AIDS CarePub Date : 2022-03-01Epub Date: 2021-07-19DOI: 10.1080/09540121.2021.1954588
Mart Van Dijk, John B F De Wit, Thomas E Guadamuz, Joel E Martinez, Kai J Jonas
{"title":"Bridging the serodivide: attitudes of PrEP users towards sex partners living with HIV.","authors":"Mart Van Dijk, John B F De Wit, Thomas E Guadamuz, Joel E Martinez, Kai J Jonas","doi":"10.1080/09540121.2021.1954588","DOIUrl":"https://doi.org/10.1080/09540121.2021.1954588","url":null,"abstract":"<p><p>The introduction of biomedical HIV prevention methods, such as pre-exposure prophylaxis (PrEP), holds the potential to overcome the serodivide. We investigated the attitudes of PrEP users towards having sex with partners living with HIV. PrEP users in the Netherlands were recruited online and completed three questionnaires over a period of six months. We investigated changes over time in feelings of fear of HIV, comfort, and attitudes towards condom use when having sex with men living with HIV (MLHIV). A majority of PrEP users in our sample (up to 71.6%) had sex with MLHIV. Feeling comfortable to have sex with MLHIV did not change over time, but was already at a high level at T1. Most importantly, feeling safe not to use condoms with HIV-positive partners significantly increased, and did so in a rather short period of time after the onset of PrEP use (3-6 months). Taken together, the findings suggest that that PrEP may contribute to decreasing the serodivide between MSM rather quickly after the onset of PrEP use.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"349-352"},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1954588","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The financial lives of female sex workers in Addis Ababa, Ethiopia: Implications for economic strengthening interventions for HIV prevention.","authors":"Emily Namey, Lara Lorenzetti, Amy O'Regan, Eskindir Tenaw, Engdasew Feleke, Eyerusalem Girima","doi":"10.1080/09540121.2021.1944600","DOIUrl":"https://doi.org/10.1080/09540121.2021.1944600","url":null,"abstract":"<p><p>Understanding the financial context of the lives of female sex workers (FSWs) is essential to address structural drivers of HIV risk. We used a financial diary methodology to record daily financial transactions over six weeks from a stratified purposive sample (<i>n</i> = 34) of FSWs in Addis Ababa, Ethiopia. FSWs also provided information on their experience with gender-based violence and condom use. FSWs generated 90.1% of total cash from sex work, with a median weekly income of USD 60.53. They engaged mostly in protected vaginal sex, earning approximately USD 4.57 per act. Food, housing, and clothing represented the largest areas of expenditure. Around 17% of expenses were recorded as costs of sex work (e.g., alcohol). Median weekly expenditures accounted for 62% of median weekly income. Nearly all participants reported depositing money into savings at least once over six weeks, while 71% reported a loan transaction during the six-week period, most as borrowers. Findings suggest that financial literacy and formalized savings activities, with life skills and empowerment training, have potential to build FSW's economic resilience, mitigating a structural driver of sex work and HIV risk.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"379-387"},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1944600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39114521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-11-07DOI: 10.1080/09540121.2021.1998314
Eugenia Negredo, Cora Loste, Jordi Puig, Patricia Echeverría, Carmina R Fumaz, Jose A Muñoz-Moreno, Begoña Lemos, Ana Martínez, Fauri Tamayo, Margarita Saiz, Carla Estany, Marc Matarrodona, Anna Bonjoch, Nerea Blanco, Pau Satorra, Bonaventura Clotet
{"title":"Accentuated aging associated with HIV in a Mediterranean setting occurs mainly in persons aged>70 years: a comparative cohort study (Over50 cohort).","authors":"Eugenia Negredo, Cora Loste, Jordi Puig, Patricia Echeverría, Carmina R Fumaz, Jose A Muñoz-Moreno, Begoña Lemos, Ana Martínez, Fauri Tamayo, Margarita Saiz, Carla Estany, Marc Matarrodona, Anna Bonjoch, Nerea Blanco, Pau Satorra, Bonaventura Clotet","doi":"10.1080/09540121.2021.1998314","DOIUrl":"https://doi.org/10.1080/09540121.2021.1998314","url":null,"abstract":"<p><p>In an ongoing Mediterranean cohort, we compared age-related conditions between 208 HIV-infected persons and 104 matched controls. ≥3 comorbidities were found in 31.0% of HIV-infected patients and 8.7% of controls. Conditions significantly more frequent among the HIV-infected population were: lipid abnormalities, cancer, osteopenia/osteoporosis, liver disease, sexual dysfunction, hearing deficit, sleep disorders, falls, cognitive complaints, being single, living alone, and being elderly at risk. HIV-infected patients aged >70 years had a significantly higher number of cardiovascular risk factors (CVRF) and comorbidities than controls. HIV-infected persons who had never smoked had a higher prevalence of CVRFs, ≥3 comorbidities, liver disease, cancer, and cognitive complaints compared to controls. Factors associated with frailty were being a man who has sex with men, ≥3 CVRFs, nadir CD470 years. The multidisciplinary assessment also revealed concerning findings in social, cognitive, and functional variables among HIV-infected individuals, with a higher prevalence of elderly at risk than among controls.