Community health equity research & policy最新文献

{"title":"Surrogacy in Nigeria: Media narratives, cultural tensions, and ethical complexities in Punch Newspaper-A content analysis.","authors":"Gerald Mirirai Mabweazara","doi":"10.1177/2752535X261483611","DOIUrl":"https://doi.org/10.1177/2752535X261483611","url":null,"abstract":"<p><p>ContextAssisted Reproductive Technologies (ARTs) have gained increasing prominence in Nigeria, where public understanding is largely mediated through news discourse in the absence of comprehensive legal and policy frameworks. Media narratives thus offer critical insight into evolving societal perceptions of surrogacy and infertility treatment.MethodsThis study critically examines surrogacy practices and experiences in Nigeria through media representations in <i>Punch</i>, a leading national newspaper. Using inductive qualitative content analysis without a defined timeframe, it explores how surrogacy is framed through gender, class, morality, and reproductive labour. Guided by framing theory and stratified reproduction, articles were coded for dominant frames and emergent themes.ResultsSeven key themes were identified: (1) Surrogacy as a Solution to Infertility, (2) Types and Processes of Surrogacy, (3) Role of Surrogacy Agencies in Navigating Infertility Treatment, (4) Legal and Regulatory Gaps, (5) Emotional and Psychological Challenges, (6) Financial and Ethical Concerns, and (7) Cultural and Social Context. Media representations situated surrogacy at the intersection of pronatalist expectations, kinship obligations, religious beliefs, and legal ambiguity. Coverage reflected both celebration and moral unease, simultaneously reinforcing stigma and offering pathways for acceptance.ConclusionsFindings reveal that Nigerian media mirror and mediate social inequalities in reproductive access and legitimacy, illustrating how reproductive labour is differentially valued across gendered and class hierarchies. By contextualizing ARTs within local cultural meanings and regulatory voids, this study contributes to critical debates on reproductive justice, bioethics, and the globalization of fertility care in the Global South.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261483611"},"PeriodicalIF":2.2,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907831","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":"Lessons learned from community approaches to COVID-19 prevention: a qualitative study with transgender adults in the United States.","authors":"Robynn Ashenden, Eunice Okumu, Dee Adams, Carter Brown, Marissa Miller, Sari Reisner, Andrea L Wirtz, Tonia Poteat","doi":"10.1177/2752535X261481201","DOIUrl":"https://doi.org/10.1177/2752535X261481201","url":null,"abstract":"<p><p>The COVID-19 pandemic prompted widespread public health measures, including non-pharmaceutical (NPIs) and pharmaceutical interventions (PIs). This study explores the prevention strategies adopted by transgender individuals and examines how structural and attitudinal factors shaped their uptake within trans-specific healthcare and social contexts. As part of the LITE Connect mixed-methods study (N = 2,092), 30 participants engaged in qualitative, semi-structured interviews between October 2021 and June 2022. Content analysis identified the use of NPIs such as masking, sanitizing, social distancing, and testing, as well as the PI of vaccination. Structural and attitudinal barriers influenced these strategies, including healthcare discrimination, limited testing accessibility, and vaccine hesitancy driven by mistrust and concerns about side effects. Vaccine uptake was facilitated by access to trusted health information and alternative vaccine delivery methods. Findings emphasize the importance of culturally competent healthcare, inclusive public health policies, and community-driven approaches to improving prevention efforts. Addressing both structural and attitudinal barriers is essential to reducing inequities and ensuring equitable access to effective health interventions in future pandemics, particularly for marginalized communities.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261481201"},"PeriodicalIF":2.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882623","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":"African Americans' perspective on COVID-19 and influenza vaccines: A qualitative study.","authors":"Marin Schmitt, Kelly W Gagnon, Jennifer L Walsh, Yuri Amirkhanian, Jeffrey A Kelly, Katherine G Quinn","doi":"10.1177/2752535X261481203","DOIUrl":"https://doi.org/10.1177/2752535X261481203","url":null,"abstract":"<p><p>PurposeAnnual vaccinations, such as influenza and COVID-19, are a safe and effective way of preventing disease and promoting healthier communities, yet many factors impact uptake. Black and African Americans face numerous barriers to vaccination, reflected in consistently lower vaccination rates and higher hospitalization and mortality rates. This qualitative study aimed to understand perceptions and factors influencing COVID-19 and influenza vaccination among Black and African American adults to inform interventions and outreach to prevent increased acuity of vaccination disparities. Eighty-six Black and African Americans in Milwaukee, WI were purposively recruited to participate in in-depth interviews.Major FindingsWe identified two themes and five subthemes reflecting vaccine perspectives, influences, and decision-making. In the first theme, <i>similarities and differences in attitudes and willingness to get vaccinated against influenza and COVID-19,</i> we identified three subthemes: (1) prevention was a motivating factor for getting both COVID-19 and influenza vaccines; (2) mistrust surrounding COVID-19 and the COVID-19 vaccine fueled hesitancy; and (3) some participants held discordant beliefs surrounding vaccines and healthcare. In the second theme, <i>sources of vaccine information influencing vaccine perspectives</i>, we identified two subthemes: (1) main sources of vaccine information were television news and the internet, not trusted healthcare professionals, and (2) life experiences affected perspectives.ConclusionsOur findings show that vaccine perspectives are shaped by a complex interplay of personal beliefs, experiences, cultural identity, and trust. Public health strategies to improve vaccination rates should acknowledge mistrust, dispel myths and misinformation, and engage trusted communities and messengers across both healthcare and community settings.