Journal of prevention (2022)最新文献

{"title":"Depressive Symptom Trajectories and Incident Pain: The Role of Nocturnal Sleep Duration in Two Prospective Cohort Studies.","authors":"Yongxia Gao, Bin Li, Bing Ding, Yang Xu, Haibo Wang, Yun Bai, Haoyu Zhang, Jianqin Li, Yanci Wang, Yuhan Wu, Meihui Jin, Yan Yao","doi":"10.1007/s10935-026-00934-6","DOIUrl":"https://doi.org/10.1007/s10935-026-00934-6","url":null,"abstract":"<p><p>This study aims to investigate the mediating role of nocturnal sleep duration in the association between depressive symptoms trajectories and subsequent pain outcomes. Using data from the English Longitudinal Study of Ageing (ELSA) and the China Health and Retirement Longitudinal Study (CHARLS), 6,874 participants were included. Latent class mixture models (LCMM) were employed to identify depressive symptoms trajectories. Logistic regression analysis was conducted to examine the association between these trajectories and pain. Three depressive symptoms trajectories were identified in both cohorts: low-stable (class 1), increase-then-decrease (class 2), and decrease-then-increase (class 3). In ELSA, classes 2 and 3 exhibited 93% (OR = 1.93, 95% CI: 1.47, 2.52) and 51% (OR = 1.51, 95% CI: 1.20, 1.88) increases in pain risk, respectively. In CHARLS, class 2 exhibited a 183% (OR = 2.83, 95% CI: 2.32, 3.47) and class 3 a 173% (OR = 2.73, 95% CI: 2.29, 3.26) increase in pain risk. In ELSA, nocturnal sleep duration explained 5.97% (95% CI: 0.0081, 0.1460) of the association between class 2 and pain onset, and 6.07% (95% CI: 0.0080, 0.1811) for class 3. In CHARLS, the mediation proportions were 4.44% (95% CI: 0.0019, 0.0915) for class 2 and 2.74% (95% CI: 0.0022, 0.0558) for class 3. Different trajectories of depressive symptoms are associated with varying pain risks, a relationship partially mediated through sleep. These findings underscore the necessity of ongoing management of depressive symptoms and sleep conditions for pain prevention.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686968","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":"Prevention is Missing Its Moment: Community Colleges as Essential Infrastructure for Life-Course Cancer Prevention.","authors":"Brad Love, Margaret Raber","doi":"10.1007/s10935-026-00941-7","DOIUrl":"https://doi.org/10.1007/s10935-026-00941-7","url":null,"abstract":"<p><p>Nearly half of all cancer diagnoses are attributable to modifiable risk factors, yet cancer prevention continues to underinvest in one of its most consequential life-course windows: early adulthood. Community college students represent a large and underserved population in this period who cluster cancer-relevant risk behaviors, including tobacco use, alcohol consumption, physical inactivity, and poor diet, while remaining largely invisible in prevention research and practice. Although community colleges enroll millions of students nationwide and disproportionately serve lower-income, racial and ethnic minority, and medically underserved populations, they are rarely treated as core prevention infrastructure. This debate paper argues that cancer prevention is missing a critical opportunity by failing to prioritize community colleges as settings for life-course intervention. We integrate epidemiologic, developmental, and prevention science evidence to advance three claims early adulthood is a uniquely malleable period for shaping trajectories of cancer risk; community colleges concentrate both modifiable risk and health inequities at population scale; and place-based prevention strategies offer a feasible pathway for intervening in under-resourced institutional environments where clinical prevention is limited. Drawing on implementation experience from the Be Well Baytown is the initiative -a community-embedded prevention program operating at Lee College is the community college, a Hispanic-Serving Institution in Baytown, Texas-we illustrate how community colleges can support multi-component, theory-driven cancer prevention efforts. We conclude that continued neglect of community colleges reflects not a lack of prevention promise but a failure of prevention prioritization. Aligning cancer prevention investment with where early-adult risk accumulates will require treating community colleges as essential components of prevention infrastructure.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681462","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":"When Time Is Not Available: Rethinking Behaviour Change in Prevention.","authors":"Timothy Robert Ives","doi":"10.1007/s10935-026-00943-5","DOIUrl":"https://doi.org/10.1007/s10935-026-00943-5","url":null,"abstract":"<p><p>Behaviour change theories have substantially advanced understanding of the mechanisms through which behaviours are initiated, maintained, and sustained. However, less attention has been directed towards the temporal conditions under which these mechanisms are able to operate consistently in everyday life. This conceptual paper explores whether differences in temporal conditions may contribute to the variability frequently observed in behaviour change interventions. The paper proposes a complementary framework centred on the concepts of tempo, interval, and behavioural consolidation. Rather than introducing an alternative behaviour change theory, the framework considers how environments differ in the temporal conditions they create for behavioural processes to unfold. It suggests that these conditions may influence the extent to which existing behaviour change mechanisms are able to operate effectively over time. The framework is illustrated through conceptual applications to food environments, learning environments, sleep, and clinical prevention, demonstrating how temporal conditions may provide an additional perspective across behavioural, cognitive, physiological, and professional domains. By making temporal conditions explicit, this perspective complements existing behaviour change models and generates new questions for prevention research and practice. Rather than asking only how behaviour changes, it encourages consideration of whether the temporal conditions required for behavioural consolidation are present in the first place.