Community health equity research & policy最新文献

{"title":"Medication Adherence Support in Aotearoa New Zealand: No Central Policy, No Ownership, No Accountability.","authors":"Obreniokibo Ibifubara Amiesimaka, Kristina Aluzaite, Michael Schultz, Rhiannon Braund","doi":"10.1177/2752535X261433136","DOIUrl":"https://doi.org/10.1177/2752535X261433136","url":null,"abstract":"<p><p>BackgroundMedicines constitute the fulcrum of therapy across diseases, with patients needing to follow prescribed regimens (practice medication adherence (MA)) to derive optimal clinical benefits from medications. Poor MA is linked with increased mortality, morbidity and health costs, worse disease outcomes and reduced quality of life. Aotearoa New Zealand (NZ) operates a publicly funded health/medicines system, but available MA supports are unclear.MethodsUsing document analysis, this narrative review collated MA interventions and strategies recommended in several broad NZ health and medicine -specific policies to outline the NZ MA policy landscape for the first time. Eight policy documents underwent document analysis to identify proposed MA-related interventions and the responsible bodies.ResultsThe identified interventions targeted health system, socioeconomic, disease, therapy and patient-specific factors. Incorporating MA promotion across the health system (in IT platforms, MA services and others) by all healthcare professionals, pharmacists especially, was central to the interventions, as was including patients in medicines therapy decisions via robust communication. The interventions aligned with the MA needs of NZ chronic disease patients, indicating that implementing them could improve patients' MA. The lack of a national MA policy or responsible entity and other policy gaps, however, appeared to hinder implementation, ownership and accountability.ConclusionThe wide-ranging MA promotion interventions recommended across NZ health and medicines policies need implementation which would require multipronged efforts of stakeholders across government and the pharmacy/health sectors.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261433136"},"PeriodicalIF":1.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437222","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":"COVID-19 Vaccine Hesitancy: Trust in Local Clinics Predict Perceptions of Vaccine Safety and Vaccination Status.","authors":"Brynn E Sheehan, Miasha O'Neal, Kapri Hannon, Andrew D Plunk","doi":"10.1177/2752535X261429172","DOIUrl":"10.1177/2752535X261429172","url":null,"abstract":"<p><p><b>Background.</b> Despite widespread COVID-19 vaccine availability, vaccine hesitancy remains a barrier to achieving public health goals, especially in underserved communities. Trust in healthcare providers, scientists, and government institutions plays a critical role in shaping vaccine perceptions and uptake. <b>Purpose.</b> To inform targeted interventions, we tested a mediational path model examining predictors of perceived vaccine safety, effectiveness, and vaccination status among public housing residents. <b>Methods.</b> We surveyed 120 public housing residents in Central and Southeast Virginia. Participants completed questionnaires assessing trust in various people and institutions, a sense of community responsibility, beliefs about vaccination as a personal choice, and vaccination-related perceptions and status. A mediational path model was tested to examine direct and indirect associations. <b>Results.</b> Among 10 trust domains examined, only trust in the federal government and trust in local clinics and pharmacies significantly predicted vaccination-related perceptions and behavior. Trust in local clinics was directly associated with perceived vaccine safety (β = .42, 95% CI [.18, .66]) and effectiveness (β = .36, 95% CI [.11, .62]) and indirectly predicted vaccination status through perceived safety (β = .11, 95% CI [.01, .22]). Trust in the federal government directly predicted perceived effectiveness (β = .35, 95% CI [.04, .66]) but not safety. The final model explained 62% of the variance in vaccination status. <b>Discussion.</b> An indirect effect emerged where trust in local clinics predicted vaccination status via perceived safety, underscoring the critical role of local health centers in fostering vaccine confidence and uptake. Strengthening relationships between local providers and their communities may be a key strategy for addressing vaccine hesitancy. These findings highlight the importance of building trust to support vaccine uptake efforts.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261429172"},"PeriodicalIF":2.2,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313043","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":"Assessment of Social Determinants of Maternal Health in Morocco Using Interpretive Grounded Theory.","authors":"Chaimae Moujahid, Soufiane Yassara, Jack E Turman, Loubna Amahdar","doi":"10.1177/2752535X261427817","DOIUrl":"https://doi.org/10.1177/2752535X261427817","url":null,"abstract":"<p><p>BackgroundMaternal health in at-risk communities is a significant public health issue, especially in areas characterized by socio-economic and healthcare inequalities. This study aims to uncover the multiple factors that influence maternal well-being in Morocco, providing insights for targeted interventions and policy development.MethodsAn interpretive grounded theory approach was employed, combining in-depth interviews, observations and constant comparative data analysis. Participants (<i>n</i> = 69, aged 17-49) were recruited from six provinces across five main regions, representing diverse socio-economic backgrounds, cultural contexts, and healthcare systems.ResultsThe analysis identified four main categories explaining the interactions and interrelations of