American Journal of Health Promotion最新文献

{"title":"\"Healthcare Doesn't Care\": A Mixed-Methods Study on Healthcare Stigma and PrEP Use Among Black Sexual Minority Men.","authors":"Rodman Turpin, Aaron D Camp, C J Mandell, Rochelle Davidson Mhonde, Julia Mandeville, Jamil Smith, Hongjie Liu, Typhanye Dyer, Kenneth Mayer, Bradley Boekeloo","doi":"10.1177/08901171251330710","DOIUrl":"https://doi.org/10.1177/08901171251330710","url":null,"abstract":"<p><p>BackgroundPre-exposure prophylaxis (PrEP) is a critical tool for HIV-prevention, yet PrEP uptake among Black sexual minority men (BSMM) is relatively low, despite greater HIV vulnerability. Stigma in healthcare settings can be a substantial barrier to PrEP use among BSMM, with implications for the HIV epidemic. We used a sequential explanatory mixed-methods approach to assess quantitative relationships between anticipated healthcare stigma and reduced PrEP use among BSMM, and qualitatively explore stigmatizing experiences within healthcare settings among this population.MethodsWe utilized 2 data sources. First, cross-sectional data from a pilot sample of BSMM (n = 151) was collected in late 2020 in the United States. We tested for associations between healthcare stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample in the D.C. metropolitan area for qualitative interviews starting in 2022; we used thematic analysis to investigate forms of experienced and anticipated healthcare stigma related to PrEP use.ResultsWe found 82% lower PrEP use associated with an interquartile range increase in anticipated healthcare stigma after adjustment (aPR = 0.18, 95% CI 0.06, 0.59). Subsequently, our qualitative investigation revealed that identity-specific stigma, negative socioeconomic assumptions, and assumptions of sexual risk were prevalent themes in the healthcare stigmatization experienced by BSMM. Identity-based and socioeconomic stigma were heavily interlinked due to longstanding structural racism and homophobia. Assumptions of sexual risk were particularly complex.ConclusionWe discovered a significant negative relationship between anticipated healthcare stigma and PrEP use, further elucidated in our qualitative findings. This builds upon our previous work exploring intracommunity PrEP stigma among BSMM. Healthcare stigma serves as an additional obstacle to accessing PrEP for BSMM. This highlights its importance as a target for provider-level health equity policy and research interventions. Future research exploring this stigma in specific healthcare settings is recommended.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330710"},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking Interventions and Cognitive Health in Older Adults: A Systematic Review of Randomized Controlled Trials.","authors":"Jongwon Lee, Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A Caroline Rudisill, Daniela B Friedman, David X Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang","doi":"10.1177/08901171251328858","DOIUrl":"https://doi.org/10.1177/08901171251328858","url":null,"abstract":"<p><p>ObjectiveThis systematic review summarizes the effectiveness and the dose of walking interventions on specific cognition domains in older adults, including executive function, memory, attention, processing speed, and global cognition.Data sourcePublished randomized controlled trials in PubMed, Embase, and Web of Science until 10 May 2023.Study Inclusion and Exclusion CriteriaStudies include older adults without Alzheimer's or related dementias, involving a walking intervention and performance-based neuropsychological assessments for executive function, memory, processing speed, attention, or global cognition.Data ExtractionTwo independent research assistants reviewed 8424 studies and included 17 studies.Data SynthesisParticipant demographics, intervention features (type, intensity, time, frequency, duration, format, and context), cognitive assessment tools, and main findings.ResultsNine studies found a favorable effect of walking interventions on at least one cognitive domain. Walking interventions improved executive function (n = 6) and memory (n = 3). These studies delivered the intervention individually (n = 3) for at least 40 minutes (n = 6) each time, three times per week (n = 8), between 6 to 26 weeks (n = 8), and walking at a moderate to vigorous intensity (n = 7).ConclusionWalking interventions may improve specific domains of cognitive function in older adults, particularly executive function and memory. More standardized reporting of intervention design and participant compliance based on published guidelines is needed to determine the dose-response association and the long-term effect of walking interventions on cognition.