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

{"title":"Distribution of Informal Caregiving for Older Adults Living With or At Risk of Cognitive Decline Within and Beyond Family in Rural South Africa.","authors":"Sostina S Matina, Lenore Manderson, Michelle Brear, Farirai Rusere, F Xavier Gómez-Olivé, Kathleen Kahn, Guy Harling","doi":"10.1093/geronb/gbaf008","DOIUrl":"10.1093/geronb/gbaf008","url":null,"abstract":"<p><strong>Objectives: </strong>Aging populations will increasingly need care, much of this provided informally particularly in rural areas and in low and middle-income countries. In rural South Africa, formal support is severely limited, and adult children are frequently unavailable due to morbidity, early mortality, employment, and migration. We describe how care is shared within and between households.</p><p><strong>Methods: </strong>We conducted quantitative interviews with 1,012 household members and nonhousehold caregivers of 106 older adults (age ≥54) living with or at risk of cognitive decline in rural Mpumalanga, South Africa. Using descriptive statistics and regression analysis, we described how care is shared, with particular attention to generational patterns of care.</p><p><strong>Results: </strong>Spouses, the majority women, commonly considered themselves primary caregivers. informal care was spread among family, friends, and neighbors, most commonly by unemployed female relatives 1 or 2 generations younger than the recipient. A small number of paid caregivers, also mostly female, provided the most intensive care.</p><p><strong>Discussion: </strong>Informal care for older adults was spread widely, predominantly from coresident family but with important contributions from others. Family commitment to care reflected shared history, reciprocal relationships, and easy access to care tasks within the household. A deeper understanding of how informal care for older adults is shared is essential for developing targeted interventions.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gendered Marital Power, Depression, and Cognition Among Older Adults in Mexico.","authors":"Nekehia T Quashie, Joseph L Saenz, Connor Sheehan, Angelica Lopez","doi":"10.1093/geronb/gbae193","DOIUrl":"10.1093/geronb/gbae193","url":null,"abstract":"<p><strong>Objectives: </strong>As Mexico rapidly ages, population-level cognitive issues and Alzheimer's Disease and Related Dementia are projected to increase. Limited social welfare positions family members-especially spouses-as the main support resource. Although past research suggests marital power imbalances relate with increased depression among Mexican older adults, how marital power imbalance relates with cognition and gender differences therein remains understudied. Accordingly, we investigate how perceived marital power relates with cognitive ability with attention to depression and gender.</p><p><strong>Methods: </strong>We use the 2012, 2015, and 2018 (n = 2,643 heterosexual dyads) waves of the Mexican Health and Aging Study and Actor Partner Interdependence Models (APIM). The APIM allows the cognitive function of each partner to be predicted by their own (actor effects) and partner's (partner effects) perceived marital power imbalance, evaluates gender differences, and the mediating role of depression.</p><p><strong>Results: </strong>Own reports of lower baseline marital power were directly negatively associated with subsequent cognition only among husbands. Partners' baseline reports of marital power showed mixed direct associations with future cognition: husbands' higher marital power negatively related with wives' cognition, whereas wives' lower marital power positively related with husbands' cognition. Wives' marital power imbalance predicted higher depression in each partner, and both own and partner's depression related with lower cognition, regardless of gender, suggesting that wives' marital power imbalance affects cognition indirectly through depression.</p><p><strong>Discussion: </strong>Our findings suggest that gendered marital power relations is a novel area for future research in the context of Mexico's aging population, enduring marriages, and entrenched patriarchal structures.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-Adult Child Relationships and Repartnering After Gray Divorce.","authors":"Susan L Brown, I-Fen Lin, Francesca A Marino, Kagan A Mellencamp","doi":"10.1093/geronb/gbaf011","DOIUrl":"10.1093/geronb/gbaf011","url":null,"abstract":"<p><strong>Objectives: </strong>The rise in gray divorce has catalyzed repartnering in later life. However, the antecedents of older adult repartnering remain poorly understood, particularly the potential role of adult children. A form of ambiguous loss, marital disruption often leads to family boundary ambiguity, thereby weakening family ties. We investigated whether co-residence and proximity of, frequent contact with, and downward transfers to adult children were negatively associated with repartnering after gray divorce.</p><p><strong>Methods: </strong>Data from the 1998 to 2018 Health and Retirement Study were used to estimate discrete-time event history models using logistic regression to predict repartnering after gray divorce among parents of adult children (N = 1,359).