factors shaping maternal and reproductive health. First, childbirth and postpartum maternal healthcare experiences reveal contrasting realities between home and hospital births, marked by fear, neglect, obstetric violence, and the critical role of family support. Second, cultural practices and beliefs strongly shape perceptions of pregnancy, delivery, and postpartum care, sometimes providing protection and other times reinforcing harmful traditions. Third, maternal health dynamics in the societal context highlight systemic barriers to healthcare access, the weight of sociocultural expectations, and the compounded burden of rural living. Finally, women's reproductive autonomy and family size underscore limited decision-making power, ambivalence toward contraceptive use, son preference, and contraceptive misinformation. Together, these categories illustrate the complexity of relationships between socioeconomic status, access to healthcare services, education, cultural beliefs, and social support networks, which emerge as important determinants of maternal and reproductive health outcomes in Morocco.ConclusionsBy amplifying their voices and perspectives, this research advocates for holistic, equitable, and empowering approaches to maternal healthcare. The findings underscore the need for interventions tailored to local contexts, based on a thorough understanding of the determinants of maternal health.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261427817"},"PeriodicalIF":1.8,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286233","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":"Supporting Informed Decision-Making Regarding Participation in Cervical Cancer Prevention Programs: A Qualitative Study Among Turkish-, Moroccan-, and Syrian-Dutch Women.","authors":"Tharsini Veeravagu, Nora Hamdiui, Mart L Stein, Nadien Al-Rubaie, Josina L I van Wijk, Narjiss Ben Ali, Rik Crutzen, Aura Timen","doi":"10.1177/2752535X261427045","DOIUrl":"10.1177/2752535X261427045","url":null,"abstract":"<p><p>BackgroundTurkish-, Moroccan-, and potentially Syrian-Dutch women in the Netherlands are disproportionately affected by cervical cancer (CC), yet participate less in CC screening and Human papilloma virus (HPV) vaccination program compared to other ethnic minorities and native Dutch women. Existing informational materials insufficiently address their practical, emotional, cultural, and religious concerns. Our aim was to investigate the information seeking behavior and the information needs regarding CC screening and HPV vaccination among Turkish-, Moroccan-, and Syrian-Dutch women.MethodsSemi-structured interviews were held with 51 Turkish-, Moroccan-, and Syrian-Dutch women (<i>n</i> = 20, <i>n</i> = 19, and <i>n</i> = 12, respectively). The interview guide was based on the Health Belief Model, the Reasoned Action Approach, and Betancourt's Model of Culture and Behavior. Interviews were transcribed verbatim and thematically analyzed.FindingsThis study identified language barriers and cultural factors related to virginity, fertility, and sexual activity as key influences on decision-making. Most participants reported not actively seeking information and expressed a need for tailored content delivered through trusted and recognizable key community figures and accessible channels, both online and offline. Comparison with CC prevention measures in their countries of origin may facilitate information processing and understanding.DiscussionThese findings underscore the importance of culturally sensitive materials and outreach to support informed decision-making and improve participation in cervical cancer prevention. These results provided concrete guidance for the development of targeted policies and communication strategies that better address the specific needs and barriers regarding CC prevention faced by Turkish-, Moroccan-, and Syrian-Dutch women.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261427045"},"PeriodicalIF":1.8,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260295","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":"Legal Violence as a Structural Determinant of Health in U.S. Immigration Governance.","authors":"Juan Carlos Ruiz Malagon, Belinda Hernandez-Arriaga, Alonso R Reyna Rivarola, Amy Argenal, Anne Elizabeth Berens","doi":"10.1177/2752535X261418333","DOIUrl":"https://doi.org/10.1177/2752535X261418333","url":null,"abstract":"<p><p>Legal violence is a structural determinant of health in U.S. immigration governance. This essay examines how the shift from civil to criminal enforcement-marked by surveillance, detention, and deportation-inflicts systemic harm on undocumented immigrants, deferred action for childhood arrivals (DACA) and temporary protected status (TPS) holders, lawful permanent residents (LPRs), and U.S. citizens in mixed-status families. Framing these practices as legal violence reveals how structural forces embedded in law and policy create and sustain public health disparities. While the Social Determinants of Health framework identifies conditions affecting health outcomes, this essay emphasizes how structural determinants-immigration policy, legal exclusion, and enforcement-shape and perpetuate these conditions. Drawing on illustrative examples of empirical research on preterm births, mental health impacts, and reduced safety-net participation, this essay demonstrates that legal violence inflicts measurable harms. Addressing these harms requires structural reform; public health leaders and policymakers must confront legal violence to advance health equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261418333"},"PeriodicalIF":1.8,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020711","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":"A Population-Centered Health Framework for