Canadian Journal of Public Health-Revue Canadienne De Sante Publique最新文献

{"title":"'You definitely choose struggling over humiliation': Experiences of food insecurity in Nova Scotia, Canada, for LGBTQ + individuals.","authors":"Phillip Joy, Aliya Seward, Megan White, Stephen Fewer, Min Gao, Sue Kelleher","doi":"10.17269/s41997-025-01081-x","DOIUrl":"https://doi.org/10.17269/s41997-025-01081-x","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores food insecurity among lesbian, gay, bisexual, trans, queer, and other sexual and gender minority (LGBTQ +) individuals in Nova Scotia, Canada.</p><p><strong>Methods: </strong>Using a descriptive qualitative research design, guided by queer theory, LGBTQ + participants with lived experience of food insecurity were recruited from across Nova Scotia. Data were generated through semi-structured interviews and analyzed using reflexive thematic analysis, drawing on the queer theoretical lens, alongside concepts from minority stress theory, queer activism, and food justice.</p><p><strong>Results: </strong>Eleven participants, representing a range of sexual orientations and gender identities, described food insecurity as shaped by factors such as non-standard work schedules, limited transportation, stigma, and gaps in healthcare and gender-affirming care. Three themes are reported: (1) Structural Barriers and Institutional Failures, (2) Healthcare Barriers and Food Insecurity, and (3) Structural Economic Exclusion and Food Insecurity.</p><p><strong>Conclusion: </strong>This study highlights how food insecurity among LGBTQ + individuals is shaped by intersecting structural inequities. It calls for inclusive, equity-focused food systems and policy reforms that reflect LGBTQ + lived realities.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationships between nutrition and brain health among Indigenous Peoples in North America: a systematic review.","authors":"Anik Obomsawin, Joyla A Furlano, Letebrhan Ferrow, Deyowidron't Morrow, Guylaine Ferland, Laura E Middleton, Lynden Crowshoe, Jennifer D Walker, Alexandra J Fiocco","doi":"10.17269/s41997-025-01078-6","DOIUrl":"https://doi.org/10.17269/s41997-025-01078-6","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review synthesizes extant literature that examines relationships between nutrition and brain health in Indigenous populations in North America and further assesses the extent to which Indigenous research paradigms and community engagement processes have been employed.</p><p><strong>Methods: </strong>We searched five databases for primary research studies that examined indices of diet/nutrients in relation to brain health and focused on Indigenous populations in North America. Quality appraisal was performed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool as well as the Appraisal Tool for Cross-Sectional Studies, the JBI Critical Appraisal Checklist for Case Control Studies, or the Critical Appraisal Skills Programme Cohort Study Checklist.</p><p><strong>Synthesis: </strong>Of the 564 articles identified in the search, 16 met inclusion criteria. Ten studies focused on Inuit populations, 2 focused on the residents of Grassy Narrows First Nation, 2 focused on Cree populations, and 2 focused on Quileute, Makah, and Quinault First Nations populations. Fourteen studies reported deleterious effects of dietary contaminants (e.g., mercury, lead, polychlorinated biphenyls) on brain health outcomes and three studies reported beneficial effects of omega-3 polyunsaturated fatty acids on brain health outcomes.</p><p><strong>Conclusion: </strong>Findings of this review highlight the neurotoxic effects of environmental contaminants and the beneficial effects of omega-3 polyunsaturated fatty acids in traditional Indigenous food sources on a range of brain health outcomes. However, given the methodological limitations of the studies reviewed and the lack of community-based research that employs Indigenous research paradigms, results should be interpreted with caution. There is a clear need for strength-based research that examines the positive effects of nutrients within traditional Indigenous foods on brain health.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital burden of influenza, respiratory syncytial virus, and other respiratory viruses in Canada, seasons 2010/2011 to 2018/2019.","authors":"Abbas Rahal, Andrea Nwosu, Dena L Schanzer, Christina Bancej, Amanda Shane, Liza Lee","doi":"10.17269/s41997-025-01049-x","DOIUrl":"https://doi.org/10.17269/s41997-025-01049-x","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to develop a model to estimate the hospitalization burden attributable to influenza, respiratory syncytial virus (RSV), enterovirus (EV), human metapneumovirus (HMPV), human parainfluenza virus (HPIV), and other respiratory viruses (OV) in Canada.</p><p><strong>Methods: </strong>A Poisson regression model was developed using respiratory hospitalization administrative data for the seasons 2010/2011 to 2018/2019.