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"155-162"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-03-03DOI: 10.1080/09540121.2021.1889951
Camilo Pérez-Chaparro, Maria Kangas, Philipp Zech, Felipe B Schuch, Michael Rapp, Andreas Heissel
{"title":"Recreational exercise is associated with lower prevalence of depression and anxiety and better quality of life in German people living with HIV.","authors":"Camilo Pérez-Chaparro, Maria Kangas, Philipp Zech, Felipe B Schuch, Michael Rapp, Andreas Heissel","doi":"10.1080/09540121.2021.1889951","DOIUrl":"https://doi.org/10.1080/09540121.2021.1889951","url":null,"abstract":"<p><p>Sedentarism is a risk factor for depression and anxiety. People living with the human immunodeficiency virus (PLWH) have a higher prevalence of anxiety and depression compared to HIV-negative individuals. This cross-sectional study (<i>n </i>= 450, median age 44 (19-75), 7.3% females) evaluates the prevalence rates and prevalence ratio (PR) of anxiety and/or depression in PLWH associated with recreational exercise. A decreased likelihood of having anxiety (PR=0.57; 0.36-0.91; <i>p</i> = 0.01), depression (PR=0.41; 0.36-0.94; <i>p</i>=0.01), and comorbid anxiety and depression (PR = 0,43; 0.24-0.75; <i>p</i>=0.002) was found in exercising compared to non-exercising PLWH. Recreational exercise is associated with a lower risk for anxiety and/or depression. Further prospective studies are needed to provide insights on the direction of this association.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"182-187"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1889951","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-02-24DOI: 10.1080/09540121.2021.1891191
Nicole Phillips, Kevin G F Thomas, Bulelwa Mtukushe, Landon Myer, Heather J Zar, Dan J Stein, Jacqueline Hoare
{"title":"Youth perinatal HIV-associated neurocognitive disorders: association with functional impairment.","authors":"Nicole Phillips, Kevin G F Thomas, Bulelwa Mtukushe, Landon Myer, Heather J Zar, Dan J Stein, Jacqueline Hoare","doi":"10.1080/09540121.2021.1891191","DOIUrl":"https://doi.org/10.1080/09540121.2021.1891191","url":null,"abstract":"<p><p>HIV-associated functional impairment may cause cognitive impairment secondary to the viral infection, hence, associations between cognitive impairment and functional impairment in youth living with HIV are important to assess. We sought to determine whether cognitive impairment is associated with functional impairment and if it carries higher risk for also having functional impairment. We collected parent-rated information regarding youth functional impairment on four different measures and administered a cognitive battery to youth to determine cognitive impairment, 203 HIV-infected youth and 44 HIV-uninfected controls. Degree of cognitive impairment correlated strongly with decreased function: CBCL, <i>r</i> = -.17, <i>p</i> = .01; VABS2, <i>r</i> = -.28, <i>p</i> < .001; repeated-grades, <i>r</i> = .26, <i>p</i> < .001. Presence of cognitive impairment was associated with increased risk of functional impairment: 3.47 (CIS); 1.71 (CBCL); 2.17 (VABS2); 2.97 (repeated-grades). Repeated-grades strongly associated with cognitive impairment and functional impairment. We found strong associations between HIV-infected youth functional impairment on CBCL, VABS2 and repeated-grades with degree of cognitive impairment; and that when cognitive impairment was present youth had higher risk of experiencing functional impairment as well. Asking whether youth have repeated a grade at school could be a helpful screening question for assessing potential functional impairment and provide clinicians with an indication as to whether a further in-depth assessment is required.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"227-231"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1891191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-04-01DOI: 10.1080/09540121.2021.1909695
A M Ter Haar, M Van den Hof, H J Scherpbier, K J Oostrom, L Haverman, D Pajkrt
