents in informal communities remains largely unexplored. This study aims to examine this phenomenon. Within the framework of structural violence and health systems resilience, the study employed a triangulation approach, combining newspaper publications, reconnaissance, and in-depth interviews, all centered on a qualitative approach to inform the conclusions reached. Results show that the lack of hospital beds led to delayed access to emergency care, financial exploitation, and preventable deaths. It further indicates that residents perceive the phenomenon as a discriminatory, unjust health system and a loss of confidence in health governance. Overall, the findings highlight the importance of strengthening health governance equitably to enhance public trust in the healthcare system. It supports the Ministry of Health and Ghana Health Service in developing policies and strategies that enhance health governance, focusing on the low-income population. The findings fill the gaps in the context of the ignored voices of informal residents in a developing country, Ghana.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700528","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":"Urban-Rural Disparities in Geographic Healthcare Accessibility: A Comparative Study of Nigeria and Zambia.","authors":"Weixuan Fang, Wen-Bin Zhang, Dorothea Woods, Heather Chamberlain, Winfred Dotse-Gborgbortsi, Iyanuloluwa Deborah Olowe, Marcello Schiavina, Borys Nosatiuk, Rhorom Priyatikanto, Maksym Bondarenko, Joachim Maes, Lewis Dijkstra, Andrew J Tatem, Alessandro Sorichetta","doi":"10.1007/s11524-026-01077-z","DOIUrl":"https://doi.org/10.1007/s11524-026-01077-z","url":null,"abstract":"<p><p>Geographic access to healthcare remains a critical barrier to health equity in low- and middle-income countries, where infrastructure and service provision are unevenly distributed. Using the UN-endorsed Degree of Urbanisation framework, we assessed disparities in geographic healthcare accessibility across Nigeria and Zambia in 2020. Travel times to health facilities were modeled for both walking and motorized transport at 1 km resolution, and stratified by settlement type and demographic group. Results showed marked urban-rural disparities: while city residents could typically reach hospitals within minutes, rural populations faced journeys exceeding 4 h on foot. Motorized transport substantially improved accessibility but remained unavailable to many, leaving only 8% of Nigeria's population and 6% of Zambia's population within a 15-min walking distance of a hospital. Children in rural Nigeria were particularly disadvantaged, with longer hospital travel times compared to reproductive-age women and elderly adults, whereas demographic differences were less pronounced in Zambia. These findings highlight persistent geographic and demographic inequalities in access to care, underscoring the need for targeted investment in rural transport networks, strategic placement of health facilities, and tailored support for vulnerable populations. By linking harmonized urban-rural classifications with demographic health needs, this study provides actionable evidence for advancing universal health coverage and reducing inequities in rapidly urbanizing African contexts.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700516","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 How the Interplay Between Neighborhood Perceptions and Social Cohesion Relates to Self-Assessed Health: A Four-Way Decomposition with a 10-Year Follow Up.","authors":"Vernon Cail, Joost Oude Groeniger, Mariëlle A Beenackers, Frank J van Lenthe","doi":"10.1007/s11524-026-01083-1","DOIUrl":"https://doi.org/10.1007/s11524-026-01083-1","url":null,"abstract":"<p><p>The present study investigated the extent to which the relationship between perceptions of neighborhood unsafety and disorder and self-assessed health (SAH) is explained by mediation, interaction, or a combination of both through perceived neighborhood social cohesion. We analyzed data on 5650 respondents over a 10-year follow-up using the GLOBE study, a prospective cohort study in the Netherlands. Log-linear regression analyses were used to estimate the total effects of feeling unsafe and perceived neighborhood disorder with poor SAH. A four-way decomposition approach was used to decompose the total effects into four components: controlled direct effect (neither mediation nor interaction), pure indirect effect (mediation only), reference interaction effect (interaction only), and mediated interaction effect (both mediation and interaction). The results indicate that feeling unsafe had a positive estimated total effect on poor SAH (RR = 1.05; 95% CI, 1.01, 1.10). For perceived neighborhood disorder, the estimated total effect was smaller (RR = 1.01; 95% CI, 1.00, 1.04). Decomposition analysis indicated that the majority of the estimated effect of perceived unsafety was attributed to the controlled direct effect (ERR = 0.09; 95% CI, 0.05, 0.13), with no evidence of mediation or interaction through social cohesion. None of the estimated decomposition components were significant for neighborhood disorder. These findings suggest that perceived neighborhood disorder and unsafety and perceived neighborhood social cohesion appear to influence health through independent pathways, rather than through their interplay.