AIDS and Behavior最新文献

{"title":"The Role of Social Networks, House Ballrooms, and Religion in HIV Prevention for Black Gay and Bisexual Men: A Scoping Review.","authors":"Ryan B Wilkerson, Walter P Parrish, Joey Nicholson, Michelle Odlum, John P Allegrante","doi":"10.1007/s10461-026-05291-3","DOIUrl":"https://doi.org/10.1007/s10461-026-05291-3","url":null,"abstract":"<p><p>In the United States, Black gay, bisexual, and other men who have sex with men (BGBM) continue to face disproportionate burdens of HIV. Contributing factors include unprotected sex with multiple partners, limited awareness of HIV prevention, stigma, racism, and structural barriers to healthcare access. Biomedical prevention strategies such as pre-exposure prophylaxis (PrEP) have demonstrated effectiveness in reducing HIV transmission. However, social perceptions, stigma, and anticipated discrimination continue to influence uptake and adherence. This scoping review examined literature published between 2017 and 2024 to identify how social networks and social media shape prevention behaviors among BGBM. Guided by Social Network Theory (SNT), the review synthesized findings from 21 studies across four contexts: House Ballroom communities, social media, faith-based settings, and dating apps. Results highlight the role of culturally tailored and community-based interventions, including those delivered in religious settings, in supporting prevention uptake, while digital platforms demonstrated strong potential for outreach, testing, and linkage to care. These findings underscore the need for interventions that integrate biomedical prevention tools with culturally responsive approaches to reduce disparities and improve HIV prevention outcomes for BGBM. Findings provide suggestions for future HIV interventions for BGBM.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863517","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":"Sexualized Drug Use Among Sexually and Gender Diverse Adolescents in Brazil.","authors":"Beo Oliveira Leite, Laio Magno, João Pedro Azevedo, Lorenza Dezanet, Fabiane Soares, Dirceu Greco, Alexandre Grangeiro, Inês Dourado","doi":"10.1007/s10461-026-05286-0","DOIUrl":"https://doi.org/10.1007/s10461-026-05286-0","url":null,"abstract":"<p><p>Sexualized drug use (SDU) is a known phenomenon with significant implications for HIV vulnerability. Chemsex, a specific subset of SDU, involves the use of substances such as GHB/GBL, mephedrone, or methamphetamine to facilitate sexual activity. This study investigated factors associated with SDU among sexual and gender diverse adolescents (SGDa) in Brazil. This study used data from the PrEP15-19 project, a cohort investigating the implementation of daily oral PrEP among SGDa in Brazil. A structured sociobehavioral questionnaire was administered at baseline between February 2019 and February 2023. SDU was defined as the use of alcohol or drugs before or during sexual intercourse. Bivariate and multiple logistic regression models were used to identify factors associated with SDU. Among 1,264 adolescents, the prevalence of SDU was 30.1%. The most frequently used substances in the three months prior to the survey were alcohol (87.7%), marijuana (44.8%), and cocaine (8.5%). The prevalence of chemsex was low (2.4%). Adjusted factors significantly associated with increased SDU included: being a transgender woman (aOR: 1.80; 95% CI: 1.04-3.11); engaging in transactional sex in the last 3 months (aOR: 2.16; 95% CI: 1.45-3.23); engaging in group sex in the last 3 months (aOR: 1.54; 95% CI: 1.07-2.22); and having more than three sexual partners in the last 3 months (aOR: 1.67; 95% CI: 1.20-2.33). SDU has a high prevalence among Brazilian SGDa and represents a critical factor in understanding the high rates of HIV infection in this population.