Health education & behavior : the official publication of the Society for Public Health Education最新文献

{"title":"<i>Bayo Lapawol</i> (Let Their Voices Be Heard): Haitian Women's Barriers to and Facilitators of Cervical Cancer Prevention and Control.","authors":"Rhoda K Moise,&nbsp;Eddy Jonas,&nbsp;Elizabeth M Campa,&nbsp;Mary Clisbee,&nbsp;Gilberto Lopes,&nbsp;Erin Kobetz","doi":"10.1177/1090198121990381","DOIUrl":"https://doi.org/10.1177/1090198121990381","url":null,"abstract":"<p><p>This study aimed to increase understanding of barriers to cervical cancer prevention and control in Haitian women using photovoice methodology. Consented participants were (1) trained to use a digital camera and encouraged to capture their screening barriers, (2) interviewed to unpack and analyze their images, and (3) invited to participate in follow-up focus groups for refined discussion and data triangulation for content analysis using NVivo software. The sample included women (<i>n</i> = 25) who were on average 42 years (<i>SD</i> = 9.8, range: 26-57) and born and raised in Haiti. Results highlighted multiple barriers, including gendered family responsibilities, concerns about quality of care, financial and time constraints, worries about discomfort and exam efficacy, and emotional deterrents such as frustration. Framed by the PEN-3 model's dimensions of cultural identity, relationships and expectations, and cultural empowerment, women's recommendations to overcome barriers spanned education, evaluation, and empowerment, respectively, across individual, interpersonal, and institutional systems. Study results call for more extensive examination of the diversity present in the groups of African origin to unearth transnational, multifaceted determinants of health by biology, beliefs, and behaviors including sociocultural and socioenvironmental access. Future interventions must include development of proactive policies, which deliberately pressure the government and global community to prioritize health infrastructure while simultaneously educating women about and dispelling fear of cervical cancer, thus empowering Haitian women to live their healthiest lives. Accordingly, this study may contribute to understanding global health equity advances and improving public health infrastructure in underresourced settings in low- and middle-income countries in the Caribbean.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"873-884"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198121990381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25403148","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":"Are Women Ready to Prevent Osteoporosis? Change Stages for Preventive Behaviors.","authors":"Patricia Clark,&nbsp;Pilar Lavielle","doi":"10.1177/1090198121993025","DOIUrl":"https://doi.org/10.1177/1090198121993025","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the prevention behaviors for osteoporosis (OP) in women (physical activity and calcium intake) and their readiness to perform these behaviors.</p><p><strong>Method: </strong>Women aged ≥30 years in four large cities of Mexico were interviewed. The geographical areas were selected randomly and stratified according to socioeconomic status and age. A questionnaire designed to assess OP-related prevention behaviors, as well as attitudes and stages of change of the transtheoretical model toward these behaviors, was used.</p><p><strong>Results: </strong>Eight hundred and six women were interviewed: 4.2% reported diagnosis of osteopenia, 5% of OP, 2.3% had suffered a fracture, and 11.9% had a family history of OP. A large proportion of participants did not do physical activity (56.2%) and did not have the recommended intake of calcium (61.3%). More than 80% of these participants were in lower stages of change (precontemplation and contemplation) for performing physical activity and 86.4% for calcium intake, which means a lack of readiness to change their behaviors. The absence of readiness to change preventive behaviors was related to negative attitudes toward both behaviors (<i>OR</i> = 1.81, 95% CI [1.04, 3.14] physical activity; <i>OR</i> = 3.09, 95% CI [1.81, 5.29] calcium intake). Both of these behaviors were associated with known risk factors for OP.</p><p><strong>Conclusion: </strong>Very high percentage of women are not ready to perform the behaviors necessary to maintain bone health. This phenomenon was not as a result of clinical risk factors for OP but because of the negative attitudes and beliefs of women related to physical activity and calcium intake.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"892-898"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198121993025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25478646","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":"Engaging Latino Families About COVID-19 Vaccines: A Qualitative Study Conducted in Oregon, USA.","authors":"Jonathan Garcia,&nbsp;Nancy Vargas,&nbsp;Cynthia de la Torre,&nbsp;Mario Magana Alvarez,&nbsp;Jesse Lawton Clark","doi":"10.1177/10901981211045937","DOIUrl":"https://doi.org/10.1177/10901981211045937","url":null,"abstract":"<p><strong>Objectives: </strong>Latinos are disproportionately vulnerable to severe COVID-19 due to workplace exposure, multigenerational households, and existing health disparities. Rolling out COVID-19 vaccines among vulnerable Latinos is critical to address disparities. This study explores vaccine perceptions of Latino families to inform culturally centered strategies for vaccine dissemination.