Journals of Gerontology Series B-Psychological Sciences and Social Sciences最新文献

{"title":"The Association between Disability Status of the Caregivers and Their Perceived Mental Strain: Hong Kong Population-Based Study of Caregivers of Older Adults with Disabilities.","authors":"Shan Mao, Tarani Chandola, Vivian Weiqun Lou, Dara Kiu Yi Leung","doi":"10.1093/geronb/gbaf044","DOIUrl":"https://doi.org/10.1093/geronb/gbaf044","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the association between caregivers' disability status and their mental strain when caring for family members with disabilities. Moreover, we examined the moderating roles of caregiving time and the presence of additional caregivers in this association.</p><p><strong>Methods: </strong>Data were selected from a territory-wide survey of people with disabilities in Hong Kong, which included 85,700 family caregivers of people with disabilities. Logistic regression was adopted to test the study hypotheses. Weights were applied for all analyses to ensure the sample was representative of the population.</p><p><strong>Results: </strong>Caregivers' disability status was associated with higher levels of mental strain among family caregivers of people with disabilities (OR = 2.58, p < .001). More caregiving hours per week predicted higher risks of caregiving mental strain (20.0-39.9 hours: OR = 3.38, p = .005; 40.0-59.9 hours: OR = 5.01, p = .001; 60.0 hours or more: OR = 9.08, p < .001). The presence of additional caregivers did not reduce the mental strain of primary caregivers. Additionally, no significant moderating effects were observed. However, the results suggest that caregivers with disabilities were more sensitive to the adverse effect of more caregiving time on mental strain.</p><p><strong>Discussion: </strong>This study highlights the significant impact of caregivers' disability status on mental strain, underscoring the need for targeted social services and policies to reduce caregiving burdens and protect caregivers' health, especially for those with disabilities.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering key features of social resilience versus social vulnerability in later life: A biopsychosocial model of social asymmetry.","authors":"Hai-Xin Jiang, Jing Yu","doi":"10.1093/geronb/gbaf046","DOIUrl":"https://doi.org/10.1093/geronb/gbaf046","url":null,"abstract":"<p><strong>Objectives: </strong>Confronted with shrinking social networks, older adults exhibit individual differences in social adaptability, reflected as socially resilient versus socially vulnerable. The purpose of this study was to examine key features that reflect this social asymmetry in later life.</p><p><strong>Methods: </strong>Three datasets were analyzed, with the training set (N = 424) included older adults from China, while two test sets (N1 = 2877, N2 = 2343) were from the United States. Social asymmetry was assessed using residuals from a regression of social network on loneliness, with individuals with positive residuals categorized as socially vulnerable and those with negative residuals as socially resilient. Feature selection was performed with the Boruta algorithm, model building with the gradient boosting machine (GBM) algorithm, and model interpretation with the local interpretable model-agnostic explanations (LIME) algorithm.</p><p><strong>Results: </strong>Socially resilient older adults were more prevalent than socially vulnerable ones across datasets from various cultural backgrounds. Five key features-depression, anxiety, stress, sleep disturbance, and personality-were found to predict social asymmetry, with area under the curve (AUC) values ranging from 0.76-0.86 across datasets. Older adults with lower levels of depression, anxiety, stress, and sleep disturbance, and typical A or B (versus intermediate) personality, were more likely to be socially resilient.</p><p><strong>Discussion: </strong>The prevalence of socially resilient older adults indicates a relatively positive trend, and most of the key features are plastic and amenable, such as negative emotions and sleep behavior. Developing emotional regulation strategies and providing sleep hygiene education could improve the social adaptability of older adults.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who's On Your Team? Classifying Dementia Caregiving Networks and Associations with the Well-being of Caregivers and Care Recipients with Dementia.","authors":"Amanda N Leggett, Srabani Haldar, Sophia Tsuker, Wenhua Lai, Natasha Nemmers, Hwa Jung Choi, Vicki Freedman","doi":"10.1093/geronb/gbaf040","DOIUrl":"10.1093/geronb/gbaf040","url":null,"abstract":"<p><strong>Objectives: </strong>While caregivers are typically enmeshed in broad networks of family and friends assisting with care, this network has been neglected in favor of examining a \"primary\" caregiver. This study examines types of family and unpaid friend networks for individuals with dementia and how one's network type relates to the well-being of care recipients with dementia and their caregivers.</p><p><strong>Methods: </strong>Data are drawn from the nationally representative 2017 National Health and Aging Trends Study and associated National Study of Caregiving. The sample includes 336 dementia care networks (Network size mean=2.9). We first identified network types using Latent Class Analysis and then examined the extent to which network type is associated with the well-being of care recipients with dementia (sleep, depressive symptoms) and their caregivers (emotional difficulty, overload, social support from family and friends) using ANOVA and linear regressions adjusting for demographics.