American Journal of Men's Health最新文献

{"title":"Equity and Access in HIV Prevention: Addressing Global Disparities in PrEP Use Among Men Who Have Sex With Men Population.","authors":"Sijia Li, Alex Siu Wing Chan","doi":"10.1177/15579883251405699","DOIUrl":"10.1177/15579883251405699","url":null,"abstract":"<p><p>Despite proven efficacy in preventing HIV, the global uptake of pre-exposure prophylaxis (PrEP) remains limited and uneven, particularly among men who have sex with men (MSM). A meta-analysis by Zhao et al. reveals that only 20% of PrEP-eligible MSM have ever used the medication, with stark disparities across regions and income levels. While uptake has increased over time, significant barriers persist, especially in low- and middle-income countries (LMICs). These barriers include financial constraints, limited health care infrastructure, provider knowledge gaps, and pervasive stigma, which together impede equitable access to PrEP. In regions such as sub-Saharan Africa, Asia, and Latin America, MSM face challenges related to health care access, while younger MSM and marginalized groups, including transgender individuals, are particularly underserved. This viewpoint calls for global strategies that address these inequities through targeted, evidence-based interventions that focus on reducing systemic barriers and incorporating intersectional approaches. To scale up PrEP access and ensure equitable HIV prevention, multilevel strategies are necessary, involving policy changes, provider training, community-led initiatives, and youth-centered outreach. Addressing the financial, structural, and social determinants of health is essential for bridging these gaps and ensuring that PrEP fulfills its potential as a global tool for HIV prevention.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883251405699"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Edinburgh Postnatal Depression Scale Factor Structure and Invariance in Fathers Across the First Two Postnatal Years: Evidence for a Three-Factor Model and Elevated Screening Positivity in Year 2.","authors":"Jingyi Wang, Michael B Wells","doi":"10.1177/15579883261454722","DOIUrl":"10.1177/15579883261454722","url":null,"abstract":"<p><p>The dimensional structure of the Edinburgh Postnatal Depression Scale (EPDS) in fathers remains debated, and it is unclear whether scale properties are comparable as children age through the first 2 years. This study aims to examine the EPDS factor structure and measurement invariance across infant age bands among Swedish fathers. We analyzed 2,318 EPDS assessments from 1,615 fathers when their child was 0 to 24 months (0-6: <i>n</i> = 597; 7-12: <i>n</i> = 701; 13-18: <i>n</i> = 485; 19-24: <i>n</i> = 535). Competing confirmatory factor analyses compared one-, two-, and three-factor models within each age band. We then tested measurement invariance across bands. EPDS cut-off ≥10 described screening-positive proportions. A three-factor model: anhedonia (items 1-2), anxiety (3-6), and depressive affect (7-10) outperformed one- and two-factor alternatives across all age bands, with acceptable-to-good fit. Latent factors were positively and substantially inter-correlated. Strict measurement invariance was supported across age bands, indicating that mean-level comparisons are defensible as children age. Using EPDS ≥ 10, the proportion screening positive was 16.75% (0-6 months), 20.26% (7-12), 26.39% (13-18), and 22.99% (19-24). Internal consistency for the total scale was good across bands. In a national cohort of Swedish fathers across the first two postnatal years, the EPDS showed a replicable three-factor structure and strict invariance across child-age bands, supporting valid comparisons over time. Screening yields non-trivial prevalence beyond 12 months, underscoring the value of father-inclusive screening into the second postnatal year.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261454722"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13254417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fathering in a Pandemic: Low-Income Black Fathers' Experiences and Mental Health Stressors.","authors":"Adaobi Anakwe, Keon L Gilbert, Trang Pham, Wilson Majee, Destini Goodwin, Rhonda BeLue","doi":"10.1177/15579883261445254","DOIUrl":"10.1177/15579883261445254","url":null,"abstract":"<p><p>COVID-19 interventions disrupted family life, disproportionately affecting low-income Black fathers. Although family relationships are critical aspects of men's mental health and overall well-being, studies examining the effect of the pandemic from a Black fathering lens are sparse. This study explored Black fathers' experiences and adaptive responses to fathering during the pandemic, highlighting mental health consequences of their experience. Data was collected through interviews with Black fathers participating in a fatherhood-focused program in a Midwestern U.S. urban area. The average age of the participants was 33 years, half were unmarried (50%), most had one biological child (58%), many earned less than $10,000 USD annually (42%), and most had at least a high school degree (89%). Seventeen fathers (six in two focus groups and eleven individual interviews) were interviewed from February to July 2021. Interviews were audio recorded, transcribed verbatim, and thematically analyzed. Five themes were identified from the data. Men consistently <i>valued their role as fathers</i> despite enduring <i>pandemic-related economic and familial stressors</i> that impacted their <i>involvement with their children.