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148823964","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":"Systematic Review of Use of Motivational Interviewing to Increase Pre-exposure Prophylaxis Care Continuum Participation.","authors":"Jelani Kerr, Blake Skidmore, Lesley Harris, Nqobile Nzama, Harideep Samanapally, Andrea Reyes-Vega, Adrienne Smith, Nana Ama Aya Bullock, Vania Remenik-Zarauz, Sadaf Sedaghatshoar, Amie Baltes, Dani LaPreze, Shirish Barve","doi":"10.1007/s10461-026-05244-w","DOIUrl":"https://doi.org/10.1007/s10461-026-05244-w","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) is a prevention approach with potential for reducing HIV incidence with widespread adoption. Despite this, more research is needed to inform interventions to optimize PrEP use. Motivational interviewing (MI) shows promise for enhancing PrEP utilization, however, research comprehensively examining its effectiveness in advancing PrEP care continuum participation remains limited. This study aims to address this deficit through a systematic literature review, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Let Evidence Guide Every New Decision (LEGEND) guidelines to examine facets of MI's impact on PrEP awareness, uptake, and retention. Though this research is relatively nascent (n = 22), findings indicate MI's effectiveness in advancing PrEP care continuum participation, interventions integrating MI are deemed acceptable and feasible, and various factors (e.g. capable staff, cultural tailoring, fidelity/adherence to process) advance intervention effectiveness. Future studies should explore long-acting PrEP modalities and consider the impacts of social determinants.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817123","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":"Trends in Buprenorphine Prescribing Among Adults with Opioid Use Disorder and Coexisting HIV or Viral Hepatitis, 2015-2025.","authors":"Margaret G Miller, Ashley Hailer, Philip R Wang, Ann K Avery, Corrilynn O Hileman, David C Kaelber, Akhil Anand","doi":"10.1007/s10461-026-05288-y","DOIUrl":"https://doi.org/10.1007/s10461-026-05288-y","url":null,"abstract":"<p><p>We examined buprenorphine prescribing among adults in the United States with opioid use disorder or other opioid-related diagnoses and coexisting HIV, hepatitis B, or hepatitis C from 2015 to 2025. Using the TriNetX USA Minimal Date Shift Network, we constructed annual cohorts and assessed encounter-day buprenorphine prescribing, with and without chronic pain diagnoses. Prescribing rose from 6% in 2015 to 17% in 2020, then plateaued at 16-19% through 2025, with marked attenuation after 2020. Despite expanded prescriber eligibility, most were not prescribed buprenorphine at clinical contact, suggesting regulatory reform alone is insufficient and that integrated, systemic approaches are needed.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817210","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":"Association of Social Determinants of Health, Age, Sex and Sexual Exposure with HIV, Acquired Syphilis, and Mpox Detection Rates in Rio de Janeiro, Brazil: An Ecological Study.","authors":"Lara E Coelho, Rosa M S M Domingues, Valéria Saraceni, Thiago S Torres, Guilherme T Goedert, Juliano Genari, Claudio J Struchiner, Paula M Luz","doi":"10.1007/s10461-026-05276-2","DOIUrl":"https://doi.org/10.1007/s10461-026-05276-2","url":null,"abstract":"<p><p>This study employs a neighborhood-level Social Protection Index (SPI) to analyze how socioeconomic factors relate to the detection of HIV, acquired syphilis, and mpox. We conducted a retrospective analysis of 2022 surveillance data from Rio de Janeiro, Brazil, using case notifications geolocated to neighborhoods. Population data were obtained from the 2022 census. Neighborhoods were stratified by SPI into quintiles, and detection rates per 100,000 population were calculated by sexual exposure category. Associations between age, SPI, and detection rates were analyzed using multilevel Poisson regression models with random intercepts, fitted separately for men who gave sex with men (MSM), heterosexual men and women. Of 2,876 new HIV cases, the highest detection rate was among MSM (1,522/100,000). Of 13,676 syphilis cases, the male-to-female detection ratio was 1.7:1. Of 957 mpox cases, 80% occurred among MSM (812/100,000). HIV and syphilis clustered in lower SPI neighborhoods, while mpox concentrated in higher SPI neighborhoods. For HIV, younger age showed the strongest association among MSM, while lower SPI was strongest among women. For syphilis, younger age was most important among women, with strong SPI associations in both sexes. Among MSM, mpox was concentrated in 25-39 age group and higher SPI neighborhoods. Strong socioeconomic gradients among women reflect intersecting gender and socioeconomic inequalities. Among MSM, attenuated socioeconomic gradients and distinct mpox patterns suggest social and sexual networks shape transmission alongside structural factors. Prevention must address social determinants and network structures.