</p><p><strong>Method: </strong>Semistructured telephone interviews with Latino families (22 mothers and 24 youth, 13-18 years old) explored COVID-19 vaccine perceptions including (1) sources of information, (2) trust of vaccine effectiveness and willingness to get vaccinated, and (3) access to the vaccine distribution. We identified thematic patterns using immersion-crystallization.</p><p><strong>Results: </strong>We found that (1) 41% expressed optimism and willingness to receive the vaccine coupled with concerns about side effects; (2) 45% expressed hesitancy or would refuse vaccination based on mistrust, myths, fear of being used as \"guinea pigs,\" and the perceived role of politics in vaccine development; (3) families \"digested\" information gathered from social media, the news, and radio through intergenerational communication; and (4) participants called for community-led advocacy and \"leading by example\" to dispel fear and misinformation. Optimistic participants saw the vaccine as a way to protect their families, allowing youth to return to schools and providing safer conditions for frontline essential workers.</p><p><strong>Conclusions: </strong>Culturally centered vaccine promotion campaigns may consider the Latino family unit as their target audience by providing information that can be discussed among parents and youth, engaging a range of health providers and advocates that includes traditional practitioners and community health workers, and disseminating information at key venues, such as schools, churches, and supermarkets.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"747-757"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/60/10.1177_10901981211045937.PMC8581716.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39477825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers of a Chronic Care Management Intervention Addressing Diabetes Among Mexican-Origin Adults.","authors":"Valerie L Polletta,&nbsp;Alana M W LeBrón,&nbsp;Maribel R Sifuentes,&nbsp;Lisa A Mitchell-Bennett,&nbsp;Ciara Ayala,&nbsp;Belinda M Reininger","doi":"10.1177/10901981211014431","DOIUrl":"https://doi.org/10.1177/10901981211014431","url":null,"abstract":"<p><strong>Background: </strong>Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic staff, CHWs, and partnerships with community-based organizations to enhance diabetes management among Mexican-origin adults.</p><p><strong>Method: </strong>Grounded theory was used to analyze interviews conducted in 2018 with 24 members of the CCM team, including program staff, clinic staff, and community-based program partner staff.</p><p><strong>Results: </strong>Three themes emerged that characterize perceived facilitators and barriers to CCM implementation, based on analysis of interviews: (1) understanding roles and responsibilities across organizations, (2) building relationships across organizations, and (3) coordinating delivery of the model among different organizations. First, structured meetings and colocated workspaces enhanced understanding of CCM roles for each team member and across organizations. Barriers to understanding CCM roles were more common during the early stages of CCM implementation and amongst staff who did not participate in regular meetings. Second, regular meetings facilitated development of relationships across organizations to enhance implementation of the CCM model. In contrast, limited relationship building among some CCM team members served as a barrier to implementation. Third, CHWs and case review meetings fostered communication and coordination across the CCM model.</p><p><strong>Conclusions: </strong>Results suggest the importance of understanding roles and building relationships among multidisciplinary teams to ensure effective communication and coordination of care.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"831-841"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211014431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39012956","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":"Debt-Related Financial Hardship and Health.","authors":"Elizabeth Sweet","doi":"10.1177/1090198120976352","DOIUrl":"https://doi.org/10.1177/1090198120976352","url":null,"abstract":"<p><p>Recent research shows personal financial debt is an important socioeconomic determinant of health, but the mechanisms through which it operates are not well understood. This article uses data from a mixed-methods study to explore how changes in spending and behavior that result from debt have salient health consequences in a cross-sectional sample of Boston area adults (<i>n</i> = 286). Findings show that a large majority of respondents had skipped medical care, housing payments, or consumer purchases at least once because of their debt. Controlling for multiple sociodemographic characteristics, each of these measures of debt-related behavior change was associated with worse self-rated health, and higher depressive symptoms, anxiety, and perceived stress. In models including all three measures, skipped medical care was associated with worse health across all outcomes, while skipped consumer purchases were associated with higher perceived stress and depression. These findings suggest that altered spending and care-seeking behaviors are potential pathways through which financial debt can negatively affect health and suggest areas in need of additional research.