{"title":"Health-related quality of life of perinatally HIV-infected young people: a longitudinal study.","authors":"A M Ter Haar, M Van den Hof, H J Scherpbier, K J Oostrom, L Haverman, D Pajkrt","doi":"10.1080/09540121.2021.1909695","DOIUrl":"https://doi.org/10.1080/09540121.2021.1909695","url":null,"abstract":"<p><p>Young people perinatally infected with HIV (pHIV) are at risk of a lowered health-related quality of life (HRQOL). Previous evaluation of the NeurOlogical, VIsual and Cognitive performance in HIV-infected Children (NOVICE)-cohort showed no difference in HRQOL between pHIV and matched HIV-uninfected controls (HIV-), yet a higher percentage of pHIV had impaired HRQOL. The aim of this study is to compare the change over time in HRQOL of pHIV to HIV- over a 5-year period. We used the Pediatric Quality of Life Inventory (PedsQL)™ 4.0 to repeat HRQOL assessment. High PedsQL scores indicate good HRQOL. Fifteen/33 (45.5%) pHIV and 17/37 (45.9%) HIV- completed both assessments. At the first assessment, the mean age was 13.1 years (range 8.0-18.4). PHIV scored higher than HIV- on Emotional functioning and on Total scale score. After five years, the mean age was 17.6 years (range 12.1-22.8). PHIV scored higher than HIV- on all scales, except Social functioning. PHIV did not differ significantly from the Dutch norm on either time-point. LMEM showed no difference in change over time for any of the PedsQL scales. In this study, young people with pHIV receiving high-quality health care, including monitoring of HRQOL, remain to experience a good HRQOL.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"263-271"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1909695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25538491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-02-24DOI: 10.1080/09540121.2021.1891192
Chi Linh Hoang, Hai Quang Pham, Hai Thanh Phan, Bach Xuan Tran, Carl A Latkin, Cyrus S H Ho, Roger C M Ho
{"title":"A global analysis of literature on older adults and lifelong living with HIV.","authors":"Chi Linh Hoang, Hai Quang Pham, Hai Thanh Phan, Bach Xuan Tran, Carl A Latkin, Cyrus S H Ho, Roger C M Ho","doi":"10.1080/09540121.2021.1891192","DOIUrl":"https://doi.org/10.1080/09540121.2021.1891192","url":null,"abstract":"<p><p>With the growing number of older people living with HIV, \"What is the most effective geriatric care and the research trend of existing literature?\" is a compelling question after 30 years since the first paper related to aging and HIV/AIDS published. Our study aims to apply quantitative and qualitative analysis to explore the knowledge gaps and describes the research interest of gerontology research in the field of HIV. A bibliometric analysis was conducted based on the databased of the Web of Science from 1991 to 2019. The major domains of research areas were visualized by using VOSviewer software. Latent Dirichlet Allocation (LDA) was applied to classify the dataset into topics. There was a rising number of publications about this topic over time. Our findings indicated that antiretroviral treatment and evaluating quality of life and harm reduction were the major domains regarding care for OPLWH. In addition, the finding highlights the role of social competence in treatment outcomes. Further research needs to tailor multi-disciplinary programs and flexible interventions to reduce the burden and the mortality rate of HIV/AIDS.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"145-154"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1891192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25399461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-03-21DOI: 10.1080/09540121.2021.1902932
Bruno Ferrari Silva, Gustavo Henrique de Oliveira, Caroline Ferraz Simões, João R Nickenig Vissoci, Sidney Barnabé Peres, Solange M Franzoi de Moraes
{"title":"Effects of exercise modality and intensity on the CD4 count in people with HIV: a systematic review and meta-analysis.","authors":"Bruno Ferrari Silva, Gustavo Henrique de Oliveira, Caroline Ferraz Simões, João R Nickenig Vissoci, Sidney Barnabé Peres, Solange M Franzoi de Moraes","doi":"10.1080/09540121.2021.1902932","DOIUrl":"https://doi.org/10.1080/09540121.2021.1902932","url":null,"abstract":"<p><p>The purpose of this study was to assess the effect of training modality and exercise intensity on the modulation of lymphocytes CD4 count in people living with HIV (PLWH). A search for randomised controlled trials was performed using five databases (PubMed/Medline, Cochrane, LILACS, Scielo and CAPES). Meta-analyses of mean differences (MD) were conducted using a random-effects model to compare the effects of training modality and intensity on CD4 count. The CD4 count comparing physical training vs. control group (MD of CD4 was 54.58 cell/ml³ [CI 95% 15.58-93.59], <i>p </i>=< 0.01). In according to the subgroup analysis, only aerobic exercise has proved to have a significant effect on CD4 (MD 79.91 cell/ml³ [CI 95% 19.30-140.52], <i>p </i>=< 0.01). When exercise intensities were stratified, only intense training proved to have a significant effect on CD4 (MD 64.87 cell/ml³ [CI 95% 15.79-113.95], <i>p </i>=< 0.01). In meta-regression analysis showed that the aerobic training, as well, high the intensity training were predictors significant to the improvement of CD4 (<i>p </i>=< 0.01). Exercise training is an important strategy to assist in the treatment of PLWH. The aerobic training modality and the high intensity training were able to promote improve the modulation of CD4 count chronically in PLWH.