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261481203"},"PeriodicalIF":2.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820379","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":"Trauma-and violence-informed physical activity for women experiencing interpersonal and structural violence: Qualitative perspectives on mental health benefits.","authors":"Grace McKeon, Sarita Hira, Sydney Smith, Madeleine Sheppard-Perkins, Francine Darroch","doi":"10.1177/2752535X261473558","DOIUrl":"10.1177/2752535X261473558","url":null,"abstract":"<p><p>BackgroundThe global burden of mental health disorders is increasing, placing strain on healthcare systems. Physical activity is an evidence-based strategy for improving mental health; however, access remains inequitable. This study examined how embedding trauma- and violence-informed principles within physical activity programming can support mental health among self-identified women who experience interpersonal and/or structural violence.MethodsWe conducted semi-structured interviews within a feminist participatory action research project that delivered group-based trauma- and violence-informed physical activity (TVIPA) programs across three low-income Canadian communities. Women were interviewed after completing at least 6 weeks of programming. Data were analyzed thematically using an intersectional lens (considering overlapping social identities and structural inequities) to explore perceived benefits, mechanisms of change, and contextual factors.ResultsData were drawn from <i>n</i> = 74 participants who self-identified mental health concerns, from the total study cohort of <i>n</i> = 168. Three themes were constructed: (1) Enhancing mental health and building self-efficacy through TVIPA, (2) Safety as a foundational pillar for engagement, and (3) Physical activity as a catalyst for connection and community. Participants discussed experiencing improved mental health symptoms, enhanced body awareness, and support for recovery from substance use and addiction. These outcomes were fostered by foundational principles of trust and safety, as well as program features like women-only classes and group-based formats.ConclusionIntegrating trauma- and violence-informed principles into physical activity programming offers a novel approach to enhancing mental health benefits, particularly for individuals with complex needs. Emphasizing safety, enjoyment, and social support helped reduce barriers and highlights the potential of TVIPA to promote mental health equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261473558"},"PeriodicalIF":2.2,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727135","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":"The complexity of engaging community 'lived experience' in health service co-design processes: Critical reflection from a case study in Ontario, Canada.","authors":"Laura Jane Brubacher, Katie McDonald, Steve Keczem, Warren Dodd","doi":"10.1177/2752535X261466606","DOIUrl":"https://doi.org/10.1177/2752535X261466606","url":null,"abstract":"<p><p><b>Background:</b> The engagement of individuals with lived or living experience (PWLE) of accessing various health services or experiencing certain health conditions is increasingly promoted within health services co-design processes as crucial to enhancing service delivery and quality.<b>Purpose:</b> This qualitative case study presents findings and entry points for critical reflection from an evaluation of a health service co-design process in Ontario, Canada involving PWLE. From a researcher-practitioner team, and grounded in the case study context, potential tensions and complexities to critically consider when engaging PWLE in co-design are highlighted, alongside practice implications.<b>Results:</b> First, equitable and diverse recruitment and representation is discussed, along with the need for a flexible, accommodating, and intentional approach to engaging diverse groups. Second, tensions in navigating power imbalances and pre-existing dynamics within a hybrid governance model involving PWLE and service providers are presented, along with potential approaches for consideration. Third, a need for sustained and intentional support for PWLE inclusion as initiatives evolve is described, along with a broader need for flexibility and nimbleness in the practical management of these types of dynamic co-design processes. Finally, the challenges involved in evaluating complex, dynamic processes, such as in the case study, are acknowledged.<b>Conclusion:</b> Overall, this case study illustrates the complexity of factors that shape the engagement of community 'lived experience' within health service co-design. By complicating the discourse around lived experience engagement, this study aims to contribute to the strengthening of co-design processes for enhanced health service co-design and delivery.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261466606"},"PeriodicalIF":2.