</p><p><strong>Results: </strong>As expected, adult child co-residence as well as having a child who lived nearby and had frequent contact diminished the likelihood of repartnering. Parents whose children either did not live nearby or were nearby but did not have frequent contact were more likely to repartner than those with children nearby and in frequent contact or co-residing, signaling that both proximity and frequency of contact are related to repartnering. Additionally, the provision of financial support to adult children was associated with a lower risk of repartnering.</p><p><strong>Discussion: </strong>Relationships with adult children shape parental repartnering behaviors. Echoing the concept of boundary ambiguity, our findings indicate that stronger family ties, as signaled by child co-residence or proximity and frequent contact as well as economic provision, tend to deter repartnering. These findings also indicate that absent strong family ties, older adults are more likely to form a new union.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aberrant Structural-Functional Coupling of Large-Scale Brain Networks in Older Women With Subthreshold Depression.","authors":"Xueling Suo, Li Chen, Graham J Kemp, Dongmei Wu, Song Wang","doi":"10.1093/geronb/gbaf013","DOIUrl":"10.1093/geronb/gbaf013","url":null,"abstract":"<p><strong>Objectives: </strong>Subthreshold depression (SD) is common in the older population, more so in females than males, and can lead to serious physical and mental ill-health. However, the underlying neurobiology remains unclear. This study used multimodal magnetic resonance imaging (MRI) to investigate the topological organization and coupling of the structural and functional brain networks in older women with SD.</p><p><strong>Methods: </strong>We constructed the structural network from diffusion MRI and the functional network from resting-state functional MRI in 50 older women with SD and 52 demographically matched older women healthy controls (HC). We used graph theory analysis to examine the topological properties of functional and structural networks, and structural-functional connectivity (SC-FC) coupling, and their potential relationship to depressive symptoms.</p><p><strong>Results: </strong>Globally, compared with older women HC, the older women with SD showed lower local efficiency in the structural network but not the functional network. Locally, older women with SD showed altered convergent nodal metrics in the default mode, salience, and sensorimotor network regions in both structural and functional networks. Moreover, SC-FC coupling reduced in older women with SD compared to older women HC. These network metric alterations were correlated with depressive symptoms.</p><p><strong>Discussion: </strong>Older women with SD showed alterations in both structural and functional networks, and in their coupling, which throw light on the role of large-scale brain networks in older female SD.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048673","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":"Associations of Faith Community Rejection With Social Support and Health Outcomes Among LGBTQ+ Older Adults.","authors":"Nik M Lampe, Tara McKay","doi":"10.1093/geronb/gbaf009","DOIUrl":"10.1093/geronb/gbaf009","url":null,"abstract":"<p><strong>Objectives: </strong>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults have varied experiences with faith communities, ranging from affirmation to religious trauma. We investigate how faith community rejection affects social support and health outcomes among LGBTQ+ older adults in the Southern United States.</p><p><strong>Methods: </strong>We analyze Wave 1 data from the LGBTQ+ Social Networks, Aging, and Policy Study (QSNAPS), collected between April 2020 and September 2021. This sample included 1,256 LGBTQ+ adults aged 50+ residing in four Southern U.S. states. Bivariate and Poisson regression analyses were conducted to examine associations of LGBTQ-related faith community rejection with social support and health outcomes.</p><p><strong>Results: </strong>Nearly half (44%) of QSNAPS respondents reported LGBTQ-related faith community rejection. Respondents who reported rejection were more likely to be: transgender or gender diverse (p < .01) and from a minoritized racial/ethnic background (p < .01). Compared with respondents who never experienced faith community rejection, respondents who experienced LGBTQ-related faith community rejection reported a lower prevalence of family support (APR = 0.80; p < .001); higher prevalence of symptoms related to moderate to severe psychological distress (APR = 1.27; p < .001); higher prevalence of poor sleep quality (APR = 1.17; p < .05); and high blood pressure diagnosis (APR = 1.13; p < .05). We also find a marginally statistically significant association between faith community rejection and higher prevalence of symptoms related to subjective cognitive decline (APR = 1.35; p < .10).</p><p><strong>Discussion: </strong>Experiences of faith community rejection come with substantial social support and health costs for LGBTQ+ older adults. Our findings highlight the importance of integrating faith and promoting inclusion within affirming faith communities for LGBTQ+ aging-related care and prevention.