</i> A primary adaptation in response to these multilevel stressors was <i>surrendering to absence to protect their child(ren)</i> from disease. Fathers felt that the isolation from their children, due in part to increased maternal gatekeeping, consequently <i>heightened their psychological distress</i>. This study provides valuable insight into Black fatherhood during the COVID-19 pandemic. Findings indicate that COVID-19 strained already difficult parenting relationships and constrained father engagement, creating mental health consequences for some Black fathers.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261445254"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13180047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and Ethnic Differences in Health Service Utilization Among Non-Hispanic Black and Non-Hispanic White Men: Findings From Medical Expenditure Panel Survey.","authors":"Roland J Thorpe, Corina Mills, Rachael McCleary, Tashika Robinson, Keith Norris, Hossein Zare","doi":"10.1177/15579883261453361","DOIUrl":"10.1177/15579883261453361","url":null,"abstract":"<p><p>Persistent racial disparities underscore the disproportionate burden of poor health among Black men in the United States. Black men also use health care services less often, yet gaps remain in the literature on racial differences in health care utilization patterns. The objective of this study was to examine potential race differences in health care service utilization, specifically whether they had at least one office-based provider visit during the year between Black and White men. Data from the 2022 Medical Expenditure Panel Survey were used, consisting of a sample of 5,921 men (4,837 non-Hispanic White and 1,084 non-Hispanic Black). The dependent variable, health care utilization, was based on the aggregated 2022 annual total of office-based provider visits and was coded as a binary indicator of whether the respondent had at least one visit during the year. Race and ethnicity were based on respondents' self-reported race and whether they identified as Hispanic, Latino, or of Spanish origin. Approximately 73 percent of the men had at least one office-based provider visit during the year, and 18 percent of the sample were NHB men. After adjusting for covariates, NHB men had a lower prevalence of having an office-based physical annual visit during the year (prevalence ratio = 0.83, 95% confidence interval [0.77, 0.88]) than NHW men. This difference may reflect medical mistrust and other health care system barriers rooted in historical and ongoing discrimination against Black men, which limits access to care. These findings underscore the need to address the root causes of barriers to health care utilization among Black men.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261453361"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148051352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Young Men's Help-Seeking Behavior: Insights From a National Australian Survey.","authors":"Robert Palmer, James Kite, Philayrath Phongsavan, Katherine B Owen, Timothy J Moss, Bernie Marshall, Ben J Smith","doi":"10.1177/15579883251412964","DOIUrl":"10.1177/15579883251412964","url":null,"abstract":"<p><p>Young men face unique barriers to accessing health care, contributing to poor health outcomes. We used data from 188 Australian men aged 18-34 years, who participated in a nationally representative cross-sectional survey, to examine the relationships between health literacy, health empowerment, social support, loneliness, and barriers to health care. Structural equation modeling was used to examine direct and indirect associations, adjusting for sociodemographic factors and health status. Loneliness and health literacy were consistently associated with barriers to help-seeking. Higher health literacy was linked to lower barriers (<i>β</i> = -0.26, <i>p</i> = .001), whereas higher loneliness was associated with higher barriers (<i>β</i> = 0.24, <i>p</i> = .007). Higher health empowerment was associated with lower concrete barriers and distrust of caregivers (<i>β</i> = -0.20, <i>p</i> = .007), and loneliness was found to be indirectly associated with concrete barriers and distrust of caregivers through health empowerment (<i>β</i> = 0.07, <i>p</i> = .024). Social support was not associated with barriers to help-seeking. These findings underscore the importance of health literacy and loneliness as consistent determinants of help-seeking and highlight the role of health empowerment in reducing practical and interpersonal access barriers. The results can inform the design of interventions to improve health care engagement among young men.