</p><p><strong>Results: </strong>The estimated average seasonal number of respiratory hospitalizations attributable to influenza was 15,000 in Canada (rate 43.4 hospitalizations per 100,000 population [95%CI 40.9, 46.0]), and 13,000 (rate 36.3 hospitalizations per 100,000 population [95%CI 29.2, 43.4]) for RSV. The estimated average seasonal numbers of hospitalizations attributable to EV, HMPV, HPIV, and OV were 6000 (rate 16.2 hospitalizations per 100,000 population [95%CI 10.7, 21.8]), 4000 (rate 12.4 hospitalizations per 100,000 population [95%CI 7.1, 17.6]), 2000 (rate 5.9 hospitalizations per 100,000 population [95%CI 2.0, 9.8]), and 3000 (rate 8.9 hospitalizations per 100,000 population [95%CI 0.04, 17.7]), respectively.</p><p><strong>Conclusion: </strong>This study provided updated and new Canadian estimates for hospitalizations attributable to influenza, RSV, EV, HMPV, and HPIV for 2010/2011 to 2018/2019 surveillance seasons. These estimates are important given the emergence of SARS-CoV-2 and the ongoing circulation of seasonal respiratory viruses. Routine burden estimation is pivotal in supporting the implementation and evaluation of public health programs focused at mitigating the impacts of respiratory viruses. Although multiple external factors are at play, this study indicates that influenza and RSV attributable hospitalizations were persisting and generally increasing in Canada in recent years preceding the COVID-19 pandemic.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capitalisation as a boundary object in intervention research, serving knowledge production and mobilisation.","authors":"Mélanie Villeval, Chloé Hamant, Timothée Delescluse, François Berdougo, Anne Laurent, Christine Ferron, Aurélie Van Hoye","doi":"10.17269/s41997-025-01076-8","DOIUrl":"https://doi.org/10.17269/s41997-025-01076-8","url":null,"abstract":"<p><p>Knowledge transfer is a key issue in population health intervention research (PHIR). In order to foster ownership and implementation of evidence-based data by decision-makers and field workers, it is important to produce more knowledge based on the actual practices of these actors. By providing a platform for field actors and mobilising a structured, qualitative approach to collect, analyse, and share field-based knowledge, Capitalisation of Experience Knowledge in Health Promotion (CEKHP) can be a valuable tool for PHIR. This article illustrates this contribution through two concrete experiences of mobilising the CEKHP approach within the framework of two projects: the PROSCeSS PHIR project (health promotion within sports clubs) and the IMPACT project (transferability analysis of the experimental primary care system for disadvantaged patients).</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Indigenous language knowledge and physical, emotional, mental, and spiritual balance among First Nations living on reserve in British Columbia, Canada.","authors":"Brandi Anne Berry, Nicole S Berry, Marianne Ignace, Jeff Reading, Scott Venners","doi":"10.17269/s41997-025-01077-7","DOIUrl":"https://doi.org/10.17269/s41997-025-01077-7","url":null,"abstract":"<p><strong>Objectives: </strong>A First Nations perspective on wellness includes physical, mental, emotional, and spiritual balance. Indigenous languages hold cultural knowledge and values that could promote wellness. Language learning is one way that Indigenous peoples may reclaim their cultural identity. We theorize that Indigenous language knowledge is one of multiple cultural activities causally downstream from Indigenous reclamation of culture among other causal precursors.</p><p><strong>Methods: </strong>Our analysis was informed by the results of qualitative interviews with ten Indigenous language learners. We conducted cross-sectional analysis of the First Nations Regional Health Survey (2015-2017) from adults living on First Nations reserves in British Columbia, Canada. Using logistic regression with adjustment for confounding, we estimated associations of Indigenous language knowledge with self-reported physical, mental, emotional, and spiritual balance.</p><p><strong>Results: </strong>In models adjusted for age and sex and compared to those with little or no fluency, among those with intermediate or fluent Indigenous language ability, the odds ratios (95% CI) of being in balance most or all of the time were 1.06 (0.79, 1.42) for physical balance, 1.23 (0.93, 1.62) for mental balance, 1.19 (0.90, 1.58) for emotional balance, and 1.57 (1.18, 2.10) for spiritual balance. In models adjusted for age, sex, and multiple cultural activities, these were 0.94 (0.69, 1.28); 1.05 (0.79, 1.41); 0.99 (0.73, 1.33); and 1.13 (0.82, 1.55) respectively.</p><p><strong>Conclusion: </strong>In age/sex-adjusted models, Indigenous language knowledge acted as a proxy for multiple cultural activities theoretically downstream from reclamation and promoters of cultural wellness. Our results are consistent with First Nations cultural activities promoting spiritual balance in this population.