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Education and Depressive Symptoms Among Middle-Aged and Older Adults: A Nationwide Longitudinal Cohort Study in China.","authors":"Yujia Guo, Fan Yang","doi":"10.1093/geronb/gbaf060","DOIUrl":"https://doi.org/10.1093/geronb/gbaf060","url":null,"abstract":"<p><strong>Objectives: </strong>Depression is a significant public health concern among middle-aged and older adults in China. While formal education's protective role against depression is well-established, the association of adult education with depression remains understudied. Adult education refers to organized learning activities for adults who have completed or left formal schooling. This nationwide longitudinal cohort study examined the association between adult education and depressive symptoms among Chinese adults aged 45 and older.</p><p><strong>Methods: </strong>Using data from the China Health and Retirement Longitudinal Study (2011-2018), we analyzed 37,325 observations from 11,453 participants. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale, while adult education was measured by participation, duration, and attainment.</p><p><strong>Results: </strong>Generalized estimating equation models showed that adult education participation was associated with 27.2% lower odds of depressive symptoms (odds ratios = 0.728, 95% CI: 0.620-0.854). Each additional year of adult education was associated with 13.1% lower odds, and those who attained a diploma or degree through adult education showed 61.3% lower odds. Notably, even participation without earning a degree showed 22.1% lower odds. These associations remained consistent across formal education levels, age, gender, and other subgroups. Current smoking, social participation, digital exclusion, and instrumental activities of daily living disability collectively explained 34.0% of the total association.</p><p><strong>Discussion: </strong>These findings suggest that potential benefits of adult education in addressing depression among China's aging population, with implications for mental health policy and healthy aging initiatives in developing countries.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702240","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":"Key Predictors of Generativity in Adulthood: A Machine Learning Analysis.","authors":"Mohsen Joshanloo","doi":"10.1093/geronb/gbae204","DOIUrl":"10.1093/geronb/gbae204","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore a broad range of predictors of generativity in older adults. The study included over 60 predictors across multiple domains, including personality, daily functioning, socioeconomic factors, health status, and mental well-being.</p><p><strong>Methods: </strong>A random forest machine learning algorithm was used. Data were drawn from the Midlife in the United States (MIDUS) survey.</p><p><strong>Results: </strong>Social potency, openness, social integration, personal growth, and achievement orientation were the strongest predictors of generativity. Notably, many demographic (e.g., income) and health-related variables (e.g., chronic health conditions) were found to be much less predictive.</p><p><strong>Discussion: </strong>This study provides new data-driven insights into the nature of generativity. The findings suggest that generativity is more closely associated with eudaimonic and plasticity-related variables (e.g., personal growth and social potency) rather than hedonic and homeostasis-oriented ones (e.g., life satisfaction and emotional stability). This indicates that generativity is an inherently dynamic construct, driven by a desire for exploration, social contribution, and personal growth.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873601","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":"Gender and Educational Trends in Lifetime Risk, Age at Onset, Expectancy, and Survival With Cardiovascular Disease in Finland, 1996-2020.","authors":"Shubhankar Sharma, Pekka Martikainen, Mikko Myrskylä, Lasse Tarkiainen, Ulla Suulamo","doi":"10.1093/geronb/gbaf007","DOIUrl":"10.1093/geronb/gbaf007","url":null,"abstract":"<p><strong>Objectives: </strong>Cardiovascular disease (CVD) is the leading cause of mortality globally. Examining trends in CVD burden and associated sociodemographic disparities can contribute to tailoring policies that promote cardiovascular health and narrow health disparities. However, existing studies predominantly focus only on mortality. Therefore, we provide a more comprehensive understanding of CVD trends by studying the diverse aspects of CVD burden: lifetime risk, onset age, CVD-free and CVD life expectancy, and survival with CVD. We focus on the overall Finnish population in 1996-2020, as well as gender and educational disparities.</p><p><strong>Methods: </strong>We use sociodemographic information from individual-level population registers, which are linked to hospital discharge and Death Registers, on the entire Finnish population aged 40-100 years in five five-year periods in 1996-2020 (N = 2,796,732-3,273,232). We employed multistate models to derive the study metrics.