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680483","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":"Effect of Organized Cervical Cancer Screening Programs on Incidence and Mortality: A Systematic Review and Meta-analysis.","authors":"Ivana Nikcevic Kovacevic, Aleksa Jovanovic, Jovana Ristic, Natasa Milic, Tatjana Pekmezovic","doi":"10.1007/s10935-026-00908-8","DOIUrl":"10.1007/s10935-026-00908-8","url":null,"abstract":"<p><p>The aim of this study was to assess the impact of organized screening programs on incidence and mortality rates of cervical cancer in women. A systematic review of the relevant literature was performed in accordance with the PRISMA 2020 protocol by searching PubMed, Scopus and Web of Science. Endnote20 and Rayyan Systematic Review Screening Software were used for duplicate removal and then, independent evaluation was done by two reviewers. The quality of studies was assessed using the Newcastle Ottawa scale. A random-effects meta-analysis was performed in order to compute the pooled effect size, with Hartung-Knapp adjustment for random effects model. DerSimonian-Laird estimator for Tau², Mantel-Haenszel estimator used in calculation of Q and Tau², and calculation of I² based on Q were used to assess and quantify heterogeneity between studies. Inverse variance method was also used. The results of the meta-analysis show that women who were regularly screened in an organized cervical cancer screening program were statistically significantly less likely to develop (OR = 0.40, 95% CI 0.29-0.55) or die (OR = 0.31, 95% CI 0.16 to 0.58) from cervical cancer. Significant heterogeneity among the case-control studies evaluating the incidence of cervical cancer has been detected (Tau² = 0.1034; χ² = 245.42; df = 12, p < 0.0001; I² = 95.1%). Moderate to high heterogeneity among the case-control studies evaluating the mortality has been detected (Tau² = 0.1161; χ² = 20.12; df = 3, p < 0.0002; I² = 85.1%). The results of tests for assessing asymmetry (Egger's and Begg's test, p < 0.05), indicates the absence of publication biases. The results of our meta-analysis show that women who participate in organized screening programs are significantly less likely to develop and die from cervical cancer, especially if they are screened regularly. Women who irregularly participated in an organized cervical cancer screening program have almost equal risk for cervical cancer compared to women who did not participate in an organized cervical cancer screening program. Women with irregular participation in an organized cervical cancer screening program have a cervical cancer risk that is nearly comparable to the risk among non-participants.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"739-757"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349769","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":"What Do We Know About Proximal Factors Influencing Bystander Intervention? A Call for Momentary Assessment and Intervention.","authors":"Daniel W Oesterle, Molly Maloney, Kennicia Fortson, Annelise Mennicke, Erika Montanaro","doi":"10.1007/s10935-026-00903-z","DOIUrl":"10.1007/s10935-026-00903-z","url":null,"abstract":"<p><p>Bystander intervention (BI) is among the most extensively studied phenomena in social psychology, with theoretical models underscoring a range of situational factors that influence helping behavior. Yet, despite considerable attention and emphasis placed on understanding these processes, we know very little about momentary and dynamic factors that effect actual BI in real-time. This is especially problematic because BI prevention programs are designed to promote in-the-moment behavioral responses to emergent risk, yet the evidence base supporting their use relies predominantly on cross-sectional retrospective self-reports, intervention-likelihood paradigms, and other proxy outcomes with limited external and ecological validity. Due to longstanding methodological constraints, our collective knowledge of how proximal and situational factors directly influence real-world BI behavior remains limited, yet understanding how event-level influences such as acute alcohol intoxication impact BI is essential for creating effective sexual violence prevention programming. In this debate paper, we synthesize the current literature on proximal influences of BI and propose a framework to guide future research using ecologically valid, real-time momentary assessment methods.