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700532","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":"Heat and Aging: Perceived Vulnerability and its Determinants for Elderly Women.","authors":"Célia Sondaz, Claire Harpet, Frédéric Kuznik, Lucie Merlier","doi":"10.1007/s11524-026-01067-1","DOIUrl":"https://doi.org/10.1007/s11524-026-01067-1","url":null,"abstract":"<p><p>Tolerance to increasingly frequent, intense, and prolonged heatwaves depends on vulnerability, with elderly people being among the most vulnerable groups. However, many elderly people do not perceive themselves as vulnerable to heat. Vulnerability results from exposure, sensitivity, and adaptive capacity. This paper explores the factors influencing perceived vulnerability and aims to understand why elderly women often report low perceived vulnerability. For this purpose, semi-structured interviews were conducted with seven elderly women during the summers of 2022 and 2023. The analysis of interview transcripts aligns with existing literature: low perceived vulnerability is linked to a limited knowledge of heat-related risks, the relativisation of vulnerability through peer comparison, and the unrealistic optimism bias. Moreover, the factors influencing perceived vulnerability differ from those identified in epidemiological studies in their nature, effects, importance, and methods of assessment. Perceived vulnerability is shown to be personal, nuanced, and variable, and its study could offer insights for rethinking prevention.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678176","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":"Effectiveness Outcomes from a Social Network Diffusion Intervention to Increase COVID-19 Testing and Vaccination among Individuals Impacted by the Criminal Legal System in Urban U.S. Cities.","authors":"Russell A Brewer, Ellen Almirol, Makenna Meyer, Lin Tong, Sarah Hodge, Chandler Carter, Sierra Arnold, Lysa Vasquez, Alicia Dawdani, Jeannette Webb, Darjai Payne, Michelle M Johns, Maria M Pyra, Alida M Bouris, En-Ling Wu, Gjvar Payne, Heather Horton, O'Dell Johnson, Amelia Knopf, Tamika C Zapolski, Matthew C Aalsma, Nickolas Zaller, John A Schneider","doi":"10.1007/s11524-026-01070-6","DOIUrl":"10.1007/s11524-026-01070-6","url":null,"abstract":"<p><p>Social network diffusion interventions are a promising strategy for promoting health behavior change at the community level. Individuals impacted by the criminal legal system (CLS) experienced disproportionately high morbidity and mortality during the COVID-19 pandemic. As part of the National Institutes of Health Rapid Acceleration of Diagnostics-Underserved Populations (RADX-UP) initiative, we evaluated a group-level social network diffusion intervention incorporating motivational interviewing strategies to increase COVID-19 testing and vaccination among CLS-impacted individuals and their social networks across four urban cities. Between January 2023 and February 2024, participants were randomized by cohort to either a Motivational Interviewing-based intervention (MI) or a Prevention Education (PE) comparison condition. The MI intervention incorporated motivational interviewing-informed strategies to support participants in engaging and influencing members of their social networks, whereas PE participants received COVID-19 prevention education. The primary outcome was uptake of COVID-19 testing or vaccination within 90 days among previously unvaccinated primary participants, with testing and vaccination outcomes for social network members assessed based on participant report. Secondary outcomes included COVID-19 testing and vaccination knowledge among primary participants and reported resource sharing within social networks. A total of 810 primary participants were enrolled (MI: n = 403; PE: n = 407), with most identifying as Black or African American (89.8%) and 9.5% as Hispanic. At baseline, 83% of primary participants had previously been tested for COVID-19, and 70% had received at least one vaccine dose. At the 90-day follow-up, no statistically significant differences were observed between MI and PE groups in COVID-19 testing or vaccination uptake among primary participants or their network members. However, primary participants in the MI condition demonstrated significantly higher mean COVID-19 testing and vaccination knowledge scores compared with those in the PE condition. Patterns of resource sharing differed across study arms. Relative to MI, PE participants were more likely to share COVID-19 testing and vaccination resources at 30 days (OR = 0.54, 95% CI: 0.39-0.74, p < 0.01), though this difference was not sustained at 90 days (OR = 0.89, 95% CI: 0.58-1.35, p = 0.576). While the intervention did not produce significant differences in COVID-19 testing or vaccination uptake, both approaches facilitated dissemination of COVID-19-related resources and improved knowledge within CLS-impacted communities. These findings highlight both the potential and limitations of social network-based approaches for translating increased awareness into sustained preventive health behaviors.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678254","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}