</p><p><strong>Results: </strong>Overall, CVD's lifetime risk stabilizes at 72% following a rise, with onset age and CVD-free life expectancy increased by 3 years. Although men bear a higher CVD burden, they experience a greater increase in onset age and CVD-free expectancy than women. Educational disparities in CVD-free expectancy persist, exceeding 3.5 years for men and women. Furthermore, survival with CVD has extended by 2.8 years but educational disparities widen.</p><p><strong>Discussion: </strong>Despite the encouraging CVD trends in the overall population and progress in narrowing gender disparities, there remains considerable room for further improvement. Persistent educational disparities in CVD burden underscore the need for more effective interventions to address enduring inequalities.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience Factors Affecting Long-Term Trajectories of Depressive Symptoms in the Aftermath of the Great East Japan Earthquake and Tsunami Among Older Adults.","authors":"Aki Yazawa, Xiaoyu Li, Koichiro Shiba, Sakurako S Okuzono, Hiroyuki Hikichi, Jun Aida, Katsunori Kondo, Ichiro Kawachi","doi":"10.1093/geronb/gbae182","DOIUrl":"10.1093/geronb/gbae182","url":null,"abstract":"<p><strong>Objectives: </strong>We examined long-term trajectories of depressive symptoms among older adults following exposure to the 2011 Great East Japan Earthquake and Tsunami. We further characterized the pre- and post-disaster social relationship factors that predicted membership in each trajectory group.</p><p><strong>Methods: </strong>Data from 4 time points (including pre-disaster data) were used to analyze the depression trajectories of 2,033 survivors through a group-based trajectory model. Multinomial logistic analysis was used to investigate the social relationship factors (i.e., social interactions with neighbors, social support, social participation, and social cohesion) that predicted membership to each trajectory group.</p><p><strong>Results: </strong>Five distinct trajectories of depressive symptoms were identified; stably not depressed (12.4%), increased after the disaster (14.2%), decreased after the disaster (8.8%), persistent mild depressive symptoms (28.1%), and persistent severe depressive symptoms (36.5%). Compared to those who were stably not depressed, those who experienced an increase in symptoms were more likely to experience housing damage and not to participate in social activities. Compared to those who were stably mildly depressed, those who experienced a decrease in symptoms had higher pre-disaster social interactions with neighbors as well as higher post-disaster social support. Adults with persistent severe symptoms were physically, psychologically, and socially vulnerable preceding the disaster.</p><p><strong>Discussion: </strong>The study revealed the heterogeneity of older adults experiencing depressive symptoms in the wake of major disaster. Those who experienced increased symptoms after the disaster showed a chronic rather than temporary rise, while those with pre-disaster depressive symptoms showed sustained symptoms regardless of disaster-related trauma.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment Responses to a Partner's Disability Onset (\"Care Shocks\"): Do Working Conditions Matter?","authors":"Constance Beaufils, Ben Baumberg Geiger, Karen Glaser","doi":"10.1093/geronb/gbae208","DOIUrl":"10.1093/geronb/gbae208","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines employment responses to a partner's disability onset and how this is moderated by working conditions: job satisfaction and psychosocial job demands.</p><p><strong>Methods: </strong>We use longitudinal nationally representative data from the English Longitudinal Study of Aging. Following the health shock literature, we identify individuals whose partners report the onset of difficulties in activities of daily living (ADL) or instrumental activities of daily living (IADL) between 2 waves (n = 1,020) as experiencing a \"care shock.\" We combine coarsened exact matching and entropy balancing, and logistic modeling to estimate the impact of such a \"care shock\" on the probability of leaving paid work, working part-time, changing jobs, or looking for a new job. We also explore the moderating effect of gender and working conditions (i.e., job demands and job satisfaction) on the impact of a \"care shock\" on work transitions.</p><p><strong>Results: </strong>Our findings show that \"care shocks\" significantly increase individuals' likelihood of leaving paid work. This effect is moderated by job demands and job satisfaction. Individuals who report high job demands and job dissatisfaction before the care shock are significantly more likely to leave paid work. In contrast, those with low job demands or job satisfaction show no significant difference in their likelihood of leaving paid work.</p><p><strong>Discussion: </strong>Our study highlights the role of working conditions in moderating the impact of care shocks on paid work. It informs workplace policies, as our results suggest that adapting working conditions may facilitate participation in the labor market in late career stages.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}