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"797-805"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476478","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":"Behavioral Effects of a Telehealth Family Prevention Program for Black Adolescents: 2 Year Results of a Randomized Trial.","authors":"Steven M Kogan, Tracy Anderson, Tianyi Yu, Sycarah Fisher, Sun Joo Grace Ahn, Steven R H Beach","doi":"10.1007/s10935-026-00939-1","DOIUrl":"https://doi.org/10.1007/s10935-026-00939-1","url":null,"abstract":"<p><strong>Background: </strong>Black adolescents face disproportionate behavioral health and substance use risks amplified by structural racism and discrimination, yet access to culturally grounded, family-centered preventive interventions remains exceedingly rare. Telehealth may advance prevention equity by eliminating geographic and logistical access barriers.</p><p><strong>Methods: </strong>A randomized controlled trial enrolled 170 families with Black adolescents (ages 11-12) assigned to T-SAAF-a telehealth adaptation of the evidence-based Strong African American Families program-or a no-treatment control. At 2 year follow-up, 145 families (85%) completed assessments. Youth-reported conduct problems and substance use onset were analyzed using ANCOVA and binary logistic regression, adjusting for baseline scores, age, sex, time between assessments, and caregiver educational attainment.</p><p><strong>Results: </strong>T-SAAF participants reported significantly fewer conduct problems at 2 year follow-up (M = 1.51, 95% CI [1.35, 1.67]) than controls (M = 1.77, 95% CI [1.59, 1.94]; F[1,137] = 4.49, p = 0.036, η² = 0.032). T-SAAF did not significantly reduce odds of substance use onset (OR = 1.22, 95% CI [0.48, 3.09], p = 0.68).</p><p><strong>Discussion: </strong>A brief, culturally grounded telehealth family intervention reduced conduct problems among Black adolescents at a 2 year follow-up, relative to a no-treatment control. Substance use onset did not differ between conditions. These findings position digitally delivered, family-centered prevention as a promising, equity-focused strategy for extending evidence-based programming to underserved Black families. Trial Registration ClinicalTrials.gov NCT05253235; registered February 22, 2022.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655123","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":"Individual Outdoor Activity is Associated with Lower Mortality Among Older Chinese Adults: A Prospective Cohort Study.","authors":"Datian Gao, Dechen Liu, Wanli Hu, Zihao Li, Gefei Li, Xiaoke Zhang, Haiyun Gao, Songhe Shi","doi":"10.1007/s10935-026-00902-0","DOIUrl":"10.1007/s10935-026-00902-0","url":null,"abstract":"<p><p>Insufficient individual outdoor activity is common among older adults, yet research on the association between individual outdoor activity frequency and all-cause mortality among older adults remains limited. Therefore, we aimed to explore the association between individual outdoor activity frequency and all-cause mortality among older Chinese adults. We conducted a prospective cohort study using data from 8117 participants aged 65 years or above from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Accelerated failure time (AFT) models were used to assess the longitudinal association between individual outdoor activity frequency and all-cause mortality by using time ratios (TRs) and 95% confidence intervals (CIs). Subgroup analyses of the association were conducted by age, sex and residence. In addition, sensitivity analyses were performed to assess the robustness of main results. During a median follow-up period of 5.11 years, a total of 3893 (47.96%) participants died. Compared with participants who never engaged in individual outdoor activity, those who engaged rarely or sometimes (TR: 1.24, 95% CI: 1.10-1.40) and those who engaged regularly or almost every day (TR: 1.59, 95% CI: 1.48-1.70) had a statistically significant longer survival time in the fully adjusted model. Subgroup analyses showed consistent associations in nearly all strata. Sensitivity analyses confirmed the robustness of main results. Frequent participation in individual outdoor activity was significantly associated with longer survival time among older Chinese adults. Our findings support encouraging older adults to engage in regular individual outdoor activity for longevity benefits.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"617-629"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095035","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":"Contribution of the Lions Quest Programme \"Skills for Action\" to the Social-Emotional Learning of Secondary School Students.","authors":"Dejana Bouillet, Žana Glavendekić, Matthew Kiefer, Vanessa Jaroski, Wadih Maalouf","doi":"10.1007/s10935-026-00906-w","DOIUrl":"10.1007/s10935-026-00906-w","url":null,"abstract":"<p><p>This study presents the results of evaluating the pilot implementation of the Lions Quest programme \"Skills for Action\" (LQSFAc) in the Croatian education system. \"Skills for Action\" is a prevention programme for social-emotional learning based on the Collaborative for Academic, Social and Emotional Learning framework. This model encompasses intrapersonal, interpersonal, and cognitive aspects of social-emotional well-being that are important at all stages of development. This is the first attempt to evaluate the LQSFAc programme in Croatia, focusing on its outcomes. The aim of the study is to analyse the extent to which the two-year pilot implementation of the programme contributes to the development of students' intrapersonal and interpersonal social-emotional skills. A