AIDS and Behavior最新文献

{"title":"Acceptability and Usability of Blood-Based and Oral Fluid HCV Self-Testing Among Men-Who-Have-Sex-with-Men and Transgender Women on PrEP.","authors":"Hugo Perazzo, Sandra W Cardoso, Thiago S Torres, Daniel Bezerra, Ketiuce Zukeram, Marcos Benedetti, Julio Moreira, Brenda Hoagland, Cristina Pimenta, Beatriz Grinsztejn, Valdilea G Veloso","doi":"10.1007/s10461-026-05207-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05207-1","url":null,"abstract":"<p><p>Hepatitis C virus self-testing (HCVST) has emerged as a potential strategy to expand testing among key populations. We assessed the feasibility of HCVST in cisgender men-who-have-sex-with-men (cis-MSM) and transgender women (TGW) on pre-exposure prophylaxis (PrEP). This cross-sectional study included cis-MSM or TGW attending a PrEP consultation in Rio de Janeiro (Brazil). Participants performed HCVST using blood-based and oral-fluid kits on the same day under observation. Difficulties, errors and assistance during HCVST were recorded. Re-reading and re-testing concordance [Kappa(k)] and values/preferences were assessed. A total of 250 participants (88% cis-MSM, age = 34 [IQR,28-41] years, 42% with high education level) were included. The main steps where participants requested assistance (95%CI) for blood-based HCVST were to add buffer [35.6%(29.9-41.8)] and to collect blood sample with the dropper [34.0%(28.4-40.1)]. The main error during oral fluid HCVST was incorrect collection of oral fluid [29.6% (95%CI,24.2-35.6)]. A total of 62.4% (95%CI,56.2-68.2) and 28.8% (95%CI,23.5-34.8) participants needed assistance in at least one step of blood-based and oral fluid HCVST, respectively. Lower education level was associated with higher odds of needing assistance for blood-based HCVST [aOR = 2.07 (95%CI,1.99-3.59),p = 0.009]. Re-reading and re-testing k-indexes were 0.92 and 0.89 for blood-based, and 1.00 and 0.75 for oral fluid HCVST, respectively. More than 95% of people felt safe; would repeat or would recommend HCVST. A total of 46.4% (95%CI,40.3-52.6) preferred oral fluid versus 36.4% (95%CI,30.6-42.6) who preferred blood-based. A relatively high proportion of participants needed assistance, especially for blood-based HCVST. Despite these challenges, high re-reading and re-testing agreements were observed and HCVST was well-accepted.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatializing Substance Use and Sexual Behaviors of Queer Men and Non-binary Individuals During COVID-19.","authors":"Bryce Puesta Takenaka, Sitara M Weerakoon, Adam Viera, Frances Griffith, Kaylia Carroll, Erin Nicholson, Sally J Kirklewski, Nathan B Hansen, Trace Kershaw","doi":"10.1007/s10461-026-05189-0","DOIUrl":"https://doi.org/10.1007/s10461-026-05189-0","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the NIH Toolbox Cognition Battery in Adolescents with HIV Infection in Zimbabwe.","authors":"Annalie Shears, Nyasha Dzavakwa, Nicol Redzo, Tsitsi Bandason, Hilda Mujuru, Joe D Piper, Rashida A Ferrand, Victoria Simms","doi":"10.1007/s10461-026-05199-y","DOIUrl":"https://doi.org/10.1007/s10461-026-05199-y","url":null,"abstract":"<p><p>Electronic assessments of cognition in low-resource settings have the potential to widen access to cognitive appraisal in at-risk populations. We evaluated the performance of the shorter, tablet-based NIH cognition battery (NIH-CB) against the validated paper-based Kaufman Assessment Battery for Children 2nd Edition (KABC-II) in assessment of neurocognitive function in adolescents living with HIV (ALWH). Adolescents aged 11-19 years living with HIV and an HIV-negative comparison group completed the NIH-CB and KABC-II. Convergent validity between NIH-CB and KABC-II subtest and global scores was measured using Pearson's R and Bland-Altman plots. The ability of the NIH-CB to differentiate between HIV-negative and ALWH participant cognition was evaluated using linear regression. The acceptability of the NIH-CB and KABC-II were evaluated through questionnaires, focus groups and interviews. Forty-two HIV-negative adolescents were enrolled in a pilot acceptability study. Subsequently, 507 (253 HIV-negative, 254 HIV-positive) adolescents (median age 15(IQR:13-17) years) were enrolled into the validation study. Subtest scores on the NIH-CB and KABC-II measuring memory demonstrated low-moderate correlation (R 0.140-0.491). A Bland-Altman plot showed HIV-negative participants had low mean difference between NIH fluid cognition Z-score and KABC-II MPI Z-score (0.02 + 0.21 average); 95.2% of measurements were within limits of agreement. NIH-CB fluid cognition Z-scores were higher in HIV-negative participants than ALWH (mean difference 0.27 [95%CI 0.10, 0.41] p < 0.001). The NIH-CB was highly acceptable to participants and test administrators. The NIH-CB may serve as both a valid and practical cognition assessment tool in adolescents in low-resource settings, including in HIV research.