</p><p><strong>Results: </strong>Three network types were identified: \"Siloed\"- small networks, limited task sharing (29.8% of networks); \"Small but mighty\"- small networks, high task sharing (23.0% of networks); and \"Complex\"- large networks, diverse membership, members who share and specialize in task assistance (47.2%). Individuals with dementia with a \"Siloed\" network had significantly poorer sleep quality and caregivers in \"Siloed\" networks reported receiving less social support from family and friends than those in \"Small but mighty\" and \"Complex\" networks.</p><p><strong>Discussion: </strong>Caregiver networks that are less collaborative may need supports to reduce isolation amongst caregivers and improve health outcomes for individuals with dementia.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nature-based welfare in older adulthood: An Eco-Appreciation perspective.","authors":"Mali Nevo, Lia Levin","doi":"10.1093/geronb/gbaf041","DOIUrl":"https://doi.org/10.1093/geronb/gbaf041","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the reciprocal relationship between older adults' well-being and their accounts of human-nature relations (HNR). Guided by the tenets of the Eco-Appreciation Perspective, the question addressed was: What can be learned from older adults' relations with nature about reciprocal nature-based welfare in older adulthood?</p><p><strong>Methods: </strong>In-depth interviews were conducted with 60 participants over the age of 65 in Israel, followed by a sequential deductive-inductive analysis of the data.</p><p><strong>Results: </strong>Four major themes were yielded: HNR as presence and being; HNR as connection; HNR as past, present, and future; and HNR as benevolence. Participants' experiences revealed an interaction between gratitude and awareness toward HNR and an enhanced sense of well-being, purpose, meaning, and belonging. The analysis also exposed novel insights into how HNR in older adulthood can prompt mutual nature-based welfare and provide an ongoing source of comfort and resilience, both through current activities and by accessing childhood memories.</p><p><strong>Discussion: </strong>The findings are discussed in the context of eco-centric viewpoints on contemporary aging, and highlight the active role that older adults can play in deepening their connection with nature while calling on professionals in health, gerontology, social work, and community care to recognize and harness the mutual benefits of this bond.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequent neighborhood participation reduces the probability of loneliness among older adults: A longitudinal study from Singapore.","authors":"June May-Ling Lee, Abhijit Visaria, Angelique Chan","doi":"10.1093/geronb/gbaf039","DOIUrl":"https://doi.org/10.1093/geronb/gbaf039","url":null,"abstract":"<p><strong>Objectives: </strong>Loneliness at older ages is a significant public health concern, and promoting participation in neighborhood events and activities may be a possible avenue for alleviating loneliness among older adults. However, there remains a scarcity of empirical research in this field. Addressing this knowledge gap, our study examined the association between frequency of neighborhood participation by older adults and their subsequent feelings of loneliness two years later, in a nationally representative longitudinal cohort of community-dwelling Singapore citizens and permanent residents aged 60 years and older.</p><p><strong>Methods: </strong>We used two waves (2016-2017 and 2019) of data from the Transitions in Health, Employment, Social engagement, and Inter-Generational transfers in Singapore Study (THE SIGNS Study) (n=1,217). Frequent neighborhood participation was defined as participating in neighborhood committees, clubs, or events once a week or more, while loneliness was measured using the Three-item loneliness scale. To mitigate selection bias, we employed inverse probability-weighted regression adjustment to estimate the relationship between the frequency of neighborhood participation and loneliness.</p><p><strong>Results: </strong>Our findings indicate that older adults who participated in neighborhood events frequently had a lower probability of loneliness at wave 2 compared to non-participants. Conversely, infrequent neighborhood participation at baseline did not demonstrate an association with loneliness at wave 2.</p><p><strong>Discussion: </strong>Our findings suggest that a higher intensity of involvement in neighborhood activities may be necessary to achieve the benefits of participation. Our findings also highlight the potential of neighborhood-based interventions as a public health strategy to address loneliness in aging populations.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal trajectories of psychological resilience and cognitive impairment among older adults: Evidence from a national cohort study.","authors":"Peicheng Wang, Ruihua Li, Yanhua Chen","doi":"10.1093/geronb/gbaf035","DOIUrl":"https://doi.org/10.1093/geronb/gbaf035","url":null,"abstract":"<p><strong>Objectives: </strong>The relationship between resilience trajectories and cognitive health is not well understood. This study aimed to identify clusters of psychological resilience trajectories in a national sample of older adults and to examine the association with cognitive impairment over time.