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714453","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":"Addressing the invisibility of Black men in infertility care: A scoping review of cultural and structural barriers.","authors":"Danielle Moore, Kendra Flores-Carter","doi":"10.1177/2752535X261467906","DOIUrl":"https://doi.org/10.1177/2752535X261467906","url":null,"abstract":"<p><p>BackgroundMale infertility remains critically underresearched, with Black men among the most overlooked populations in research and clinical care. Despite male factors comprising up to 50% of infertility cases, Black men face compounded barriers rooted in intersecting racial and gender marginalization.PurposeThis scoping review systematically examined structural and cultural barriers limiting Black men's access to infertility care in the United States, addressing a critical gap in reproductive health literature.Research DesignFollowing Arksey and O'Malley's framework, we identified peer-reviewed studies published between 2014 and 2024. Thematic analysis was conducted using deductive and inductive approaches guided by structural functionalism, symbolic interactionism, and empowerment theory.Study SampleThirty articles met the inclusion criteria, comprising studies examining Black men's infertility experiences, male fertility barriers, or reproductive health disparities.Data Collection and/or AnalysisStudies were identified through systematic searches across multiple electronic databases. Eligible articles underwent thematic analysis using deductive and inductive approaches guided by structural functionalism, symbolic interactionism, and empowerment theory.ResultsSix barrier categories emerged: cultural and social barriers (60% of studies), socioeconomic challenges (53%), knowledge gaps (30%), healthcare system barriers (17%), emotional burdens (17%), and environmental factors (13%). High costs of assisted reproductive technologies emerged as the primary obstacle, compounded by limited insurance coverage and income disparities. Cultural stigma surrounding masculinity, provider bias, and systemic marginalization of Black men in female-centric reproductive medicine represented additional barriers. Only 16.7% of studies focused primarily on Black men, highlighting systematic research neglect.ConclusionsBlack men face complex, multilevel barriers to infertility care rooted in compounding racial and gender marginalization. Addressing these disparities requires interventions spanning clinical practice reform, policy advocacy, and culturally responsive research. This represents the first scoping review of barriers to Black men's fertility care access and calls for transformative action.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261467906"},"PeriodicalIF":2.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622757","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":"Beyond subsidies: An inclusive approach to address financial barriers and inform policy action on access to municipal physical activity infrastructure among young families with low income.","authors":"Ana Paula Belon, Laura Nieuwendyk, Helen Vallianatos, Candace I J Nykiforuk","doi":"10.1177/2752535X261470955","DOIUrl":"https://doi.org/10.1177/2752535X261470955","url":null,"abstract":"<p><p>IntroductionFamilies with low income face barriers to children's physical activity (PA) engagement. Municipalities can address financial barriers (in addition to physical and social ones) to PA participation by providing free or low-cost access to municipally-operated indoor and outdoor recreation spaces, and recreation programming.PurposeWe aimed to develop a set of strategic actions municipal governments can adopt to optimize access and use of municipal recreation spaces among preschool-aged children from families with low income.MethodsThrough a triangulation process and deductive-inductive analyses to develop recommendations for municipal action, we combined: data from a Photovoice study in Strathcona County, Canada, that engaged families with children aged 3-5 years who received subsidies to use municipal recreation infrastructure to understand their perceptions on factors impacting their use; public health action-oriented Framework and Guidebook on financial wellbeing; evidence from a targeted critical literature review; and an intersectionality approach (Gender-based Analysis Plus).FindingsTwenty-one themes emerged from the Photovoice data and included, for instance, lack of and inconvenient public transit and poor playground design. Findings suggest that investing in physical infrastructure is not enough to promote participation, as other factors (e.g., flexible program scheduling) implicate recreation space use. We developed 34 recommendations for municipal actions (e.g., offering in-person registration for people with limited access to the internet) organized into eight of the Framework's entry points.ConclusionsOur paper offers an actionable approach for municipalities to centre their efforts to promote use of recreation spaces equitably and meet specific needs of families with low income.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261470955"},"PeriodicalIF":2.