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

{"title":"Using Wastewater to Monitor Suggested Changes in Dietary Intake: A Participatory Experiment.","authors":"Thomas Thiebault, Catherine Carré, Gauthier Bernier-Turpin, Camille Asselin, Anne-Fleur Barfuss, Nada Caud, Jérémy Jacob","doi":"10.1007/s11524-025-00992-x","DOIUrl":"10.1007/s11524-025-00992-x","url":null,"abstract":"<p><p>This study aimed to assess the feasibility of a participatory experiment involving residents of a Paris district, in which their dietary habits were monitored through the analysis of chemicals in wastewater. Unlike conventional sociological metrics, wastewater can be used to monitor the behavior of the entire population, regardless of their participation, with an almost 100% response rate. The results revealed changes in the chemistry of wastewater during the experimental week, when residents were encouraged to consume \"more fruits and vegetables.\" A key challenge lies in understanding the possible influence of confounding factors that could affect the chemical dynamics and thus impact the results. These factors were also evaluated. For the first time, wastewater has demonstrated its potential as a monitoring medium for participatory experiments addressing issues of diet and health, which are critical components in shaping the trajectory of sustainable urban living for the future.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"872-876"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734974","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":"Assessing Market Food Diversity of Three Food Environments of Nairobi, Kenya, Using Spatial and Descriptive Analyses.","authors":"Lucy Apiyo Adundo, Sofie Annys","doi":"10.1007/s11524-025-00999-4","DOIUrl":"10.1007/s11524-025-00999-4","url":null,"abstract":"<p><p>The food environment (FE) is the interface where consumers interact to acquire and consume their food. Over the last two decades, the FE has changed due to lifestyle changes, globalization, economic disparities, and supermarketization. In addition, research on the food environment has focused mostly on high-income countries. Our study shows the novelty of assessing the food environment using the market food diversity (MFD) in Nairobi, a rapidly urbanizing city. We assessed the food environment of three income regions of Nairobi-using market food diversity derived from the Minimum Dietary Diversity of Women (MDD-W) tool. In August-December 2023, we used the Global Positioning System (GPS) and a list-based questionnaire to map 3548 food vendors. Descriptive statistics show that informal vendors (86%) dominated across the three income regions compared to formal vendors (14%). The high-income region was characterized by the presence of more formal vendors (24.2%) compared to the other income regions. There were statistically significant differences in food group variations among vendors. The study shows that unhealthy foods remain dominant across the three income regions. Market food diversity was highest in the high-income (3.11) region compared to the low- (2.71) and middle-income (2.35) regions. Our results underscore the need for policy implementation that supports local food environments that promote access to healthier and more nutritious diets, particularly in rapidly urbanizing cities of low- and middle-income countries (LMICs) such as Nairobi. Distinguishing income regions highlights the need for local policy officials to intervene to promote access to much healthier foods across the settlements.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"742-759"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024716","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":"Measuring Street Built Environments for Children's Use: A Systematic Review of Measurement Tools.","authors":"Xiu Cao, Xue Meng, Haoyu Zhang","doi":"10.1007/s11524-025-01003-9","DOIUrl":"10.1007/s11524-025-01003-9","url":null,"abstract":"<p><p>Street-level environments play a vital role in children's development by promoting their physical activity, cognitive growth, and overall development. This study systematically reviews the measurement tools available to assess street environments according to children's needs. This systematic review was conducted according to the PRISMA-COSMIN guidelines. Five databases were searched-Science, PubMed, EBSCO, PsycINFO, and Scopus-and gray Literature was identified using Google Scholar. Inclusion and exclusion criteria were formulated to screen the retrieved articles. The studies included were assessed for risk of bias using the COSMIN RoB checklist. A total of 25 assessment tools were included. The characteristics and measurement properties of these tools are described in two main categories: audit tools and questionnaires. The elements of street built environments addressed in the tools were reflected in five domains: convenience, functionality, safety, aesthetics, and overall perception. For future research, recommendations for tool improvement are proposed, involving participant inclusion and methodological strategies, tool selection, environmental domains, and technological applications in measurement tools. These findings highlight the importance of focusing on children's unique needs when using street environment assessment tools. Future tools should integrate urban big data and computer vision technologies to support the development of child-friendly street environments.