Ethnicity & Disease最新文献

{"title":"Racial and Ethnic Disparities in COVID-19-Like Illness and Impacts of Social Distancing and Working from Home.","authors":"Sungwoo Lim, C. Dominianni, Karen A. Alroy, Maria Baquero, A. Crossa, L. Gould","doi":"10.18865/ed.32.2.123","DOIUrl":"https://doi.org/10.18865/ed.32.2.123","url":null,"abstract":"Objectives\u0000To examine racial and ethnic disparities in COVID-19-like illness (CLI) during March - August 2020 in New York City, and to test effect modification by age, nativity, and working from home vs outside the home, and mediation via social distancing behavior.\u0000\u0000\u0000Design\u0000Analysis of the monthly Community Health Survey datasets.\u0000\u0000\u0000Setting\u0000New York City.\u0000\u0000\u0000Participants\u00005,305 adults living in New York City.\u0000\u0000\u0000Main Outcome Measures\u0000A binary indicator of having new onset of CLI in the past 30 days.\u0000\u0000\u0000Methods\u0000Prevalence of having CLI was compared among racial and ethnic groups using multivariable log-linear regression. Stratified and causal mediation analyses were conducted to test effect modification and mediation, respectively.\u0000\u0000\u0000Results\u0000Overall percentage of CLI decreased from 25% during March-May to 14% during June-August. In both periods, there was no increased prevalence of CLI among Black or Latino New Yorkers compared with White New Yorkers. However, in stratified analyses, Latino vs White New Yorkers had 2.05 times (95%CI=1.09, 3.83) higher prevalence of CLI among adults working outside the home. Mediation via social distancing was not statistically significant.\u0000\u0000\u0000Conclusions\u0000Excess burden of CLI among Latino adults working outside the home underscores inequitable impacts of COVID-19 in New York City.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"123-130"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43843850","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":"Integrating Population Health Strategies into Primary Care: Impact on Outcomes and Hospital Use for Low-Income Adults.","authors":"H. Kitzman, Kristen Tecson, Abdullah Mamun, Briget da Graca, Samrat Yeramaneni, Kenneth Halloran, Donald Wesson","doi":"10.18865/ed.32.2.91","DOIUrl":"https://doi.org/10.18865/ed.32.2.91","url":null,"abstract":"Objective\u0000Our objectives were two-fold: 1) To evaluate the benefits of population health strategies focused on social determinants of health and integrated into the primary care medical home (PCMH) and 2) to determine how these strategies impact diabetes and cardiovascular disease outcomes among a low-income, primarily minority community. We also investigated associations between these outcomes and emergency department (ED) and inpatient (IP) use and costs.\u0000\u0000\u0000Design\u0000Retrospective cohort.\u0000\u0000\u0000Setting\u0000Community-based PCMH: Baylor Scott & White Health and Wellness Center (BSW HWC).\u0000\u0000\u0000Patients/Participants\u0000All patients who attended at least two primary care visits at BSW HWC within a 12-month time span from 2011-2015.\u0000\u0000\u0000Methods\u0000Outcomes for patients participating in PCMH only (PCMH) as compared to PCMH plus population health services (PCMH+PoPH) were compared using electronic health record data.\u0000\u0000\u0000Main Outcomes\u0000Diastolic and systolic blood pressure, hemoglobin A1c, ED visits and costs, and IP hospitalizations and costs were examined.\u0000\u0000\u0000Results\u0000From 2011-2015, 445 patients (age=46±12 years, 63% African American, 61% female, 69.5% uninsured) were included. Adjusted regression analyses indicated PCMH+PoPH had greater improvement in diabetes outcomes (prediabetes HbA1c= -.65[SE=.32], P=.04; diabetes HbA1c= -.74 [SE=.37], P<.05) and 37% lower ED costs than the PCMH group (P=.01). Worsening chronic disease risk factors was associated with 39% higher expected ED visits (P<.01), whereas improved chronic disease risk was associated with 32% fewer ED visits (P=.04).\u0000\u0000\u0000Conclusions\u0000Integrating population health services into the PCMH can improve chronic disease outcomes, and impact hospital utilization and cost in un- or under-insured populations.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"91-100"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41640643","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":"Poverty, Comorbidity, and Ethnicity: COVID-19 Outcomes in a Safety Net Health System.","authors":"Joseph P Smith, Amy B Kressel, Randall W Grout, Bree Weaver, Megan Cheatham, Wanzhu Tu, Ruohong Li, David W Crabb, Lisa E Harris, William G Carlos","doi":"10.18865/ed.32.2.113","DOIUrl":"10.18865/ed.32.2.113","url":null,"abstract":"<p><strong>Objective: </strong>To determine if race-ethnicity is correlated with case-fatality rates among low-income patients hospitalized for COVID-19.</p><p><strong>Research design: </strong>Observational cohort study using electronic health record data.</p><p><strong>Patients: </strong>All patients assessed for COVID-19 from March 2020 to January 2021 at one safety net health system.