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883251412964"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes for Hospitalized Men Noted to Have Problems Associated With Living Alone in the United States.","authors":"Emmanuel Tito, Sumedha Nallamothu, Thang Nguyen, Saanvi Dixit, Scott Mitchell Wright, Che Matthew Harris","doi":"10.1177/15579883261454724","DOIUrl":"10.1177/15579883261454724","url":null,"abstract":"<p><p>More men live alone than ever before, and this increases their risk for mortality. In-hospital studies for men who have struggles associated with living alone have not been amply studied. We used the 2022 National Inpatient Sample to explore hospital outcomes among men with \"problems living alone.\" Using multivariable regression analyses, we examined in-hospital mortality, length of stay, total hospital charges, and post-discharge disposition. In 2022, 12,109,441 men were admitted to U.S. hospitals. Overall, 45,860 (0.4%) were coded for problems related to living alone, and 12,063,581 (99.6%) were not. Men with problems living alone were older (62.1 ± 17.4 vs. 67.3 ± 15.7; <i>p</i> < .01) and had a higher comorbidity burden, indicated by the Elixhauser mean score (4.04 ± 2.3 vs. 4.35 ± 2.1; <i>p</i> < .01). Men with problems living alone had lower mortality (adjusted odds [<i>aOR</i>] = 0.7; 95% confidence interval [CI] = [0.61, 0.83]; <i>p</i> < .01) and lower hospital charges (adjusted mean difference [<i>aMD]</i> = -$6,374; 95% CI = [-9,707, -3,040]; <i>p</i> < .01). However, they had longer stays (<i>aMD</i> = +0.7 days; 95% CI = [0.52, 0.97]; <i>p</i> < .01) and lower odds of being discharged home (<i>aOR</i> = 0.61; 95% CI = [0.57, 0.64]; <i>p</i> < .01). Men with problems living alone had different in-hospital findings than other men; some of these were surprisingly distinctive. Interventions during hospitalization may be supportive and help optimize reductions in health care resource utilization.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261454724"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148222645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Emotional Experiences of First-Time Fathers During Infancy: A Qualitative Study.","authors":"Sharanya Chatterjee, Vaishalee Saravanan, Samyukta Vaidyanathan","doi":"10.1177/15579883261445266","DOIUrl":"10.1177/15579883261445266","url":null,"abstract":"<p><p>Becoming a first-time father is a profound experience that shapes a man's emotional and psychological well-being. While the role of mothers during infancy has been extensively explored, the emotional experiences of first-time fathers remain powerful yet often overlooked, leaving gaps in understanding their challenges, support needs, and mental health implications. The study employed a qualitative, exploratory research design. In-depth semi-structured interviews were conducted with 13 first-time fathers, recruited via purposive sampling. Data were analysed using thematic analysis to explore the emotional landscape of first-time fathers during infancy. The analysis yielded 20 sub-themes, organized under five overarching themes. These themes encompassed paternal concerns for maternal well-being, fatherhood-related transformations, positive experiences of fatherhood, adjusting to infant care, and responsibilities and support systems. The findings indicate that the journey of first-time fatherhood is dynamic, characterized by significant emotional changes, shifting identities, and the ongoing balancing act between responsibility and joy, with supportive relationships playing a vital role in shaping their experiences. The study contributes to a broader understanding of fatherhood by providing insights into the emotional terrain first-time fathers navigate, with implications for clinical practice, policy development, and future research in paternal mental health. By giving voice to an often-silenced journey, this study highlights the need for greater recognition and support of fathers during this critical life stage.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261445266"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Cross-Sectional Study of the Association Between Regular Cigarette Smoking and Level of Disability, Hand Dexterity, Cognitive Impairment, Fatigue, and Markers of Oxidative Stress in Male Patients With Relapsing-Remitting Multiple Sclerosis.","authors":"Melika Ahmadi Bonabi, Reza Mosaddeghi-Heris, Niloofar Taheri, Mahnaz Talebi, Amirreza Naseri","doi":"10.1177/15579883261453962","DOIUrl":"10.1177/15579883261453962","url":null,"abstract":"<p><p>Cigarette smoking is a recognized risk factor for multiple sclerosis (MS) development and progression; however, the association between smoking and features of MS in male patients remains insufficiently explored. A cross-sectional exploratory study was conducted involving 31 male patients with approved relapsing-remitting MS (RRMS), divided into smokers (<i>n</i> = 9) and non-smokers (<i>n</i> = 22). The Symbol Digit Modalities Test (SDMT) and Paced Auditory Serial Addition Test (PASAT) were used to assess cognitive performance. Hand dexterity was evaluated using the 9-Hole Peg Test (9HPT). Depressive symptoms and