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"789-812"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031006","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":"Gayborhoods as Spaces of Risk and Resilience: Associations of Gayborhood Residence with Psychological Distress and Substance Use among Ethnically Diverse Sexual Minority Men.","authors":"Randolph C H Chan, Marcus Shengkai Lam, Edgar Liu, Limin Mao, Tina Gordon, Sujith Kumar Prankumar, Horas T H Wong","doi":"10.1007/s11524-025-00996-7","DOIUrl":"10.1007/s11524-025-00996-7","url":null,"abstract":"<p><p>Gayborhoods are urban neighborhoods characterized by a high concentration of LGBTQ + residents, businesses, community spaces, and subcultures. Living in gayborhoods may foster a sense of community and belonging that can be particularly beneficial for sexual minority men. However, existing research on gayborhoods has predominantly centered on the experiences of White gay men. The extent to which gayborhoods serve as an inclusive space for ethnically diverse sexual minority men remains largely unexplored. This paper examines the associations of gayborhood residence with LGBTQ + community connectedness, psychological distress, and substance use among ethnically diverse sexual minority men. Utilizing data from the 2023 Gay Asian Men Survey, this paper included 1071 cisgender sexual minority men of Asian backgrounds in Australia. The results indicated that older, middle-class, and gay men were more likely to live in gayborhoods than their younger, lower-class, and bisexual counterparts. The mediation analysis revealed the coexistence of positive and negative impacts of living in gayborhoods. Specifically, gayborhood residence was positively associated with LGBTQ + community connectedness, which was in turn associated with reduced levels of psychological distress but heightened levels of alcohol and drug use. The findings have significant implications for community organizing, mental health support, and substance use prevention. While leveraging gayborhoods to foster support networks and improve mental health among Asian sexual minority men is beneficial, it is equally crucial to address the pressures associated with conforming to community norms, particularly regarding social drinking and recreational drug use.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"940-951"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066344","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":"Factors Associated with Progression to Type 2 Diabetes among Women with Gestational Diabetes.","authors":"Junxiu Liu, Chen Yang, Bian Liu, Ryung Kim, Athena Philis-Tsimikas, Carmen Isasi, Diana Wolfe, Carol Levy, Jee-Young Moon, Lihua Li","doi":"10.1007/s11524-025-01013-7","DOIUrl":"10.1007/s11524-025-01013-7","url":null,"abstract":"<p><p>While both individual- and neighborhood-level factors play a role in the progression from gestational diabetes mellitus (GDM) to type 2 diabetes mellitus (T2DM), few studies have simultaneously examined these two sets of factors. In this retrospective cohort study of 3567 women with a history of GDM, we used multilevel survival analysis to quantify T2DM risk associated with patient-level and neighborhood-level factors. During a mean follow-up of 2.2 years, 195 women (5.5%) developed T2DM. Statistically significant risk factors of T2DM progression included Black or Asian race, preeclampsia, family history of diabetes, and overweight or obesity. Importantly, residing in neighborhoods with a top tertile social deprivation index was also associated with increased risk (HR = 1.78, 95% CI: 1.01-3.14). In addition, after accounting for other factors, the residual clustering associated with neighborhoods conferred a 19% higher risk. Interventions addressing both individual- and neighborhood-level factors, including socioeconomic disparities, are critical to reducing the risk of T2DM in women with GDM.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"877-882"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115032","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":"Alcohol Advertising Across Spanish and English Television and Radio Networks in New York City.","authors":"Paola Jiménez Muñoz, Manuel Peña, Alice P Villatoro, Lu Tang, Melissa J DuPont-Reyes","doi":"10.1007/s11524-025-00988-7","DOIUrl":"10.1007/s11524-025-00988-7","url":null,"abstract":"<p><p>Latinx residents in New York City experience greater disparities in alcohol use behaviors, chronic liver disease mortality, and other health and legal consequences from high-risk alcohol use compared to non-Latinx White residents. As media-based advertising of alcohol can influence health behaviors, this study aimed to take an \"upstream\" approach by analyzing rates of alcohol advertising across primetime English- and Spanish-language television networks and radio station broadcasting in New York City during September 7-27, 2022. A systematic content analysis of a randomly drawn, two-week composite sample of primetime YouTube television networks and radio stations revealed significantly higher alcohol advertising rates per hour on Spanish- than English-language media (rate difference across television networks = 4.91, 95% CI = 3.96, 5.85, p < 0.05; rate difference across radio stations = 1.86; 95% CI = 1.17, 2.55, p < 0.05). Findings underscore disparities in alcohol advertising across diverse media types, disadvantaging consumers of Spanish-language media. Stronger regulation and enforcement of alcohol marketing laws are needed to curb Latinx health inequities.