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A SWOT Analysis of PrEPChoices: Developing a Web-Based Decision Aid Tool to Support HIV Prevention Decision-Making.","authors":"Carley Brissette, Kevin Le, Raquel Teper, Roman Shrestha, Pablo K Valente","doi":"10.1007/s10461-026-05203-5","DOIUrl":"10.1007/s10461-026-05203-5","url":null,"abstract":"<p><p>Sexual and gender minority youth (SGMY) experience a heightened risk of HIV acquisition due to barriers to HIV prevention, specifically connected to a lack of comfort in discussing sexual identity and practices with healthcare providers (HCPs). Decision-aid tools that support communication and shared decision-making may improve both access to and uptake of numerous HIV prevention modalities among SGMY. The study aimed to inform the decision-making process of HIV prevention modalities for HCPs and SGMY, providing key information about HIV prevention modalities with PrEPChoices, a web-based decision aid tool. Our study recruited two participant groups, HCPs (N = 15) and SGMY (N = 18). Eligible HCPs held a Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Nurse Practitioner (NP), or Physician Assistant/Associate (PA) degree, were licensed to prescribe medications in at least one United States state, had provided care to patients aged 15 to 24 within the past month, and were 18 years of age or older. Eligible SGMY were assigned male sex at birth, reported sexual attraction to and/or sexual behavior with cisgender men or transgender women in the past six months, and were 15 to 24 years of age. Participants completed a semi-structured Webex interview focused on the clarity and relevance, presentation and usability, and application of PrEPChoices, a web-based decision aid tool to support HIV prevention modalities selection among HCPs and SGMY. Interview transcripts were coded using an iteratively developed codebook. Findings were thematically analyzed within a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis framework. Thirty-three participants enrolled (N = 33), including 15 HCPs and 18 SGMY. Strengths included: (1) support for HIV prevention-based decision making; (2) utilization of the filtering tool to select preferred HIV prevention modalities; and (3) intuitive website design. Weaknesses included: (1) gaps in needs and literacy levels between HCPs and SGMY; (2) limited visual design appeal and inclusive representation; and (3) limited in-tool features for comparing HIV prevention modalities. Opportunities included: (1) potential for multimodal dissemination; and (2) expanding external resources provided. Threats included: (1) challenge of integrating PrEPChoices into clinical practices; and (2) ability to stand out compared to other online HIV prevention education resources. HCPs and SGMY highlight the value of PrEPChoices as a web-based decision aid tool to enhance HIV prevention modality selection among SGMY. Our results emphasize the critical role PrEPChoices can play in reducing barriers to sexual health education among SGMY, improving the patient-provider relationship with the PrEP landscape, and strengthening HIV prevention among SGMY.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Post-exposure Prophylaxis on Pre-exposure Prophylaxis Initiation Among Men Who Have Sex with Men: A Nested Case-control Study.","authors":"Ruzhuo Liu, Peilong Li, Lin Ge, Meizhen Liao, Xin Song, Yong Fu, Houlin Tang, Dongmin Li","doi":"10.1007/s10461-026-05175-6","DOIUrl":"https://doi.org/10.1007/s10461-026-05175-6","url":null,"abstract":"<p><p>While post-exposure prophylaxis (PEP) is considered a gate way to pre-exposure prophylaxis (PrEP), prospective evidence remains limited. This study aimed to investigate the association between PEP experience and subsequent PrEP initiation. A nested case-control study was conducted within a prospective cohort of men who have sex with men (MSM) in Qingdao, China. Cases were participants newly initiating PrEP, matched to four controls selected from participants who were at risk of initiating PrEP at the exact time the case occurred. The primary exposure was self-reported baseline PEP use, classified as never, ever, or recent use. Supplementary analyses examined PEP use at the visit immediately preceding PrEP initiation. A dichotomous exposure categorization grouping strategy was also applied across the above analysis (combining ever and recent users). Conditional Logistic regression estimated associations between PEP and PrEP initiation. Subgroup analyses were performed to assess the potential effect modification. A total of 59 cases and 234 matched controls were included. Baseline PEP experience was not significantly associated with subsequent PrEP initiation (ever use: aOR = 1.79, 95%CI: 0.86-3.69, P = 0.117; recent use: aOR = 1.52, 95%CI: 0.46-4.99, P = 0.488). This