American Journal of Health Promotion最新文献

{"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":"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":"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}

{"title":"A Win Win Opportunity? A Model Health and Wellness Coaching Program to Support Employee Health and Student Experience.","authors":"Karen Westervelt, Alyssa Smith, Jeremy Sibold, Sara Falconer, Kyler Huffert, Jurdan Mossburg, Ashley Pelkey, Abigale Whitman, Ashlyn Woods, Gail L Rose","doi":"10.1177/08901171251327451","DOIUrl":"https://doi.org/10.1177/08901171251327451","url":null,"abstract":"<p><p>PurposeThe National Board of Health and Wellness Coaches (NBHWC) requires 50 practice sessions for board exam eligibility, which can be challenging for students. The purpose of this report is to present a supervised practicum model to meet this need while supporting an employee health program.DesignMixed Methods Observational.SettingAcademic.Subjects22 students, 6 faculty, and 50 employees participated in Employee Coaching Connection (ECC).InterventionECC is a 12-week health and wellness coaching program for employees delivered by students.MeasuresSurveys were developed and data collected for students, faculty, and employee participants.ResultsStatistics included descriptive and thematic analyses. On average students conducted 5.6 group, and 14.9 individual coaching sessions. Student confidence providing individual and group coaching increased 17.27% and 22.38% (<i>P</i> < .001) respectively. Faculty mentors were unanimously \"very satisfied\" with student learning. Seventy percent of employees reported the program as \"very beneficial\" in helping reach health goals, and 88% would recommend the program to a colleague.ConclusionsThis was an observational study of the ECC program. Future studies are needed to evaluate efficacy and cost effectiveness. Data from this study support HWC curricula as a tool to address the need for student clinical experiences while also supporting employee health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251327451"},"PeriodicalIF":2.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623096","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":"The Mental Well-Being of Graduate Students in Canada: A Scoping Review.","authors":"Elham Javadizadeh, Abram Oudshoorn, Lori Letts, Skye Barbic, Carrie Anne Marshall","doi":"10.1177/08901171251326308","DOIUrl":"10.1177/08901171251326308","url":null,"abstract":"<p><p><b>Objective:</b> To review the literature exploring the mental health of graduate students in Canada. Data Source: Articles identified in EMBASE, CINAHL, PsycInfo, Medline, Sociological Abstracts, Nursing and Allied Health, and ERIC.Study Inclusion and Exclusion Criteria:Two independent reviewers screened articles that: (1) focused on graduate students' mental wellbeing; (2) used empirical study designs (3) were published in English; (4) were conducted in Canada.<b>Data Extraction:</b> Twenty-two articles met the inclusion criteria. Data was extracted on the following variables: author(s); year of publication; study design; methodology; clinical characteristics of participants; number of participants; demographic characteristics of participants, journal discipline and university.<b>Data Synthesis:</b> We used Dedoose, a qualitative data management program, to perform qualitative content analysis and characterize the data and identify emerging themes.<b>Results:</b> The content analysis led to three related themes from the included studies: Determinants of mental health in graduate students are myriad; 2) Coping Strategies for Graduate Student Stress; and 3) Bridging Support: Enhancing Mental Well-Being.<b>Conclusion:</b> Our study's findings highlight the significance of investigating the mental well-being of graduate students in Canada. This review showed that by promoting mental well-being, universities and institutions can create a supportive atmosphere that encourages open dialogue, provides access to counseling and other mental health resources, and implements strategies to mitigate the challenges faced by graduate students.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251326308"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612751","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":"Bidirectional Relationships Between Sleep Quality and Cognitive Function in Older Chinese Adults: Observational Analysis of SAWA Trial.","authors":"Shiyuan Qian, Chan Yong, Shiyi Li, Jie Peng, Xianlan Li, Qin Ye, Qianqian Liu, Nanyan Li, Julinling Hu, Qian Deng, Yufei Wang, Jingjie Zhu, Xing Zhao, Junmin Zhou","doi":"10.1177/08901171251326311","DOIUrl":"https://doi.org/10.1177/08901171251326311","url":null,"abstract":"<p><p>PurposeTo examine the bidirectional relationships between sleep quality and cognitive function in older Chinese, and further examine the sex differences in the relationships using the random intercept cross-lagged panel model.DesignA secondary observational analysis of a physical activity clustered randomized controlled trial (The Stay Active While Aging).SettingEight villages in Sichuan, China.SubjectsA total of 511 adults aged 60 or older. The response rate was 97.3%.MeasuresThe Pittsburgh Sleep Quality Index was used to examine sleep quality. Cognitive function was assessed by the Telephone Interview for Cognitive Status.ResultsThe mean age was 71.0 (SD, 5.710) years and 227 (44.4%) were men. Sleep quality in the previous wave was associated with cognitive function in the subsequent wave (β = -0.135, [95%CI -0.244 to -0.026], wave 2 to 3; β = -0.108, [95%CI -0.204 to -0.013], wave 4 to 5). Cognitive function in the previous wave was associated with sleep quality in the subsequent wave (β = -0.404, [95%CI -0.566 to -0.242], wave 3 to 4; β = -0.224, [95%CI -0.392 to -0.055], wave 4 to 5). Such relationships were significant only in women.ConclusionsThere were bidirectional relationships between sleep quality and cognitive function in older adults, especially in women. Future cognition interventions may find it helpful to improve sleep quality, and vice versa, particularly in women.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251326311"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613022","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}