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251328858"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventive Behaviors, Knowledge of Esophageal Cancer and Relationships Socio-Demographic Characteristics Among Older Adults: A Cross Sectional Study.","authors":"Ayfer Bayindir Cevik, Hicran Yıldız, Havva Sert","doi":"10.1177/08901171251326322","DOIUrl":"https://doi.org/10.1177/08901171251326322","url":null,"abstract":"<p><p>PurposeThis study aimed to investigate the risks of esophageal cancer (EC), protective behaviors, and risk awareness among Turkish adults aged 50 years and older, as well as their relationships with sociodemographic characteristics.DesignCross-sectional. Recruitment took place between February-April 2022, via online google forms and WhatsApp.SettingParticipants completed the survey online throught WhatsApp.SampleAnalyses included 214 participants (≥50 years from three provinces of Turkey); 73.8% female (n:158), 62.6% between 50-60 years (n:134 ), 55.6% had a university education (n:47).MeasuresStudy-specific survey items included questions about demographics, risky conditions and diseases, preventive health behaviors and Esophageal Cancer Knowledge Test (ECRKT).AnalysesFrequency or Mean, Percentage, Independent Samples <i>t</i>-Test, one-way analysis of variance (ANOVA), post hoc analysis (Tukey, LSD), and Cohen's effect size and linear regression analysis.ResultsThe participants had low ECRKT scores (x:13.50 ± 9.33, Min:0, Max:31) and reported the most consumed hot beverages (36.9%) among negative EC preventive behaviors. Male gender, not working, not having previously received training on EC, low education and income status cause low knowledge and awareness about EC (<i>P</i> < 0.05). Most of the participants had oral herpes (54.7%), vitamin deficiency (49.1%), and obesity (47.2%) in the past or now. Regarding the participants' EC risk knowledge and, female gender, being between 50-60 years old, and being employed had a weak effect (η²<0.01), while having previous EC training had a moderate effect (η² = 0.006), and having university or higher education had a large positive effect (η² = 0.14) (<i>P</i> < 0.05). Participants' level of education and previous educational experiences contribute significantly to esophageal cancer risk knowledge (<i>P</i> < 0.01).ConclusionThese findings highlight adults aged ≥50 years are exposed to significant EC risks, and have poor knowledge of EC risks. These results highlight the urgent need for educational campaigns to improve EC awareness.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251326322"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Association of Economic Instability and Firearm Storage Behaviors.","authors":"Kelsey M Conrick, Samantha Banks, Sarah F Porter, Ali Rowhani-Rahbar","doi":"10.1177/08901171251330708","DOIUrl":"https://doi.org/10.1177/08901171251330708","url":null,"abstract":"<p><p>PurposeTo assess the association between secure firearm storage and economic instability.DesignCross-sectional survey.SettingCalifornia, Minnesota, Nevada, and New Mexico.SampleRespondents to the 2022 and 2023 Behavioral Risk Factor Surveillance System who reported presence of a firearm in or around the home.MeasuresEconomic instability was defined by receipt of food stamps, experiencing threats to shut off utilities, inability to pay bills, employment instability, unreliable transportation, and food insecurity. Firearm storage was dichotomized to \"loaded and unlocked\" or \"all other storage\".AnalysisLogistic regression with complex survey weights.ResultsAmong survey respondents who reported a firearm in or around the home (n = 29,977), 25.8% (95% CI: 24.7-26.8%) reported at least one indicator of economic instability, and 17.4% (95% CI: 16.5-18.3%) stored at least one firearm loaded and unlocked. After controlling for age, sex, and the presence of a child in the home, the odds of storing a firearm loaded and unlocked were 1.26 (95% CI 1.07-1.48) times higher for those experiencing economic instability compared to those who were not.ConclusionThese results provide evidence for the association between economic instability and firearm storage behaviors. In promoting secure firearm storage, economic instability may need to be considered as a correlate of that behavior.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330708"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Native Hawaiian and Other Pacific Islanders: Disparities in the Prevalence of Multiple Chronic Conditions.","authors":"Josepha D Cabrera, Adolfo G Cuevas, Shu Xu, Virginia W Chang","doi":"10.1177/08901171251330397","DOIUrl":"10.1177/08901171251330397","url":null,"abstract":"<p><p>PurposeTo examine multimorbidity prevalence by race/ethnicity and unique health disparities for Native Hawaiian and Other Pacific Islanders (NHPI).DesignCross-sectional study.SettingThis study uses combined data from the 2014 National Health Interview Survey (NHIS) and the 2014 NHPI-NHIS.Sample38,965 adults, including a representative sample of 2,026 NHPIs.MeasuresSelf-reported diagnoses of ten chronic conditions and race/ethnicity, including Non-Hispanic (NH) Whites, NH Blacks, NH Asians, NH NHPIs, Hispanics and NH Mixed Race. Covariates include age, sex, marital status, education, family income, and employment status.AnalysisWe used multinomial logistic regression models to evaluate the adjusted association between race/ethnicity and number of chronic conditions: none, 1, and ≥ 2 (multimorbidity).ResultsCompared to Whites, Asians and Hispanics (aRRR = 0.39, <i>P</i> < .001 and aRRR = 0.59, <i>P</i> < .001) had significantly lower odds of having multimorbidity relative to no chronic condition. In contrast, Black Americans and NHPIs (aRRR = 1.27, <i>P</i> < .001 and aRRR = 1.22, <i>P</i> < .05) had significantly higher odds of multimorbidity compared to Whites. Of note, NHPIs showed significantly higher odds of multimorbidity compared to Asians (aRRR = 3.07, <i>P</i> < .001).ConclusionOur findings highlight significantly higher risk of multimorbidity for NHPIs relative to Whites as well as Asians. This underscores the importance of disaggregating NHPI data from Asians as a whole. Future studies should incorporate additional social factors relevant to the NHPI community.