disability were assessed via the Beck Depression Inventory (BDI) and the Expanded Disability Status Scale (EDSS), respectively. Fatigue and related factors were assessed using the Comprehensive Fatigue Assessment Battery for Multiple Sclerosis (CFAB-MS). Serum markers of oxidative stress and antioxidant status, including superoxide dismutase (SOD), glutathione peroxidase (GPx), catalase (CAT), total antioxidant capacity (TAC), malondialdehyde (MDA), and glutathione (GSH), were also measured. Smokers demonstrated significantly lower SDMT scores compared with non-smokers (36.86 ± 11.16 vs. 52.47 ± 18.54; <i>p</i> = .04), which was no longer significant after adjusting for EDSS and age. No significant differences were observed between groups in PASAT, 9HPT, EDSS, or BDI. Smokers reported higher anxiety and worry scores on the CFAB-MS (<i>p</i> < .05), while other fatigue-related domains were comparable between groups. Regarding the oxidative stress markers, a statistically significant difference was only detected in SOD activity. Regular cigarette smoking may be associated with decreased cognitive processing speed and increased anxiety in male patients with RRMS, which warrants further investigation.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261453962"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bottled Up and Breaking: The Impact of Masculine Norms on Emotional Expression and Psychological Distress in Adolescent Boys.","authors":"Rong Zheng, Emma Meier","doi":"10.1177/15579883261451005","DOIUrl":"10.1177/15579883261451005","url":null,"abstract":"<p><p>Adolescent men are under intense pressure to live up to conventional masculine standards that disallow the display of emotions, but little is known about the psychological costs of this adherence. This study was conducted using a sequential explanatory mixed-method design to determine whether the association between masculine norm conformity and psychological distress is mediated by emotional suppression. A survey (<i>n</i> = 892 boys; 13-18 years old) conducted on conformity to masculine norms revealed that conformity significantly predicted emotional suppression (0.521, <i>p</i> <.001), which entirely mediated between conformity and distress (indirect effect = 0.287, <i>p</i> <.001); the strongest predictors were emotional control and self-reliance. Three new processes were identified in follow-up interviews (<i>n</i> = 38): performative emotional labor, paradoxes of masculine authenticity, and relational hunger. The effects varied with age, with a peak pressure in the mid-adolescent period. The evidence supports gender-transformative, masculine norm prevention.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 3","pages":"15579883261451005"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148222573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Obesity, Inflammatory Indicators, and Serum Testosterone in Adult Males: A Cross-Sectional Study Based on NHANES 2011-2016 and 2021-2023.","authors":"Si-Zheng Zhang, Yu-Hang Meng, Zheng-Yang Zhou, Jie Wu, Liang Su, Yong-Zheng Jiao","doi":"10.1177/15579883261436321","DOIUrl":"10.1177/15579883261436321","url":null,"abstract":"<p><p>Obesity significantly contributes to declining serum testosterone levels in men, with chronic inflammation being a crucial potential mechanism; Clinical research evidence directly supporting this pathway remains limited. We investigated how obesity relates to serum testosterone in males, with particular attention to the intermediary role of chronic inflammation. Our study included adult males aged ≥20 years from the National Health and Nutrition Examination Surveys (NHANES) conducted from 2011 to 2016 and from 2021 to 2023. Obesity status was assessed with body mass index (BMI), body roundness index (BRI), and waist circumference (WC). Chronic inflammatory status was assessed with an aggregate index of systemic inflammation (AISI), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI). Multivariable regression assessed associations between obesity metrics and testosterone. The indirect influence of inflammatory indicators was assessed through mediation analysis. Subgroup analyses were performed by weight status. The study comprised 7,418 participants. Multivariable linear regression revealed that obesity (BMI, WC, BRI) was negatively associated with male serum testosterone. Generalized additive models indicated a nonlinear relationship, showing a clear inverse association. Chronic inflammatory status (SII, SIRI, and AISI) mediated the association between obesity and male serum testosterone. In subgroup analyses, the association was consistent with overall findings, but the mediating effect of chronic inflammatory status was statistically significant only in the group with obesity (BRI ≥4.5, WC ≥102 cm, and BMI ≥30 kg/m²). Obesity was inversely associated with serum testosterone in adult males. Chronic inflammatory status may partly explain this association, particularly among individuals with obesity.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 2","pages":"15579883261436321"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}