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563951","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":"Assessing the impact of Minnesota food pantry environmental changes on shopping experiences and priorities.","authors":"Susannah West, Abby Gold, Marla Reicks, Francine Overcash","doi":"10.1177/2752535X261467960","DOIUrl":"https://doi.org/10.1177/2752535X261467960","url":null,"abstract":"<p><p>Food pantries are a crucial food source and opportune environment for public health interventions. A statewide Minnesota food pantry surveillance survey in 2017 contributed to the development of a policy, systems, environment intervention called SuperShelf. Previous evaluations of SuperShelf demonstrated it as a promising approach for improving food pantry environments but its effect on food pantry shoppers' perceptions of the changes and desired food availability had not yet been explored. The most recent statewide survey results (2022) were used to compare responses from shoppers at 42 intervention sites (SuperShelf) to shoppers at 235 peer food pantries (non-SuperShelf). Outcomes of interest were factors related to shopping experience, perception of availability of nutritious foods, and importance of food groups while shopping. Adjusted random intercept regression models determined associations between SuperShelf status and shopper outcomes of interest. Results showed that SuperShelf shoppers were more likely to indicate greater frequency of positive experiences when visiting the food pantry compared to non-SuperShelf shoppers. SuperShelf shoppers were also more likely to prioritize fresh produce and less likely to prioritize less nutritious, convenience, and snack foods than non-SuperShelf shoppers. Systematizing approaches that increase nutritious food access and enhance experiences at food pantries requires robust policy and implementation support. Improving program methods and investigating differences in food preferences may be useful for promoting healthy eating or food preferences in other charitable food settings.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261467960"},"PeriodicalIF":2.2,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426912","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":"Catalyzing cross-sectoral advocacy: Constructing the IMPACT theory for mobilizing arts in mental health policy.","authors":"Alexandra K Rodriguez, Jennifer L Kuo, George Hack, Jill Sonke","doi":"10.1177/2752535X261466527","DOIUrl":"https://doi.org/10.1177/2752535X261466527","url":null,"abstract":"<p><p>IntroductionAs mental health challenges rise globally, arts engagement offers an evidence-based strategy for promotion and treatment. However, cross-sectoral US policy efforts at this intersection remain limited and largely top-down.MethodsThis study employed constructivist grounded theory to explore conceptions of arts in mental health advocacy among stakeholders actively engaged in cross-sectoral practice - artists, public health practitioners, and municipal leaders. Semi-structured interviews were held with 44 participants that represented each of the three primary sectors and spanned work across national and local initiatives.ResultsThe data yielded five theoretical categories: Knowledge Needs, Skill and Tool Needs, Policy Needs, Considerations for Advocacy Engagement, and Strategies for Advocacy. These categories informed the development of the IMPACT Theory, a grounded theory that outlines pathways for mobilizing equitable and effective advocacy. Findings emphasize the need for increased stakeholder preparedness, public awareness, and policy mechanisms that support funding, access, and cross-sectoral integration.ConclusionTo develop actionable and informed advocacy, efforts should increase advocacy preparedness for invested stakeholders, prioritize the time and energy of advocates, and work to improve public awareness about arts and health. This theory offers a framework for advancing arts in mental health policy and may inform broader interdisciplinary advocacy efforts.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261466527"},"PeriodicalIF":2.2,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426975","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":"Evaluation of school-based iron supplementation adherence and determinant factors among adolescent girls in Indonesian settings.","authors":"Adji Prayitno Setiadi, I Gusti Agung Ari Kusuma Yana, Gusti Ayu Putu Laksmi Puspa Sari, Catherina Hutahaean, Ni Nyoman Laila Nordewi Yani, Susilo Ari Wardhani, Bruce Sunderland, Yosi Irawati Wibowo","doi":"10.1177/2752535X261463004","DOIUrl":"https://doi.org/10.1177/2752535X261463004","url":null,"abstract":"<p><p>BackgroundSchool-based iron supplementation is a key national intervention to reduce anaemia among adolescent girls, however evaluation regarding processes is lacking. This study evaluated adherence to iron supplementation and its determinant factors among schoolgirls in Indonesian settings.MethodsA cross-sectional study was conducted at selected schools in priority areas of East Java (<i>n</i> = 3) and Bali (<i>n</i> = 4) from April-September 2023. A questionnaire administered to approximately 100 girls at each school collected data on the individual factors and adherence. School databases and interviews with 7 health unit staff was used to understand the environmental factors, and content analysis elicited the themes. Binary logistic regression summarised associations of individual and environmental factors contributing to adherence.ResultsA total of 694 girl respondents reported a mean adherence of 40%. Environmental themes included location (East Java/Bali), type and level of schools (private/public and Junior/Senior High School), iron tablet distribution and administration mechanisms (1-week supply/1-month supply/varied and weekly program at school/self-administered at home/no fixed program). Binary logistic regression confirmed that individual associations (i.e., attitude, Odds Ratio (OR) 2.69; peer support, OR 2.03), and environmental factors (i.e., type of school, OR 7.41; location, OR 2.38; administration mechanisms, OR 8.80) were independently associated with adherence.ConclusionLow adherence levels among schoolgirls reported in this study warrants attention. Identified contributing factors provide a basis for the development of strategies to improve adherence to school-based iron supplementation programs in Indonesian settings, particularly at priority areas.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261463004"},"PeriodicalIF":2.2,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370526","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}