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330397"},"PeriodicalIF":2.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Framework for Mental Health Disclosure Decision-Making Among Medical Students: A Qualitative Pilot Study.","authors":"Sofia Schlozman, Lars Osterberg, Aliya Kassam, Jennifer Wolf","doi":"10.1177/08901171251329291","DOIUrl":"https://doi.org/10.1177/08901171251329291","url":null,"abstract":"<p><p>PurposeAmerican medical students exhibit higher rates of depression, anxiety, and psychological distress than age-matched members of the general population, yet the majority of students do not seek help for these conditions. A necessary precursor to help-seeking is disclosure, or the sharing of one's diagnosis or symptoms with others. This pilot study aims to explore mental health disclosure decision-making among medical students.DesignSemi-structured qualitative interviews.SettingStudents were interviewed virtually using Zoom.Participants20 students enrolled in nine American undergraduate medical education institutions (MD or DO).MethodInterviews were audio-recorded and transcribed. Using Constructivist Grounded Theory (CGT) and iterative cycles of analysis with focused and theoretical coding, a preliminary framework was developed to represent mental health disclosure decision-making among medical students.ResultsThe proposed framework presents three factors that impact students' disclosure decisions: <i>Assessing Anticipated Outcomes</i>, <i>Evaluating Priorities</i>, and <i>Determining Appropriate Recipients</i>. The framework also identifies two moderating variables-<i>Disclosure Goals</i> and <i>Severity and Type of Symptom</i>s-that affect students' perspectives on outcomes and recipients.ConclusionThis pilot study highlights the complexity of student disclosure decision-making. While limited by the small sample size, the results suggest the importance of considering student perspectives on disclosure recipients, communication surrounding disclosure outcomes, and the flexibility of student schedules when pursuing future projects related to medical student well-being and mental health disclosure.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251329291"},"PeriodicalIF":2.5,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should my Chatbot Health Coach be Certified and Regulated?","authors":"Paul E Terry","doi":"10.1177/08901171251329650","DOIUrl":"https://doi.org/10.1177/08901171251329650","url":null,"abstract":"<p><p>Artificial intelligence shows both perils and promises as a way to address the difficulties in accessing professional support such as health coaching and health counseling. Chatbots are being used by millions of users to address their loneliness, to provide emotional support and to provide coaching and motivation. This editorial reviews the ethics and controversies attendant to the use of AI in mental health. ChatGPT is put to the test by this author, a trained health coach, who came away impressed with a Bot's capacity for connecting psychological theories to the practice of health coaching. Still, many unanswered questions need the attention of health promotion professionals to help distinguish between the benefits compared to the risks of employing AI in health coaching and mental health counseling.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251329650"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace Culture of Health and Equitable Workforce Well-Being: A Scoping Literature Review.","authors":"Rukshana Gupta, Emily Stiehl, Caroline Wator, Preethi Lakshmi Pratap, Bruce W Sherman","doi":"10.1177/08901171251326316","DOIUrl":"https://doi.org/10.1177/08901171251326316","url":null,"abstract":"<p><p>ObjectiveTo evaluate the evidence base regarding employer-sponsored health and wellbeing (HWB) programs in relation to addressing workforce health inequities.Data SourceMultiple databases were systematically searched to identify research studies published between 2013 and 2022 regarding employer-sponsored HWB programs.Study Inclusion and Exclusion CriteriaResearchers included studies based on the following criteria: (1) described an employer-sponsored initiative to improve employee HWB; (2) included employees as the population of interest; (3) provided detail regarding participant demographics, and (4) included outcomes measures.Data ExtractionFour researchers screened the identified studies with abstraction conducted by a primary and secondary reviewer. Of the 3420 articles identified, 98 studies were eligible and abstracted.Data