</p><p><strong>Measures: </strong>Patient demographic and clinical characteristics, and hospital care processes and outcomes.</p><p><strong>Results: </strong>Among 25,253 patients assessed for COVID-19, 6,357 (25.2%) were COVID-19 positive: 1,480 (23.3%) hospitalized; 334 (22.6%) required intensive care; and 106 (7.3%) died. More Hispanic patients tested positive (51.8%) than non-Hispanic Black (31.4%) and White patients (16.7%, P<.001]. Hospitalized Hispanic patients were younger, more often uninsured, and less likely to have comorbid conditions. Non-Hispanic Black patients had significantly more diabetes, hypertension, obesity, chronic kidney disease, and asthma (P<.05). Non-Hispanic White patients were older and had more cigarette smoking history, COPD, and cancer. Non-Hispanic White patients were more likely to receive intensive care (29.6% vs 21.1% vs 20.8%, P=.007) and more likely to die (12% vs 7.3% vs 3.5%, P<.001) compared with non-Hispanic Black and Hispanic patients, respectively. Length of stay was similar for all groups. In logistic regression models, Medicaid insurance status independently correlated with hospitalization (OR 3.67, P<.001) while only age (OR 1.076, P<.001) and cerebrovascular disease independently correlated with in-hospital mortality (OR 2.887, P=.002).</p><p><strong>Conclusions: </strong>Observed COVID-19 in-hospital mortality rate was lower than most published rates. Age, but not race-ethnicity, was independently correlated with in-hospital mortality. Safety net health systems are foundational in the care of vulnerable patients suffering from COVID-19, including patients from under-represented and low-income groups.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"113-122"},"PeriodicalIF":3.4,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43508708","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":"The Intersection of Social Behavior, Population Health, and Inherited Traits.","authors":"Roland J. Thorpe, Jr., H. Jones","doi":"10.18865/ed.32.2.73","DOIUrl":"https://doi.org/10.18865/ed.32.2.73","url":null,"abstract":"Ethn Dis. 2022;32(2):73-74; doi:10.18865/ed.32.2.73","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"73-74"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46847161","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":"Using COVID-19 Surveillance Systems to Identify and Monitor Disparities: Best Practices and Recommendations.","authors":"Nina T Harawa, Bita Amani, Consuela Abotsi-Kowu, Ezinne Nwankwo, Chandra L Ford","doi":"10.18865/ed.32.2.151","DOIUrl":"10.18865/ed.32.2.151","url":null,"abstract":"<p><p>Inadequate attention to racial health equity is a common challenge to effective, reliable monitoring and mitigation of COVID-19 disparities. Efforts to monitor and mitigate COVID-19 disparities continue to be hampered by inadequacies in how surveillance systems collect, tabulate, and report COVID-19-related outcomes. We conducted environmental scans of existing public health surveillance systems and reporting standards, literature reviews, focus groups with surveillance experts, and consultations with the Centers for Disease Control and Prevention (CDC) and an expert panel on surveillance to identify and explore strengths, weaknesses, and gaps in how existing systems monitor COVID-19 and their implications for addressing disparities in related outcomes. We present recommendations based on these reviews and propose a core minimum set of health indicators and best-practice standards for reporting these indicators by COVID-19 surveillance systems to monitor racial/ethnic and other disparities in the pandemic. These recommendations are relevant to monitoring disparities in the ongoing COVID-19 pandemic and may inform monitoring of future epidemics. This discussion is part of an effort by Project REFOCUS to develop syndemic surveillance systems for monitoring the intersecting pandemics of COVID-19 and racism.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"151-164"},"PeriodicalIF":3.4,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47745260","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":"Social Engagement and Mental Health Symptoms Across Asian American Ethnic Groups During the COVID-19 Pandemic.","authors":"J. Islam, Iman Awan, F. Kapadia","doi":"10.18865/ed.32.2.131","DOIUrl":"https://doi.org/10.18865/ed.32.2.131","url":null,"abstract":"Background\u0000To examine social engagement and mental health symptoms during the COVID-19 pandemic across Asian American (AA) ethnic groups.\u0000\u0000\u0000Methods\u0000Data from three waves of the nationally representative COVID-19 Household Impact Survey (4/20/2020-6/8/2020) were used to describe social engagement and mental health symptoms during the pandemic. Associations between mental health and social engagement were assessed via multinomial logistic regression.