questionnaire for self-assessment of students' social-emotional skills was used. The programme was introduced on a trial basis in 13 Croatian secondary schools during the 2023/2024 and 2024/2025 school years. This quasi-experimental study includes quantitative data from 326 students who participated in the pre- and post-test (163 students participated in the programme and 163 did not). The data were analysed using descriptive statistics and a multilevel model (mixed linear model with a random effect for the school where the programme was implemented). Students in the LQSFAc classes achieved higher scores in all analysed social-emotional skills in the post-test than students in the comparison classes. The results suggest that the contribution of the LQSFAc programme is most evident in students' social awareness. Implementing the LQSFAc programme in full, which requires a whole-school approach, is essential for achieving better results.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"721-737"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286476","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":"Effect of Financial Education and Coaching on Economic Stability in Low Income, Single Mother Families.","authors":"Nicole D White, Julie C Kalkowski, Ryan W Walters, Kathy A Flecky, Lisa L Black, Jennifer A Furze, Julie A Peterson, Lorraine M Rusch, Ann M Ryan Haddad, Kevin Fuji","doi":"10.1007/s10935-026-00909-7","DOIUrl":"10.1007/s10935-026-00909-7","url":null,"abstract":"<p><p>Up to 85% of health is governed by social determinants such as economic stability. By supporting healthy financial behavior changes to increase economic stability, the Financial Success Program (FSP) is a modality that also addresses the limitations of other health interventions in single mother, low-income households. The novel FSP financial education/coaching intervention has previously been shown to reduce financial strain and perceived effects of financial strain on health, improve relationships, reduce smoking and increase healthcare access. This manuscript reports the financial and economic stability outcomes of the first randomized controlled trial to assess the impact of the FSP financial education/coaching model in 345 single mother low-income households. FSP participants experienced the following positive economic outcomes compared with control participants: significantly greater increases in mean salary and household income; greater increases in savings; larger reductions in the inability to save money; larger reductions in shut off notices and utility balances; greater increases in paying bills on time, reductions in partial payments, late fees, and overdrawn bank accounts; greater increases in effective monthly cashflow management and decreases in counterproductive financial behaviors. FSP significantly built participants' capacity to increase income, emergency savings and retirement savings. The FSP model fosters beneficial financial behaviors while diminishing detrimental financial behaviors, as compared to usual care. By mitigating financial stress, individuals graduating from the FSP increase their capability to plan ahead and think more clearly about financial decisions to improve economic stability, and ultimately overall health.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"759-783"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730855","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":"Effects of Isotemporal Substitution Analysis of Sedentary Behavior, Sleep, and Physical Activity on Physical Performance in Older Adults.","authors":"Matheus Marques E Marques, Antônio Ribeiro Neto, Leandro Alonso do Espírito Santo, Natália Lujan Ferraz, Ricardo Ansaloni Oliveira, Joilson Meneguci, Jeffer Eidi Sasaki, Jair Sindra Virtuoso Júnior","doi":"10.1007/s10935-026-00904-y","DOIUrl":"10.1007/s10935-026-00904-y","url":null,"abstract":"<p><p>Analyze the effects of substituting time spent in sleep, sedentary behavior, and moderate-to-vigorous physical activity on the physical performance of older adults. The sample consisted of 457 participants from the Alcobaça Elderly Health Longitudinal Study. Physical performance was measured using the Short Physical Performance Battery, while physical activity and sedentary behavior were assessed with the International Physical Activity Questionnaire, and sleep with the Pittsburgh Sleep Quality Index. For statistical analysis, the isotemporal substitution approach was applied to examine the hypothetical effects of reallocating time between sleep, sedentary behavior, and moderate-to-vigorous physical activity on physical performance. The results showed that substituting small periods of sleep or sedentary behavior with moderate-to-vigorous physical activity was associated with a significant reduction in the risk of poor physical performance. The reallocation of just 5 min/day already showed a protective effect (a reduction of 13% to 14%), with an increasing impact proportional to the amount of time replaced, reaching an 82% reduction for 60 min/day. Model-based analyses suggest that replacing short periods of sedentary behavior or sleep with moderate-to-vigorous physical activity is associated with a lower risk of poor physical performance in older adults.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"681-693"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349746","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}