Analyzing Superfund Sites With a History of Volatile Organic Compound Contamination.","authors":"Samantha Satterly, Caison Black, Rochelle H Holm, Ted Smith","doi":"10.1177/2752535X251411415","DOIUrl":"10.1177/2752535X251411415","url":null,"abstract":"<p><p>BackgroundAirborne toxicants such as volatile organic compounds (VOCs) increase the risk of inducing or exacerbating cardiometabolic disease. The Environmental Protection Agency prioritizes Superfund sites based on the level of contamination and the likelihood that a site poses a threat to human health or the environment.PurposeThis paper proposes an alternative approach to prioritizing Superfund sites with VOC contamination by focusing on the size and health status of nearby populations.Research DesignAs a case study, we examine relevant data sources and assess how they characterize place-based cardiovascular health risk and disease burden among populations residing near Superfund sites in Kentucky.Results and ConclusionOur findings suggest an approach to more effectively protect public health in areas where VOC exposure may amplify existing cardiometabolic risks, thereby guiding state and local governments in decisions regarding site remediation and healthcare resource allocation.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251411415"},"PeriodicalIF":2.2,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936457","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":"\"People Need to Know; We're Part of the Community. We're Here.\": Examining Experiences of Sharing Demographic Information for a Community-Based Diabetes Prevention Program.","authors":"Sarah A Craven, Jenna A P Sim, Kaela D Cranston, Mary E Jung","doi":"10.1177/2752535X241306555","DOIUrl":"10.1177/2752535X241306555","url":null,"abstract":"<p><p>BackgroundCollecting demographic data is critical for identifying inequities in healthcare services and delivery. Inaccurate collection of demographic data can make developing equitable health interventions and improving reach of existing interventions difficult. This study aimed to (a) examine experiences in completing a community-based type 2 diabetes prevention program Small Steps for Big Changes (SSBC) demographic questionnaire (SSBC-DQ) among adults from equity-owed groups, and (b) assess recommendations for improvement to the questionnaire.MethodsAdults with no prior involvement in SSBC were recruited. Participants completed the SSBC-DQ online and then engaged in one-on-one structured interviews. Interview data was analyzed using interpretive description and coded using the APEASE criteria.ResultsTwelve participant interviews were included in analysis. Five principle themes were developed to capture the experiences of completing the SSBC-DQ: representation, comprehension, demographics are an emotional experience, the role that privilege plays, and beliefs about demographic data. Sixty suggested changes were coded using the APEASE criteria; six suggestions met the criteria for implementation, 20 did not meet the criteria, and 34 required further discussion with the research team.ConclusionsResults from this study illustrate that people's lived experiences can drive their reactions and interpretations to demographic questionnaires. Based on end-user suggestions, SSBC made changes to its demographic questionnaire to be more inclusive. Having a demographic questionnaire that is more inclusive can help SSBC better understand what populations it is and is not reaching in an acceptable and inclusive manner. This will help inform future directions regarding evaluating program reach and equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"119-130"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808737","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":"Community Engagement in the BE SAGE Project: Reducing COVID-19 in Hispanic and Low-Income Preschoolers via Testing and Open-Air Garden-Based Education.","authors":"Hector J Valdez, Michelle Santana, Sandra Genis, Edny Gonzalez, Joanna L Kramer, Rebecca E Lee","doi":"10.1177/2752535X241311172","DOIUrl":"10.1177/2752535X241311172","url":null,"abstract":"<p><p>ObjectiveBack to Early Care and Education Safely With Sustainability via Active Garden Education (BE SAGE) involved COVID-19 testing and a free garden-based physical activity and nutrition program at early care and education centers with primarily Hispanic/Latino enrollment. This article describes the project community engagement plan, process, and outcomes focusing on deliberate and intentional staffing, an extensive online presence, and focused outreach.MethodsBE SAGE purposefully hired bilingual (English/Spanish) and bicultural staff; developed and maintained a large bilingual online presence (website, newsletters, social media), and fostered community partnerships with community health workers (CHWs) and dedicated staff. Hiring records, online internet records, staff calendars, and field notes were coded and tabulated.Results84% of the 13-member research team and all CHWs identified as Hispanic or Latino. Predominantly US users accessed the website (<i>N</i> = 3,108), 36.9% of received electronic newsletters were opened, and 1126 followed social media across four platforms. The Outreach Specialist fostered existing relationships and created new partnerships. With the help of CHWs, 562 research participants completed at least one COVID-19 test.ConclusionsBy prioritizing representative staffing hires, expending substantial resources on an online presence, and establishing and nurturing our community partnerships, our BE SAGE community engagement approach helped to achieve study aims and create lasting community impact. Community engagement and partnerships to forward research requires ample funding and dedicated representative hiring polices to cultivate and maintain community relationships with asset-driven outcomes.Policy ImplicationsFunding agencies must prioritize community engagement in research outcomes to ensure robust, meaningful scientific discovery and innovation.