lack of a significant association persisted when ever and recent PEP users were combined into a single \"prior use\" category (aOR = 1.72, 95%CI: 0.88-3.35, P = 0.110). However, subgroup analyses showed that among participants who report recent recreational drug use, those with a history of PEP use were more likely to initiate PrEP (aOR = 2.25, 95%CI: 1.09-4.64, P = 0.029). These findings suggest that to effectively leverage PEP encounters as a gateway to sustained prevention, health systems should prioritize and intensify linkage interventions for high-risk groups identified during the PEP consultation, particularly individuals who use substances. Transforming PEP encounters into opportunities for tailored intervention can strengthen the HIV prevention cascade for those most in need.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Oral HIV Pre-exposure Prophylaxis Use in Australia: A Scoping Review Comparing Findings to Canada, New Zealand, and the United Kingdom.","authors":"Tyson Arapali, Sarah Warzywoda, Guillaume Fontaine, Natalie Taylor, Martin Holt, Curtis Chan, Timothy R Broady, Catherine MacPhail, Erin Sullivan, Andrew E Grulich, Benjamin R Bavinton","doi":"10.1007/s10461-026-05210-6","DOIUrl":"https://doi.org/10.1007/s10461-026-05210-6","url":null,"abstract":"<p><p>Oral HIV pre-exposure prophylaxis (PrEP) is highly effective, yet various barriers limit its potential as a HIV prevention strategy. This scoping review aimed to identify and quantify determinants of oral PrEP initiation and continuation among community members, and provision by healthcare providers in Australia and comparable countries (UK, Canada, and New Zealand). Three databases were searched in January 2025 for original studies published between January 2018 and December 2024. We considered papers published in English from the four countries that contained primary research exploring determinants of PrEP initiation, continuation, and provision. Determinant codes were extracted, the number of times they appeared were counted, and were mapped to the updated Consolidated Framework for Implementation Science (CFIR 2.0). We identified 142 articles reporting 70 unique barriers (appearing 444 times in the 142 articles) and 49 unique facilitators (appearing 256 times in the 142 articles). Frequently identified PrEP initiation and continuation determinants-including cost, risk perception, stigma, and varying levels of PrEP knowledge and awareness-may substantially impact PrEP use and warrant further investigation. PrEP provision determinants highlighted opportunities for service innovation, such as through task-shifting and telehealth integration. Determinants absent from Australian literature suggest research opportunities in PrEP importation, telehealth delivery, task-shifting to other healthcare workers and peer workers, and PrEP use in the context of STI prophylaxis use. Research predominantly focused on gay, bisexual, and other men who have sex with men, indicating opportunities for more nuanced examination of diversity within this population, alongside further research with other key populations.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Report: Disparities in PrEP Use Among HIV-Negative Black and Latina Women of Transgender Experience and Transfeminine People in Los Angeles County from 2019 to 2020 to 2023-2024.","authors":"Yingbo Ma, Gia Olaes, Ekow Kwa Sey, Angela Cristobal, Siri Chirumamilla","doi":"10.1007/s10461-026-05208-0","DOIUrl":"https://doi.org/10.1007/s10461-026-05208-0","url":null,"abstract":"<p><p>This study examined PrEP uptake and the role of gender-affirming care among Black and Latina women of transgender experience and transfeminine people (WTE/TFP) in Los Angeles County from 2019 to 2020 and 2023-2024. PrEP use increased substantially among Latinas (28% to 49%) but declined among Black participants (32% to 21%). PrEP uptake was more prevalent among participants using hormones or reporting methamphetamine use. Having trusted gender-affirming providers increased PrEP use more for Black than Latina participants. Our findings highlight the importance of integrating HIV prevention within gender-affirming care and align with calls for community-led approaches, particularly to mobilize Black WTE/TFP and rebuild trust.