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to knowledge and awareness around sexually transmitted and blood-borne infections (STBBIs)-related preventive measures among Black populations across Canada: a systematic review.","authors":"Bethelehem Girmay, Sasha Logan Strong, Dianne Bryant, Obidimma Ezezika","doi":"10.17269/s41997-025-01069-7","DOIUrl":"https://doi.org/10.17269/s41997-025-01069-7","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this systematic review was to identify and analyze the barriers and facilitators to knowledge and awareness of sexually transmitted and blood-borne infections (STBBIs) among Black populations in Canada. This review specifically focused on three key areas: general awareness of STBBIs, knowledge of STBBI prevention, and knowledge of STBBI testing.</p><p><strong>Methods: </strong>A comprehensive search was conducted using five databases: OVID Embase, OVID Medline, CINAHL, and Scopus. A total of 1261 studies were initially identified, with 24 meeting the eligibility criteria, limited to studies published between 1990 and 2023. All eligible studies included in the review underwent quality assessment.</p><p><strong>Synthesis: </strong>The review identified 57 barriers and 12 facilitators to STBBI knowledge. Key barriers included stigma, cultural norms, inadequate healthcare resources, lack of cultural competence among healthcare providers, and limited access to information and services. Facilitators included access to AIDS Service Organizations, culturally informed dissemination strategies, supportive family and community networks, and effective communication between parents and children. The Social Cognitive Theory (SCT) was used to interpret these findings, focusing on the role of observational learning, self-efficacy, and social support in knowledge acquisition and health-seeking behaviours, and to guide recommendations for future actions.</p><p><strong>Conclusion: </strong>The findings highlight significant barriers and facilitators to STBBI knowledge among Black populations in Canada. Addressing these barriers and leveraging the identified facilitators, through interventions informed by the SCT, are recommended to improve STBBI knowledge and health outcomes among these communities.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of trust in engaging community-based task forces and agencies among minoritized communities during a public health emergency.","authors":"Denessia Blake-Hepburn, Kadidiatou Kadio, Subrana Rahman, M Hashim Khan, Samiya Abdi, Shaza A Fadel, Sara Allin, Anushka Ataullahjan, Erica Di Ruggiero","doi":"10.17269/s41997-025-01074-w","DOIUrl":"https://doi.org/10.17269/s41997-025-01074-w","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate how task forces, networks, and community agencies engaged with faith-based, and ethnoracial communities to improve vaccine confidence and uptake of COVID-19 vaccines, and to understand the perceived enablers and barriers to the implementation of vaccine confidence and uptake in the Peel Region and Toronto, Ontario.</p><p><strong>Methods: </strong>Between June 2023 and March 2024, we conducted ten online focus groups with three task forces and six community agencies. We conducted four interviews with representatives from two task forces and one network. We used thematic analysis to explore respondents' perceptions and experiences.</p><p><strong>Results: </strong>The data revealed that trust operated at interpersonal and organizational levels, which are mutually reinforcing. At the interpersonal level, members of the task forces, network, and ambassadors from community agencies drew on relationships with members of minoritized communities by addressing community concerns on their terms and using in-person, online, regular contact, and active listening approaches. At the organizational level, trust was facilitated through conducting outreach (i.e., vaccine promotion) at trusted and familiar locations (e.g., faith-based organizations). COVID-related information was better received from community representatives who were already known and trusted among community members. Common outreach strategies included door-to-door outreach; informational videos and sessions; mass awareness-raising campaigns; townhalls; and ethnic media and social media.</p><p><strong>Conclusion: </strong>Community leaders play an instrumental role in establishing and sustaining trust in vaccine promotion among community members. Trust established among community leaders and ambassadors enabled vaccine promotion efforts among minoritized communities. These findings may help to further strengthen community engagement for future public health emergency responses.