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"737-741"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745841","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":"Urban Agriculture Interventions in Refugee and Immigrant Communities: A Scoping Review.","authors":"Sophee Langerman, Nicolas Juarez, Ifrah Mahamud Magan, Odessa Gonzalez Benson","doi":"10.1007/s11524-025-00991-y","DOIUrl":"10.1007/s11524-025-00991-y","url":null,"abstract":"<p><p>Urban agriculture, known as urban farming, urban gardening, or community gardening, has become an important avenue for community development, food security, and economic stability in response to increased urbanization. However, a less studied aspect of urban agriculture is its application for historically marginalized communities and refugee and immigrant communities specifically. Using a two-fold research question: What are the domains of application of urban agriculture interventions on refugee and/or migrant populations? What are the scales and geographic patterns of urban agriculture interventions? Following scoping review guidelines, 42 articles published from 1990 to 2024 were included after screening out 375 articles that were initially retrieved from the database search. Articles were examined based on the following criterion: population of interest, intervention type, intervention scale, and geography of author. Findings suggest five domains of application: well-being, physical health, ecological, economic, and sociological, the latter as the most common domain. Health, particularly mental health, was less evident in scholarship. In terms of scale and geography, findings suggest that studies about large-size interventions were mostly in the Global South (Middle East and African regions specifically), and studies on small and medium-sized interventions were in the Global North (United States, Canada and Australia specifically). For theory, findings point to two broad theoretical domains: relationality and materialist, and less attention to food and environmental justice. These findings raise questions pertaining to access to resources insofar as resources determine the scale/size of interventions and thus their application. Issues pertaining to health and food and environmental justice were applications that largely did not emerge in the data, raising questions for further research.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"857-871"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785853","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":"From the Compact City to the X-Minute neighborhood: A Systematic Review of the Health and Wellbeing Impacts of Sustainable Urban Development Models (SUDMs) on Women.","authors":"Amy Stevenson, Vicki Ponce Hardy, Nick Bailey, Jaime Toney, Jonathan R Olsen, Petra Meier","doi":"10.1007/s11524-025-00990-z","DOIUrl":"10.1007/s11524-025-00990-z","url":null,"abstract":"<p><p>Throughout the past 50 years, sustainable urban development models (SUDMs) have been introduced in cities across the world with the intention of limiting environmental air pollution and, more recently, greenhouse gas emissions. However, the health and wellbeing impacts that these interventions have had on different demographic groups are not well understood. Feminist urbanists have often critiqued hierarchical and non-participatory approaches to urban design for the detrimental impact they may have on women and minority groups. With x-minute neighborhood policies gaining popularity in urban planning across the world, gathering evidence on the potential gendered health and wellbeing inequalities impacts of these policies is a salient issue. Our research questions were as follows: (1) In the existing literature, what is known about the health and wellbeing impacts of SUDMs on women? (2) What mechanistic pathways are outlined in existing literature from SUDMs to gendered health outcomes? This review searched Medline, SCOPUS, Science Citation Index Expanded, Social Sciences Citation Index, and ASSIA. A broad range of outcomes was included in the search, from physical and mental health and wellbeing to health behaviors. We searched for empirical papers published in English before January 1st, 2024, without limiting the search by year or country of publication. Screening was performed on Rayyan with 15% of records double-screened. Critical appraisal was conducted using the AXIS tool for cross-sectional studies and CASP cohort checklist for longitudinal studies. Narrative synthesis was used to explore results in depth, with an effect-direction plot used to visually summarize findings. The initial search returned 1263 records. After duplicates were removed, 1194 records remained for screening. Of these, 301 were included for full-text screening, with 25 included for data extraction. Most of the included papers explored associations between SUDMs and women's physical activity. These relationships were typically positive, although some found no significant associations. Papers which explored the gendered mechanisms leading to outcomes tended to posit that having more convenient non-motorized access to a range of destinations on foot helped women to balance their paid and unpaid labor, leading to increased physical activity. Increased safety and reduced social isolation within SUDMs were also hypothesized as key contributing factors to women's increased physical activity. We found that there are research gaps in relation to mental health and long-term physical health outcomes.