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer Group Support to Children and Adolescents with HIV: A Randomized Controlled Trial in Vietnam.","authors":"Aqsa Abbasi, Toan Khanh Tran, Chuc Thi Kim Nguyen, Lam Van Nguyen, Quy Tuan Du, Nhan Nguyen Thanh Le, Viet Chau Do, Loc Thi Nguyen, Dung Kim Khuong, Linus Olson, Mattias Larsson","doi":"10.1007/s10461-026-05204-4","DOIUrl":"https://doi.org/10.1007/s10461-026-05204-4","url":null,"abstract":"<p><p>Children and adolescents with HIV receiving antiretroviral therapy (ART) often experience poorer treatment outcomes than adults due to inconsistent adherence, leading to poor viral suppression, increased morbidity, and higher mortality. While studies in Sub-Saharan Africa have shown that peer group support can improve adherence among adolescents, its effectiveness in Asian populations remains unclear. This study evaluated the impact of peer group support on reducing virological failure among adolescents with HIV receiving ART. A multicenter pragmatic randomized controlled trial was conducted from July 2020 to January 2022 across four cities in Vietnam: Hanoi, Ho Chi Minh City, Ha Long, and Hai Phong. A total of 630 children and adolescents aged 10-16 years were randomized to either an intervention or control group. Both groups received standard HIV care according to Vietnamese national guidelines, while the intervention group additionally participated in peer support sessions. Virological failure was assessed through viral load measurements at study completion. Primary analyses followed an intention-to-treat approach using multivariable logistic regression adjusted for baseline viral status and study site. After 18 months, virological failure rates were similar between groups, with no statistically significant difference observed (adjusted OR: 1.03; 95% CI: 0.50-3.37; p > 0.05). Findings were consistent in per-protocol analyses. The limited impact may reflect already low virological failure rates and strong adolescent HIV care systems in Vietnam. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov NCT02035969.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Violence Victimisation and Mental Health Distress Among Adolescent Girls Living with HIV in Southern Africa: Does Social Protection Help?","authors":"Ololade Julius Baruwa, Tetelo Maakamedi, Janina Jochim, Brendan Maughan-Brown, Lorraine Sherr, Lucie Cluver, Elona Toska","doi":"10.1007/s10461-026-05193-4","DOIUrl":"https://doi.org/10.1007/s10461-026-05193-4","url":null,"abstract":"<p><p>Adolescent girls and young women (AGYW) living with HIV face heightened risks of mental distress, which may be compounded by exposure to violence and socioeconomic vulnerabilities. This study examined whether social protection moderates the relationship between violence exposure and mental distress among AGYW living with HIV in Eswatini, Lesotho, and Namibia. Using data from the Violence Against Children and Youth Surveys (VACS), we analysed 1,006 AGYW aged 15-24. Mental distress was measured using the Kessler Psychological Distress Scale (K6), with scores ≥ 5 indicating moderate-to-severe distress. Correlates included lifetime sexual, physical, or emotional violence and access to social protection from government or non-governmental programs. Findings showed that sexual (aOR = 1.84, 95% CI: 1.13-2.99, p = 0.014) and physical violence (aOR = 1.95, 95% CI: 1.18-3.23, p = 0.010) were associated with mental distress. Social protection showed no protective effect (aOR = 0.65, 95% CI: 0.41-1.03; p = 0.067) against mental distress and did not moderate the relationship between violence and distress. Predicted probabilities indicated that AGYW not exposed to violence had lower mental health distress (27.64%) compared to those exposed to all forms (77.81%). Findings suggest that integrated trauma-informed mental health and targeted social protection interventions are urgently needed for AGYW living with HIV in resource-constrained settings.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Perspectives About Public Health Vending Machine Implementation on an American Indian Reservation in the Northern Midwest, United States.","authors":"Sean T Allen, Maisie Conrad, Kristin E Schneider, Allison O'Rourke, Pam Hughes, Melissa Walls","doi":"10.1007/s10461-026-05182-7","DOIUrl":"https://doi.org/10.1007/s10461-026-05182-7","url":null,"abstract":"<p><p>Public health vending machines (PHVMs) are a recent innovation in the delivery of health promoting supplies in the United States (US). However, there are significant gaps in our understanding of their potential impacts on American Indian reservations. This study explores perspectives about PHVM implementation through semi-structured interviews among a sample of persons (N = 12) who used a PHVM on an American Indian reservation. Participants were asked to describe their perceptions about the PHVMs, including how they affected infectious disease and overdose prevention. Participants reported that PHVMs enhanced access to a variety of health-promoting supplies (e.g., HIV tests, sterile injection equipment, naloxone). Participants explained that the PHVMs offered HIV and overdose prevention supplies in a low-threshold manner that minimized stigma. Future work should explore associations between PHVM implementation and shifts in infectious disease transmission and overdose morbidity and mortality on American Indian reservation lands.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}