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential value streams of an integrated Canadian serosurveillance network.","authors":"Jonathon R Campbell, W Alton Russell, Caroline E Wagner, Douglas G Manuel, Varun Anipindi, Prativa Baral, Timothy G Evans, Catherine A Hankins, Beate Sander","doi":"10.17269/s41997-025-01075-9","DOIUrl":"https://doi.org/10.17269/s41997-025-01075-9","url":null,"abstract":"<p><p>The Government of Canada, through the COVID-19 Immunity Task Force (CITF), supported over 100 serosurveillance studies during the COVID-19 pandemic, building and strengthening the technical infrastructure necessary for a national serosurveillance network. The value of such a network extends beyond infectious disease surveillance to monitoring non-communicable diseases and chemical and environmental contaminants, advancing immunology and medicine, and contributing to national and international research and training. A serosurveillance network can contribute to skill development and retention of the health workforce and provide a platform to rapidly evaluate diagnostics for emerging pathogens. Although full linkage of health data across jurisdictions remains a challenge for such a serosurveillance network to realize its full potential, there are several value streams that make it a worthwhile goal to pursue: improving population health, supporting policy decisions, and facilitating research and diagnostic development. In the aftermath of the COVID-19 pandemic, an integrated pan-Canadian serosurveillance network is a crucial asset going forward.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between positive parent-child interaction and mental health outcomes in children aged 1-11 years in Canada.","authors":"Peter Yassa, Justin Thielman, Andrea Gonzalez, Mackenzie Martin, Daniel W Harrington, Sarah Carsley","doi":"10.17269/s41997-025-01073-x","DOIUrl":"https://doi.org/10.17269/s41997-025-01073-x","url":null,"abstract":"<p><strong>Objectives: </strong>The prevalence of mental health disorders in Canada has increased over the past 10 years. Positive parent-child interaction (PCI) is a potential protective factor for child mental health, but has not been explored in a Canadian context. This study aimed to determine the association between positive PCI and mental health outcomes in children ages 1-11 years in Canada.</p><p><strong>Methods: </strong>Participants were included from the 2019 Canadian Health Survey on Children and Youth (CHSCY) (N = 28,874). PCI was assessed using five items, reported by the parents. The combined PCI score was also derived. Parent-reported general child mental health was the main outcome. Multivariable logistic regression models, adjusting for confounders, were performed.</p><p><strong>Results: </strong>Only 2.8% of parents reported their child's mental health to be \"fair/poor\". The adjusted analysis did not show an association between combined PCI score and parent-reported general child mental health (OR = 0.96; 95%CI 0.91-1.01). Models assessing individual PCI items did not show significant associations with general child mental health, except for the \"laughs with child\" item.</p><p><strong>Conclusion: </strong>While it is theorized that positive PCI is predictive of child mental health, this study did not find a consistent association, except for the frequency at which the parent laughs with the child. This suggests that PCI, as measured in CHSCY, is not a strong indicator of child mental health. Yet, as PCI is an important parenting concept, the PCI items in the CHSCY may not adequately capture the intended construct. Future studies should consider assessing the construct validity of these items.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Helping people access benefits: Millions of unclaimed federal dollars are available.","authors":"Noralou P Roos, Sharon Macdonald, Eileen Boriskewich, Leslie L Roos, Sally Massey-Wiebe, Colleen J Metge","doi":"10.17269/s41997-025-01064-y","DOIUrl":"https://doi.org/10.17269/s41997-025-01064-y","url":null,"abstract":"<p><strong>Setting: </strong>The GetYourBenefits! Project began as an attempt to convince physicians that it is important to diagnose and treat poverty.</p><p><strong>Intervention: </strong>The academics worked with community agencies and physician organizations to communicate about the government benefits for which individuals with low incomes and/or disabilities are eligible. The Project Manager and Outreach Officer met with and gave talks to community groups. The Financial Literacy and Empowerment Program Coordinator, Community Financial Counselling Services (CFCS), who leads Manitoba's free tax filing clinics, led the development of the Get Your Benefits booklet. The authors decided communicating about the project was important. The project was funded by the Winnipeg Foundation with the collaboration of the Manitoba government and is being continued by CFCS.</p><p><strong>Outcomes: </strong>This paper describes how information on accessing benefits has been communicated to physicians, health care providers, and those who work in public health. Over 170,000 booklets were distributed. By the final year of the project (2023), over 85 websites had linked to the project website, a major growth over the nine websites linked in the first year of the project. Several updates a year were sent advising on opportunities for accessing benefits, with more than 270 individuals and organizations receiving these in the last year of the project.</p><p><strong>Implications: </strong>Accessing these benefits has brought and could bring additional millions of unclaimed federal dollars to eligible individuals across Canada. There is still much to be done.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}