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"885-891"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120976352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38646353","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":"Lead Health Fairs: A Community-Based Approach to Addressing Lead Exposure in Chicago.","authors":"Julia Lippert,&nbsp;James Montgomery,&nbsp;Camille DeMarco","doi":"10.1177/1090198120954359","DOIUrl":"https://doi.org/10.1177/1090198120954359","url":null,"abstract":"<p><p>Lead exposure has been linked to neurological, reproductive, and developmental effects, and approximately 3.5% of Chicago children under the age of 3 years have elevated blood lead levels. The aim of this research was to provide outreach opportunities to address the issue of lead exposure in water and soil. A series of seven community-based health fairs were held with a combined approach of screening and education accomplished through partnerships with organizations established within underserved communities that leveraged resources. Community members attending the fairs brought in samples of soil from their yards and tap water for lead testing. Lead concentrations in the soil samples had a mean value of 305.7 parts per million, and 30% of the samples were above the Environmental Protection Agency's action level for children's play lots. The mean lead concentration in tap water was 8.3 parts per billion, with 6% of sample testing above the Environmental Protection Agency's action level. There was no significant correlation between the lead levels in water and soil (<i>p</i> = .21), and there was no significant difference between the average lead concentrations in different areas of the city. A multifaceted approach was utilized to educate and engage and ultimately empower the communities affected by exposure to lead in urban settings.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"758-768"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120954359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38369476","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":"Outdoor Falls Prevention Strategy Use and Neighborhood Walkability Among Naturally Occurring Retirement Community Residents.","authors":"Tracy Chippendale","doi":"10.1177/1090198120980358","DOIUrl":"https://doi.org/10.1177/1090198120980358","url":null,"abstract":"<p><strong>Background: </strong>Outdoor falls present a significant challenge to the health and well-being of older adults. Safe strategy use is an important component of falls prevention, yet little is known regarding use of outdoor falls prevention strategies.</p><p><strong>Aims: </strong>To examine outdoor falls prevention strategy use among naturally occurring retirement community residents at risk for falls, and to examine associations with neighborhood walkability.</p><p><strong>Methods: </strong>Descriptive analyses of pretest data from an intervention study (<i>N</i> = 97) were conducted to examine frequency of outdoor falls prevention strategy use. Walk Score^® data were added to the dataset, and chi-square tests of independence were used to examine associations between walkability categories and outdoor falls prevention strategy use.</p><p><strong>Results: </strong>Some strategies, such as visual scanning and holding rails on stairs, were used by 70% or more of participants while others, such as route planning, were infrequently or inconsistently used. With the exception of avoiding cell phone use while walking outdoors, no significant associations were found between walkability categories and outdoor falls prevention strategy use.</p><p><strong>Conclusion: </strong>Study findings serve as a needs assessment for health education and behavioral training.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"899-906"},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120980358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39081515","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":"Testing the Effects of Hookah Tobacco Social Media Risk Communication Messages Among Young Adults.","authors":"Andrea C Johnson,&nbsp;Darren Mays","doi":"10.1177/1090198120963104","DOIUrl":"https://doi.org/10.1177/1090198120963104","url":null,"abstract":"<p><strong>Background: </strong>Hookah tobacco is commonly used among young adults, and use is driven in part by widespread misperceptions about risks. Social media use, particularly Instagram, is prominent in this population and exposure to commercial and user-generated content promoting hookah commonly occurs.</p><p><strong>Aims: </strong>This study tested the effects of hookah tobacco risk messaging for delivery via Instagram as a strategy to offset exposure to content promoting hookah use among young adults.</p><p><strong>Method: </strong>Young adult hookah smokers were recruited online for a 2 × 3 between-subjects experiment (<i>n</i> = 601). Participants completed preexposure measures and were randomized to view hookah tobacco Instagram ads (commercial or user generated) with risk messages (none, risk education, or graphic risk). Stimuli were presented as a simulated Instagram feed. After viewing the stimuli, participants completed postexposure outcome measures.</p><p><strong>Results: </strong>There was a statistically significant main effect of risk message type but no significant main effect of Instagram ad type or risk message type by ad type interactions. Exposure to the graphic risk and risk education messages were associated with lower intentions to engage with hookah tobacco ads on Instagram. Graphic risk and risk education messages produced greater negative emotional response and the graphic messages increased motivation to quit compared with Instagram ads alone.