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"163-172"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1902932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25499060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-03-25DOI: 10.1080/09540121.2021.1906403
Cheryl Anne Mackay, Refiloe Masekela
{"title":"HIV exposure and neurodevelopmental outcome in very low birth weight infants in a low-middle income setting: a prospective cohort study.","authors":"Cheryl Anne Mackay, Refiloe Masekela","doi":"10.1080/09540121.2021.1906403","DOIUrl":"https://doi.org/10.1080/09540121.2021.1906403","url":null,"abstract":"<p><p>Neurodevelopmental impairment is common in premature infants. We aimed to describe neurodevelopmental outcomes in very low birth weight (VLBW) infants at 12 months postmenstrual age (PMA) and correlated with maternal HIV status. A single-centre, prospective cohort study was conducted from 1 June 2017 to 31 January 2019 with follow-up to 12 months. In-born infants with birth weight <1500 g were enrolled. Follow-up care was provided to 12 months PMA. Participants provided informed consent and ethics approval was obtained. A total of 279 patients were enrolled of which 84 (30.1%) died before 12 months and 91 (32.6%) were lost to follow-up. Neurodevelopmental assessment was performed on 104 participants. Mean general development quotient was 106.8, 2 (2.0%) patients had moderate-to-severe impairment and 1 (1.0%) mild impairment. HIV exposure was associated with lower developmental scores (104.3 vs. 109.0; <i>p</i>=0.005), whilst antenatal treatment with magnesium sulphate (109.6 vs. 105.2; <i>p</i>=0.01) and breastfeeding (108.0 vs. 104.0; <i>p</i> = 0.03) were associated with higher developmental scores. Neurodevelopmental outcome at 12 months PMA correlated with maternal HIV status. HIV exposure in VLBW infants is associated with lower neurodevelopmental scores at 12 months PMA. Antenatal treatment with magnesium sulphate and breastfeeding are associated with improved outcomes.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"241-249"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1906403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS CarePub Date : 2022-02-01Epub Date: 2021-02-12DOI: 10.1080/09540121.2021.1883508
Mohammad Rifat Haider, Caroline Kingori, Henon Solomon Gebre
{"title":"Factors associated with HIV testing among women during pregnancy in Kenya: evidence from the Kenya Demographic and Health Survey 2014.","authors":"Mohammad Rifat Haider, Caroline Kingori, Henon Solomon Gebre","doi":"10.1080/09540121.2021.1883508","DOIUrl":"https://doi.org/10.1080/09540121.2021.1883508","url":null,"abstract":"<p><p>This study examined the factors affecting HIV testing among women during pregnancy while on ANC visits in Kenya, using the 2014 Kenya Demographic and Health Survey data. The sample included 3,747 (weighted <i>N</i> = 36,626) pregnant women who gave birth in last two years. Survey-weighted bivariate and multivariable analyses were performed. More than four-fifths (83.9%) of the participants reported that they had an HIV test during ANC visits in last two years. In the adjusted model, married (Adjusted Odds Ratio [aOR]:1.48, 95% Confidence Interval [95% CI]:1.06, 2.06, <i>p</i> < 0.001) than not in a union, having HIV counselling (aOR:1.89, 95% CI: 1.39, 2.56, <i>p</i> < 0.001), higher knowledge on HIV transmission (aOR:1.19, 95% CI: 1.05, 1.34, <i>p</i> = 0.006), increased the likelihood of testing for HIV. While women who were ≥20 years, living in other regions except Nyanza and Nairobi than people living in Coastal region, and who had higher HIV-related stigma (OR:0.83, 95%CI:0.73, 0.94, <i>p</i> = 0.004) had less chance of being tested. These findings have implications on the successful utilization of ANC services in resource limited regions. Culturally appropriate health education can influence cultural norms and enhance timely access of ANC services among women during pregnancy.</p>","PeriodicalId":501279,"journal":{"name":"AIDS Care","volume":" ","pages":"193-200"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09540121.2021.1883508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25364694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}