</p><p><strong>Methods: </strong>This study used data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018, and 2,788 respondents were included in this prospective analysis. Using a group-based trajectory modeling approach, we identified resilience trajectory groups over a 6-year period. Cox proportional hazards models were used to assess the relationship between the resilience trajectory groups and cognitive impairment.</p><p><strong>Results: </strong>Three distinct trajectories of psychological resilience, including decreasing resilience group (n=131, 4.7%), persistent middle resilience group (n=1,808, 64.8%), and persistent high resilience group (n=849, 30.5%). During the 6-year follow-up, compared to those with persistent high resilience, participants with persistent middle resilience (HR=1.40, 95%CI=1.11-1.75) and decreasing resilience (HR=2.31, 95%CI=1.65-3.23) remained consistently associated with a higher risk of cognitive impairment. The associations between resilience trajectories and cognitive impairment varied by lifestyle and health conditions.</p><p><strong>Discussion: </strong>Psychological resilience is a relatively stable trait among older adults in China, with most individuals maintaining a persistently high or middle level of resilience throughout the follow-up period; however, declining psychological resilience was significantly associated with the risk of cognitive impairment. Therefore, developing targeted interventions to strengthen psychological resilience in older adults is crucial for promoting cognitive health and successful aging.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial-Ethnic Differences in Care Networks of Older Adults: Empirical Exploration of Possible Explanations.","authors":"Zhiyong Lin","doi":"10.1093/geronb/gbaf038","DOIUrl":"https://doi.org/10.1093/geronb/gbaf038","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research on eldercare among minority populations often highlights the role of values, beliefs, and social expectations, placing greater emphasis on ideational factors than on sociostructural and health factors in explaining racial-ethnic differences in care arrangements. This study aims to describe the extent to which care received by older adults varies by race-ethnicity and to explore possible explanations for these variations using the behavioral model of health care use.</p><p><strong>Methods: </strong>Data were sourced from the 2018 National Health and Aging Trends Study (NHATS), a nationally representative survey of Medicare beneficiaries aged 68 and older. Latent class analyses were used to develop a care network typology with combinations of care from different sources. Multinomial regression models assessed various predisposing, enabling, and need factors associated with racial-ethnic differences in the distribution of constructed care network types. Formal mediation analysis tested potential mediators of these differences.</p><p><strong>Results: </strong>Black and Hispanic older adults tended to receive care from children and extended kin caregivers, while White older adults were more likely to receive care from their spouses and perform self-care with assistive technologies. Mediation analyses revealed that racial-ethnic differences in care networks were primarily attributable to enabling factors, including family configurations, social networks, and socioeconomic status. Limited evidence was found for the roles of predisposing factors, measured by care preferences, and need factors, measured by health conditions, in explaining these differences.</p><p><strong>Discussion: </strong>The findings highlight the need for more research and policy interventions to address the diverse challenges faced by socially disadvantaged older adults.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between social engagement frequency and the risk of depression in South Korea, the US, and the UK: Multinational evidence from longitudinal studies of aging.","authors":"Jaehyeong Cho, Tae Hyeon Kim, Jiyeon Oh, Sooji Lee, Kyeongeun Kim, Jaeyu Park, Hyesu Jo, Yi Deun Jeong, Seoyoung Park, Yejun Son, Nicola Veronese, Guillermo F López Sánchez, Louis Jacob, Selin Woo, Dong Keon Yon, Lee Smith","doi":"10.1093/geronb/gbaf036","DOIUrl":"https://doi.org/10.1093/geronb/gbaf036","url":null,"abstract":"<p><strong>Background: </strong>While greater social engagement is often associated with a reduced risk of depression, longitudinal studies that account for diverse social structures and cultural contexts among middle-aged or older are limited.</p><p><strong>Methods: </strong>This study utilized cohort data from the Korean Longitudinal Study of Ageing (n=11,174; 2006-2020) in South Korea (KR), the Health and Retirement Study (n=42,405; 2004-2019) in the US, and the English Longitudinal Study of Ageing (n=28,624; 2002-2019) in the UK, including a total of 29,378 individuals from the population aged ≥45 years. Social engagement frequency was categorized into infrequent, intermediate, and frequent, with changes classified as unchanged, increased, or decreased. The primary outcome was the onset of depression, assessed using the CES-D Scale. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using a Cox proportional hazards regression model.</p><p><strong>Results: </strong>In the KR cohort, increased social engagement significantly reduced depression risk only in the infrequent group (KR: HR, 0.20 [95% CI, 0.14-0.28]). However, decreased social engagement elevated depression risk in both the intermediate group (KR: 6.92 [3.73-12.83]; US: 1.44 [1.16-1.79]) and the frequent group (KR: 1.50 [1.30-1.74]; US: 1.24 [1.13-1.38]). Conversely, in the UK cohort, increased social engagement raised depression risk in the infrequent group (UK: 1.35 [1.01-1.79]) and intermediate group (UK: 1.63 [1.17-2.27]), while decreased engagement lowered depression risk only in the frequent group (UK: 0.80 [0.71-0.90]).</p><p><strong>Discussion: </strong>We observed notable national variations in the association between social engagement and depression risk, influenced by cultural and political differences.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Offspring Educational Disadvantage and Parents' Dementia Onset: Does the Educational Success of One Child Moderate the Educational Disadvantage of Another?","authors":"Jenjira J Yahirun, Jaycob S Applegate, Krysia N Mossakowski, Mark D Hayward","doi":"10.1093/geronb/gbaf033","DOIUrl":"https://doi.org/10.1093/geronb/gbaf033","url":null,"abstract":"<p><strong>Objectives: </strong>A growing body of research examines how adult children's education influences older parents' cognitive health. Whereas prior studies tend to focus on educational advantage, this study seeks to understand how various measures of educational disadvantage are associated with parents' dementia likelihood. In addition, we ask how the risks associated with one child's educational disadvantage are shaped by a sibling's educational success.</p><p><strong>Methods: </strong>Using data from the U.S. Health and Retirement Study (2000-2018) and event history analyses, comparisons are made between measures of offspring educational disadvantage and their relationships with parents' risk of dementia onset. In addition, analyses are conducted to understand whether the link between one child's educational disadvantage and parental dementia onset is influenced by a sibling's educational advantage.</p><p><strong>Results: </strong>Educational disadvantage is associated with an increased risk of parental dementia onset, with a threshold measure for whether a parent had at least one child without a high school education providing the best model fit for the data. Moreover, the heightened risks associated with one child's educational disadvantage are not offset by another sibling's educational success.</p><p><strong>Discussion: </strong>Children's educational deficits are a hidden source of health disparities among older parents. Although scholars in recent years have rightly focused on the importance of offspring education, more attention should be paid to conceptualizing how educational disadvantage matters for parents and how the educational attainment of each child shapes parents' cognitive health.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational Coresidence with Children and Grandchildren and Maternal Sleep Duration at Mid-life.","authors":"Rui Cao, Rin Reczek, Mieke Beth Thomeer","doi":"10.1093/geronb/gbaf034","DOIUrl":"https://doi.org/10.1093/geronb/gbaf034","url":null,"abstract":"<p><strong>Objectives: </strong>Mothers with young children tend to have shorter sleep durations than childfree women, but previous research has not considered heterogeneity in sleep duration among mid-life mothers who have varying coresidential patterns with their adult, minor, and grandchildren. We examine distribution of sleep duration across mothers' different intergenerational coresidential contexts (living without any children, living with any minor children, living with only adult children, and living with any grandchildren) and test how these patterns differ across racial/ethnic groups.</p><p><strong>Methods: </strong>Regression analyses estimate sleep duration among a sample of mid-life mothers with minor and adult children and grandchildren from the National Longitudinal Survey of Youth 1979 (NLSY79) data (N=3,300). Moderation analyses consider differences across racial/ethnic groups (non-Hispanic White, non-Hispanic Black, Hispanic).</p><p><strong>Results: </strong>Relative to the mothers with no coresiding children or grandchildren, mothers with coresiding minor or adult children reported less sleep. However, this gap varies across racial/ethnic groups; specifically, the lower sleep duration for mothers with coresidential children is only significant for White and Black mothers, not Hispanic mothers.</p><p><strong>Discussion: </strong>Sleep is a critical health indicator across the life course and a contributor to other health outcomes later in life. Thus, it is important to identify whose sleep is most vulnerable-especially in mid-life when sleep trajectories are the groundwork for later-life well-being. We demonstrate the importance of coresidential status with adult and minor children and grandchildren on the sleep of mothers in mid-life, drawing specific attention to the differences across racial/ethnic groups.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}