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"147-156"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933871","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":"Community Views of Determinants of Men's Wellbeing in Guatemala: A Study Using Fuzzy Cognitive Mapping.","authors":"Katherine W Pizarro, Anne M Chomat, Diego P Quieju, Bernardo Y López, Iván Sarmiento, Nicholas LeBel, Chloe Mancini, Neil Andersson, Danielle Groleau, Anne Cockcroft","doi":"10.1177/2752535X241312378","DOIUrl":"10.1177/2752535X241312378","url":null,"abstract":"<p><p>BackgroundIn post-conflict Guatemala, Indigenous men's psychological distress has been linked to violence exposure, disrupted social support systems, and structural inequities.PurposeWe aimed to document how communities themselves understand men's wellbeing and the factors that influence men's wellbeing.Research design and study sampleFuzzy Cognitive Mapping with 20 stakeholder groups in Santiago Atitlán and Cuilco, Guatemala defined men's wellbeing in local terms and identified the influences community groups understood to promote and detract from men's wellbeing. Participants mapped pathways through which influences affected wellbeing and weighted their relative perceived strength.AnalysisThe researchers used thematic analysis to summarise influences into 43 factors and used fuzzy transitive closure to calculate their net causal influence for each set of stakeholders. We compared perspectives of groups of adult men, adult women, and practitioners of Mayan medicine in Santiago Atitlán, with a primarily Indigenous population, to groups in Cuilco, with a primarily non-Indigenous population. We also compared perspectives across age groups in Santiago Atitlán.ResultsAcross regions, maps highlighted the importance of family and social relations, emotional distress, substance use and physical health for men's wellbeing. Basic resource insecurity and unemployment were top risk factors for men's wellbeing in maps from Cuilco but had both risk and protective influences on men's wellbeing in maps from Santiago Atitlán.ConclusionsFindings challenge the focus on scale-up of individual biomedical interventions as the best strategy to reduce the burden of emotional distress in Guatemala and raise questions about standard development approaches that emphasize income generation and educational attainment above cultural continuity and social harmony.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"157-169"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017336","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":"Community Perspectives on Inequalities in the Provision of Basic Healthcare Services for the Most Vulnerable Populations in the Eastern Congo: A Qualitative Study.","authors":"Dieudonné Bwirire, Rik Crutzen, Rianne Letschert, Edmond Ntabe Namegabe, Bonfils Cheruga, Juliette Mukwege, Trésor Amisi Kasaya, Nanne de Vries","doi":"10.1177/2752535X251321286","DOIUrl":"10.1177/2752535X251321286","url":null,"abstract":"<p><p>BackgroundThere is a notable lack of evidence regarding the factors that shape the provision of essential healthcare services in post-conflict settings.PurposeThis study aimed to explore and describe the factors influencing the provision of basic health care services for the most vulnerable populations in the Eastern Congo.MethodEmploying a qualitative research approach, twenty individual interviews with community members and thirteen focus group discussions were conducted. Participants were drawn from three geographically and demographically diverse locations with a history of decades-long armed conflicts in the Congo. Inductive thematic coding used the Health System Dynamics Framework categories (i.e. goals and outcomes, values and principles; service delivery; the population; the context; leadership & governance; and the organization of resources (finances; human resources; infrastructure and supplies; knowledge and information), while allowing for additional themes.ResultsOur findings are presented thematically according to these ten categories. The following factors were perceived as key areas enabling or hindering healthcare provision to the community: (1) the context for organizing basic healthcare service delivery is complex and challenging; (2) the population plays a crucial role as an active producer of health and potential change agents; (3) there is a poor strategic policy framework to guide local-level communities in the provision of basic healthcare services; (4) several critical barriers and facilitators related to effective healthcare service delivery were identified; (5) the classification of basic health service delivery methods to meet the healthcare needs of the vulnerable population; (6) the healthcare system is pluralistic and consists of multiple overlapping systems and providers; and (7) service providers and potential service users still consider access to basic healthcare services challenging, potentially resulting in reduced coverage.ConclusionThese findings suggest that substantial changes in the factors contributing to the provision of basic healthcare services are necessary to ensure the delivery of basic healthcare services to the most vulnerable populations in the Eastern Congo. Consequently, there is a critical need to reconsider the healthcare delivery system, specifically addressing these contributing factors in the context of the Eastern Congo.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"195-208"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442837","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}