</p><p><strong>Discussion: </strong>Findings provide preliminary evidence that hookah tobacco risk messages delivered via Instagram can offset the influence of content promoting the use of hookah tobacco.</p><p><strong>Conclusion: </strong>This study represents an example of risk message testing and the results suggest the messages warrant further testing via social media delivery.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"627-636"},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120963104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Campaigns to Support the Use of Nutritional Warnings: Different Messages for Different People?","authors":"Gastón Ares,&nbsp;Leticia Vidal,&nbsp;Tobias Otterbring,&nbsp;Jessica Aschemann-Witzel,&nbsp;María Rosa Curutchet,&nbsp;Ana Giménez,&nbsp;Isabel Bove","doi":"10.1177/10901981211003510","DOIUrl":"https://doi.org/10.1177/10901981211003510","url":null,"abstract":"<p><p>Communication campaigns are expected to contribute to increase the efficacy of nutritional warnings. In this context, the aims of the present work were (a) to evaluate how citizens perceive different types of messages for a communication campaign and (b) to determine if personal characteristics such as gender, age, and educational level, as well socioeconomic and nutritional status, moderate how citizens perceive such campaign messages. A series of graphic pieces were designed for each of the following three types of messages: promotion of informed food choices; raising awareness of the negative health consequences of excessive consumption of sugar, fat, and sodium; and promotion of healthy food choices. An online study was conducted with 774 participants, who were randomly assigned to one of the three types of messages. The participants' self-reported perception of the graphic pieces was evaluated using 7-point Likert-type scales. After completing the evaluation task, the participants proceeded to a series of choices. This was implemented to evaluate whether exposure to different types of messages affected hypothetical food choices. Results revealed that messages related to the promotion of healthy eating were perceived as the most adequate as part of a communication campaign and had the potential to encourage more healthful hypothetical choices in the experimental task. However, gender, age, and nutritional status moderated the influence of the type of message on the participants' perception, meaning that different groups perceived different types of messages as the most adequate. The results from the present work stress the need to include different types of messages in a communication campaign to target individuals with different motivations and characteristics.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"584-594"},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211003510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25583684","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":"Building Community in the HIV Online Intervention Space: Lessons From the HealthMPowerment Intervention.","authors":"Natalie A Blackburn,&nbsp;Willa Dong,&nbsp;Megan Threats,&nbsp;Megan Barry,&nbsp;Sara LeGrand,&nbsp;Lisa B Hightow-Weidman,&nbsp;Karina Soni,&nbsp;Deren V Pulley,&nbsp;Jose A Bauermeister,&nbsp;Kate Muessig","doi":"10.1177/10901981211003859","DOIUrl":"https://doi.org/10.1177/10901981211003859","url":null,"abstract":"<p><strong>Background: </strong>Mobile health platforms can facilitate social support and address HIV (human immunodeficiency virus) stigma but pose challenges for intervention design and participant engagement. Giddens's structuration theory, that individuals are shaped by-and shape-their communities through rules and resources that give them power to operate within these environments, provides a useful analytic framework for exploring these dynamic intervention spaces.</p><p><strong>Method: </strong>Data were drawn from an online randomized controlled trial intervention (HealthMpowerment) for young Black men who have sex with men to reduce condomless anal intercourse. We applied a conversational analysis informed by structuration theory to 65 user-generated conversations that included stigma content. We aimed to understand how the interdependent relationship between the intervention space and participants' contributions might contribute to behavior change.</p><p><strong>Results: </strong>Thirty five intervention participants contributed to the analyzed conversations. Our analysis identified three types of conversational processes that may underlie behavior change: (1) Through intervention engagement, participants established norms and expectations that shaped their discussions; (2) participants used anecdotes and anonymity to reinforce norms; and (3) intervention staff members sought to improve engagement and build knowledge by initiating discussions and correcting misinformation, thus playing an integral role in the online community.</p><p><strong>Conclusions: </strong>The lens of structuration theory usefully reveals potential behavior change mechanisms within the social interactions of an online intervention. Future design of these interventions to address HIV stigma should explicitly characterize the context in which individuals (study staff and participants) engage with one another in order to assess whether these processes are associated with improved intervention outcomes.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"604-614"},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211003859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25584520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}