SynthesisData synthesis focused on research approach and design, as well as work setting, HWB program characteristics, and approach to inclusion of historically underrepresented or low-wage subpopulations.ResultsThe majority of studies highlighted programs focused on improving employee physical health (54) and/or mental health (24) or the workplace environment (27). Fourteen studies incorporated a randomized experimental design. Though nine studies intentionally recruited historically underrepresented populations and ten studies involved low-wage workers, none included race or ethnicity as independent variables. Various facilitators and barriers to employee participation were explored.ConclusionsDespite increasing employer focus on workforce HWB, few studies explored the program implications on historically underrepresented or low-wage populations or subpopulations.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251326316"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Determinants of Health and Parent and Child Physical Activity: A Cross-Sectional and Longitudinal Exploration among Socioeconomically and Racially and Ethnically Diverse Families.","authors":"Lauren Tschida, Junia N de Brito, Shiwani Sapkota, Angela R Fertig, Amanda Trofholz, Jerica M Berge","doi":"10.1177/08901171251327452","DOIUrl":"https://doi.org/10.1177/08901171251327452","url":null,"abstract":"<p><p>PurposeTo examine the associations between baseline social determinants of health (SDOH) and physical activity (PA) in children and parents cross-sectionally (baseline) and longitudinally (18-months later).DesignCross-sectional and longitudinal.SettingFamily Matters Cohort Study, Minneapolis-St. Paul, Minnesota.SampleParents with children aged 5-9 years (n = 1146).MeasuresParent self-reported (1) 25 SDOH factors mapped across 5 domains and (2) parent and children moderate-to-vigorous intensity physical activity (MVPA).AnalysisAdjusted linear regression models.ResultsEach of the SDOH domains were positively associated with parents and children MVPA levels (all <i>P</i> < 0.05), except Economic Stability (all <i>P</i> > 0.05). Families with high family functioning reported higher MVPA among children, cross-sectionally (β 1.27; 95% CI [0.67, 1.87]) and longitudinally (β 0.87; 95% CI [0.29, 1.46]). Parents exhibited higher levels of MVPA both cross-sectionally (β 0.66; 95% CI [0.11, 1.21]) and longitudinally (β 0.73; 95% CI [0.21, 1.26]) when they had greater social capital. Children also exhibited increased MVPA (β 1.10; 95% CI [0.41, 1.79]) when living in areas with high walkability to recreational places.ConclusionResults indicate that SDOH may shape the PA habits of parents and children in a racially/ethnically diverse population. To advance health equity and support engagement in PA, researchers and clinicians should take into consideration SDOH factors related to a family's educational, social, home, family functioning, and neighborhood environments.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251327452"},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Connectedness Profiles and Psychological Distress Among Adolescents in Summer Care Programs: A Cluster Analysis Approach.","authors":"Tyler Prochnow, Sara A Flores, Laurel Curran, Emily Howell, Deja T Jackson, Megan S Patterson","doi":"10.1177/08901171251328559","DOIUrl":"10.1177/08901171251328559","url":null,"abstract":"<p><p>PurposeThis study aimed to examine the relationship between distinct adolescent social connectedness profiles and psychological distress in a summer care program.DesignA longitudinal design was employed to capture changes over 10 weeks in summer.SettingThe study was conducted in a community-based care program which provided weekday care over a 10-week summer period.SampleThe sample consisted of 47 adolescents aged 10-14 years attending a summer care program.MeasuresSocial connectedness was assessed using adult and peer subscales of the Hemingway Measure of Adolescent Connectedness, while psychological distress was measured using the Kessler Psychological Distress Scale (K10).AnalysisTwo-step cluster analysis was used to identify distinct social connectedness profiles, and generalized estimating equations (GEE) examined psychological distress patterns between profiles over time, controlling for age and sex.ResultsTwo profiles emerged from the analysis: \"baseline bonders\" (n = 21) with moderate-low connectedness scores, and \"strong socializers\" (n = 26) with high connectedness scores, particularly with adults. GEE analysis revealed a significant time-by-profile interaction (β = -4.42, <i>P</i> = .017). Baseline bonders showed significant improvement in psychological distress (initial M = 22.46, final M = 19.20), while strong socializers remained stable (initial M = 17.38, final M = 18.54).ConclusionDistinct social connectedness profiles were associated with differential program effects on psychological distress. Findings suggest the need to better understand connectedness and distress profiles and trajectories across summer programing.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251328559"},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}