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"883-904"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034407","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":"Modeling Geographical Accessibility and Inequalities to Childbirth Services in the Grand Nokoué Metropolitan Area, Benin.","authors":"Yiséché S C Hounménou, Elias Martinien Avahoundjè, Aline Semaan, Christian Mahugnon Agossou, Christelle Boyi Hounsou, Mena K Agbodjavou, Giulia Scarpa, Ange D Dossou, Thierry O Lawale, Romuald Bothon, Justin Lewis Denakpo, Lenka Beňová, Jean-Paul Dossou, Peter M Macharia","doi":"10.1007/s11524-025-01000-y","DOIUrl":"10.1007/s11524-025-01000-y","url":null,"abstract":"<p><p>Timely access to comprehensive , high-quality emergency obstetric and neonatal care can prevent maternal and neonatal mortality but remains challenging in Benin. We examine geographic accessibility to childbirth care (CBC) in Grand Nokoué, the largest conurbation in Benin. We gathered data on boundaries, health facilities, road network, elevation, land cover, relative wealth, urbanicity, and geo-traced travel speeds over 45 days during the rainy season. We modelled travel times (TT) to health facility offering CBC (stratified by level and sector) using the least-cost path algorithm, based on slowest, average, and fastest travel speeds. We estimated the percentage of women of childbearing age (WoCBA) within 30, 60, and 120 min of the nearest facility by subnational areas. We explored inequalities in TT by wealth quintile and urbanicity gradient. TT to nearest facility at average speed was 8 min and 24 min at slowest speed. For hospitals, this was 31 and 106 min, respectively. TT ranged from 2 to 38 min across arrondissements at average speeds. At average speeds, all WoCBA lived within 30 min of a health facility and 71.6% of a hospital. At slowest speed, this decreased to 84.7% and 22.9%, respectively, with substantial variations across arrondissements. TT to hospitals at average speed was five-fold longer among women from the poorest (50 min) compared to the richest quintile, while TT was shorter in the core urban (27 min) relative to peri-urban (46 min). TT to CBC varied by wealth and urbanicity gradient and was longer at the slowest speeds. Targeting peri-urban areas and poorest WoCBA with longer TT will reduce inequities.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"760-774"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024696","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":"Per Capita Spending on Parks and Associations with Cardiovascular Disease and Other Health Outcomes.","authors":"Deborah A Cohen, In-Lu Amy Liu, Aiyu Chen, Devin Teichrow, Ernest Shen","doi":"10.1007/s11524-025-00997-6","DOIUrl":"10.1007/s11524-025-00997-6","url":null,"abstract":"<p><p>Parks have been associated with more physical activity and better health, but the relationship between health and how funds are expended for park programming, maintenance, or other expenses has not yet been investigated. For the largest 100 US cities, the average spending for parks and recreation in 2022-2023 was $126 per capita, with $37.59 per capita for programming and $63.11 per capita for maintenance. In contrast, the spending for health care in 2022 was $13,493 per capita. The goal of this study was to assess which allocations by Depts of Parks and Recreation are related to health outcomes. We tested the association between per capita spending in programming, maintenance, and total spending in 2022 by Depts. of Parks and Recreation in 10 Southern California cities and health outcomes among 732,504 adult members of Kaiser Permanente in 2022-2023 accounting for multiple factors. For every $30 per capita spent on programming, the prevalence ratios were lower: 0.87 for stroke (CI 0.84-0.90), 0.87 for heart failure (CI 0.84-0.89), 0.92 for atrial fibrillation (CI 0.90-0.95), 0.93 for coronary heart disease (CI 0.91-0.95), 0.94 for obesity (CI 0.93-0.95), 0.96 for type 2 diabetes (CI 0.95-0.97), and 0.96 for hypertension (CI 0.96-0.97). It is likely that programming has a stronger relationship than park maintenance with health outcomes because sports, exercise classes, and events (5 K walks and runs) more strongly attract park visitors and support physical activity (PA). While this novel study is promising, a longitudinal study is needed to prove causality.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"848-856"},"PeriodicalIF":4.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976257","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}