\u0000\u0000\u0000Results\u0000In this sample of 312 AAs (36.9% Chinese American, 30.9% South Asian American, 20.1% Filipino/Vietnamese American, and 12.0% Japanese/Korean American), daily communication with neighbors declined for Chinese, South Asian and Filipino/Vietnamese Americans but increased for Japanese/Korean Americans (P=.012) whereas communication with friends/family increased only for Filipino/Vietnamese, Japanese/Korean and South Asian Americans (P<0.001). Differences in self-reported symptoms of anxiety, depression, loneliness, and hopelessness were observed across AA ethnic groups. In adjusted models, lower social engagement was associated with frequent (3-4 days/week) depressive symptoms during the preceding week (cOR:3.26, 95%CI:1.01-10.5). This association was heightened for Asian men (cOR:14.22, 95%CI:3.62-55.8).\u0000\u0000\u0000Conclusions\u0000Heterogeneity of social engagement and mental health symptoms across AA ethnicities was observed. Understanding associations between social engagement and mental health within different communities is necessary to provide culturally and linguistically appropriate mental health treatment and care.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"131-144"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48956957","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 Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors.","authors":"K. Gianaris, Grecia B. Vargas, Morgan Johnson, Yifan Yu, Elena Wilson, Jamilah A. Perkins, A. Jackson, L. E. Boulware, A. Massie, Macey L. Levan, D. Segev, Tanjala S. Purnell","doi":"10.18865/ed.32.2.101","DOIUrl":"https://doi.org/10.18865/ed.32.2.101","url":null,"abstract":"Background\u0000Despite the societal benefits of live kidney donation, Black donors may be more likely than White donors to develop hypertension (HTN) and chronic kidney disease after donation. Among live kidney donors diagnosed with post-donation HTN, little is known about potential racial/ethnic differences in HTN self-care behaviors and perceived susceptibility to developing kidney disease.\u0000\u0000\u0000Methods\u0000We ascertained electronic medical records and phone survey data from live donors enrolled in the multi-center Wellness and Health Outcomes of LivE Donors (WHOLE-Donor) Hypertension Care Study between May 2013 and April 2020. Using multivariable logistic regression models performed January through June 2021, we examined potential associations of donor race/ethnicity with perceived susceptibility to kidney disease and self-care behaviors (ie, Behavioral Risk Factor Surveillance System measure assessing self-reported actions to control high blood pressure).\u0000\u0000\u0000Results\u0000The study included 318 US-based live kidney donors who developed post-donation HTN (57.6% female; 78.9% White; 18.6% Black; and mean age 46.7 years at donation). Black donors were equally as likely as White donors to report being moderately or strongly concerned about developing kidney disease (adjusted odds ratio, aOR: 1.27, 95%CI: .66, 2.14, P=.57). Donors with diabetes were more likely than those without diabetes (aOR: 2.43, 95%CI: 1.03, 5.01, P=.04), while donors aged >50 years were less likely than younger donors (aOR: .39, 95%CI: .18, .85, P=.02) to report being moderately or strongly concerned about kidney disease. Overall, 87% of donors reported taking at least one action to help control blood pressure, with no significant differences by sociodemographic factors.\u0000\u0000\u0000Conclusions\u0000We found no substantial differences in perceived susceptibility to kidney disease among Black and White donors, despite published evidence that Black donors may experience greater risk of developing kidney disease than White donors. Behavioral interventions to enhance knowledge about future disease risk, attitudes, and self-care strategies among living kidney donors may be beneficial.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"101-108"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42677142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Incorporating Stroke Survivors' Health Perceptions in Addressing Health Care Disparities.","authors":"Rondalyn R. Dickens, T. Gyang, Sadie B Sanders, Charles Ellis Jr, A. Simpkins","doi":"10.18865/ed.32.2.145","DOIUrl":"https://doi.org/10.18865/ed.32.2.145","url":null,"abstract":"Patient-centered research in determining health care disparities among stroke patients is limited. Several studies have examined patient perceptions in stroke survivors and have utilized the Illness Perceptions Questionnaire-Revised (IPQ-R) and Brief Illness Perceptions Questionnaire (BIPQ), which are validated measures of illness beliefs. Yet, there are several domains these surveys could assess that warrant more investigation, including: perception of medication side effects; acceptance of the stroke diagnosis; consequence and long-term impact of symptoms; the importance of medications in long-term health maintenance; and perception of ease of access to equitable health care. Though these surveys are available, representation of diverse and under-represented groups within stroke surveys utilizing them is low. Also, only a limited number of studies of stroke patients' perceptions have focused on health disparities or specifically beliefs and attitudes of under-represented stroke survivors. Due to insufficient current research, future studies should focus on using these patient perception questionnaires with underrepresented populations. Improvements in this field may allow providers to offer patient-centered care among a diverse population, bridging gaps in health care equity.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"145-148"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43672518","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":"Generation 1.5: Years in the United States and Other Factors Affecting Smoking Behaviors Among Asian Americans.","authors":"Lu Shi, M. Mayorga, Dejun Su, Yan Li, Emily Martin, D. Zhang","doi":"10.18865/ed.32.2.75","DOIUrl":"https://doi.org/10.18865/ed.32.2.75","url":null,"abstract":"Introduction\u0000Generation 1.5, immigrants who moved to a different country before adulthood, are hypothesized to have unique cognitive and behavioral patterns. We examined the possible differences in cigarette smoking between Asian subpopulations who arrived in the United States at different life stages.\u0000\u0000\u0000Methods\u0000Using the Asian subsample of the 2015 Tobacco Use Supplement to the Current Population Survey, we tested this Generation 1.5 hypothesis with their smoking behavior. This dataset was chosen because its large sample size allowed for a national-level analysis of the Asian subsamples by sex, while other national datasets might not have adequate sample sizes for analysis of these subpopulations. The outcome variable was defined as whether the survey respondent had ever smoked 100 cigarettes or more, with the key independent variable operationalized as whether the respondent was: 1) born in the United States; 2) entered the United States before 12; 3) entered between 12 and 19; and 4) entered after 19. Logistic regressions were run to examine the associations with covariates including the respondent's age, educational attainment, and household income.\u0000\u0000\u0000Results\u0000Asian men who entered before 12 were less likely to have ever smoked 100 cigarettes than those who immigrated after 19; for Asian women, three groups (born in the United States, entered before 12, entered between 12 and 19) were more likely to have smoked 100 cigarettes than those who immigrated after 19.\u0000\u0000\u0000Conclusions\u0000While Asian men who came to the United States before 12 were less at risk for cigarette smoking than those who immigrated in adulthood, the pattern was the opposite among Asian women. Those who spent their childhood in the United States were more likely to smoke than those who came to the United States in adulthood. These patterns might result from the cultural differences between US and Asian countries, and bear policy relevance for the tobacco control efforts among Asian Americans.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"75-80"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43742628","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":"Accuracy of Perceived Breast Cancer Risk in Black and White Women with an Elevated Risk.","authors":"Jessica M.L. Young, K. Postula, D. Duquette, Melissa Gutierrez-Kapheim, Vivian Pan, M. Katapodi","doi":"10.18865/ed.32.2.81","DOIUrl":"https://doi.org/10.18865/ed.32.2.81","url":null,"abstract":"Introduction\u0000Perceived breast cancer risk predicts screening behaviors. However, perceived risk is often inaccurate, notably in Black women, who often underestimate their risk despite having higher disease-specific mortality rates. We examined predictors of perceived breast cancer risk, and its impact on surveillance.\u0000\u0000\u0000Methods\u0000We used baseline data from a randomized trial targeting unaffected women recruited by relatives with early-onset breast cancer. Data collection occurred between 2012 and 2013. Accuracy of perceived risk was assessed by comparing perceived risk to objective lifetime breast cancer risks, calculated with the Gail and Claus models. A multivariate mixed model regression examined predictors of accuracy of perceived risk. The impact of perceived risk on breast cancer surveillance was assessed with one-way ANOVAS comparing Black to White women.\u0000\u0000\u0000Results\u0000Among participants, 21.4% self-identified as Black and 78.6% as White. Overall, 72.9% (n=247/339), 16.2% (n=55/339), and 10.9% (n=37/339) of participants overestimated, accurately perceived, and underestimated, respectively, their lifetime breast cancer risk. Race did not predict the accuracy of risk perception. Younger participants were more likely to overestimate their risk (β=-.455; CI [-.772, -.138]; P=.005). MRI utilization was predicted by a higher objective risk (F 1,263 [= 30.271]; P<.001) and more accurate risk perception (P=.010; Fisher's exact test).\u0000\u0000\u0000Conclusions\u0000Most women with a family history of early-onset breast cancer inaccurately perceived their risk for developing the disease. Younger women were more likely to overestimate their risk. Findings can guide the development of tailored interventions to improve adherence to breast cancer surveillance recommendations.","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 2 1","pages":"81-90"},"PeriodicalIF":3.2,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45129346","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}