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817117","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":"Applying Behavioral Economics to HIV Prevention: Development of a Novel PrEP Demand Task.","authors":"Jin H Yoon, Chukwuemeka N Okafor, Constanza de Dios","doi":"10.1007/s10461-026-05284-2","DOIUrl":"https://doi.org/10.1007/s10461-026-05284-2","url":null,"abstract":"<p><p>Promoting pre-exposure prophylaxis (PrEP) initiation to prevent new HIV infections among vulnerable populations continues to present significant challenges. Behavioral economics may provide a useful framework to help elucidate decision-making processes influencing valuation and use of PrEP. We developed two novel behavioral economic tasks assessing demand for PrEP pills and PrEP injection. Participants consisted of Black and Hispanic gay and bisexual men (GBM; N = 144), 18 to 34 years old, and recruited from Texas. Participants completed an online battery including PrEP demand tasks and questions related to PrEP use and intentions. Probability of purchasing PrEP treatment decreased with increasing PrEP price on both tasks and were well described by the exponentiated demand model. Five group comparisons were conducted based on reported PrEP use and intentions. Bayesian generalized linear models were used to compare those responding \"Yes\" vs. all others (i.e., \"No\", \"Don't know\", \"Prefer not to say\"), revealing generally greater PrEP pill demand among current pill users as well as generally greater PrEP injection demand among those having discussed injectable PrEP with their care-provider, planning on discussing injectable PrEP with their care-provider, and planning on taking injectable PREP (all posterior probabilities ≥ 75%) but not for those having simply heard of injectable PrEP. Findings provide initial support as to the utility and construct validity of our PrEP demand tasks, providing an initial foundation for identifying those requiring additional intervention to improve valuation and use of PrEP.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817162","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":"Characteristics of US Counties with Low Pre-exposure Prophylaxis (PrEP) Use and Limited Access to PrEP Prescribing Clinics.","authors":"Ashok Khanal, Bankole Olatosi, Jiajia Zhang, Cassie Lewis Odahowski","doi":"10.1007/s10461-026-05285-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05285-1","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) is central to Ending the HIV Epidemic, yet uptake in the United States remains low and geographically uneven. Counties with persistently low PrEP use and limited local PrEP-prescribing infrastructure may represent \"PrEP deserts,\" where geographic and structural barriers to HIV prevention converge. Prior studies have relied on travel-time measures or census tract-level analyses, limiting county-level insight. We conducted an ecological study of 2,257 US counties by linking AIDSVu PrEP-use estimates (2019-2023) with 5,856 PrEP-prescribing clinics identified through the CDC National Prevention Information Network. PrEP deserts were defined as counties with PrEP use in the lowest quartile in at least 3 of 5 years and no in-county PrEP-prescribing clinic in 2025. Mixed-effects logistic regression with a state-level random intercept was used to identify characteristics associated with PrEP desert status. Compared with metropolitan counties, micropolitan counties had higher odds of PrEP desert status (aOR: 2.90; 95% CI, 2.10-4.01), as did rural counties (aOR: 2.12; 95% CI, 1.50-3.01). Each 1-percentage-point increase in the proportion of uninsured residents was associated with 17% higher odds of PrEP desert status (aOR: 1.17; 95% CI, 1.04-1.32). Compared with counties in the South, counties in the Midwest had higher odds of PrEP desert status, whereas counties in the Northeast had lower odds. PrEP desert counties were concentrated in nonmetropolitan areas, in the Midwest and South, and in counties with higher uninsurance rates. Expanding pharmacy-based PrEP services and telePrEP, alongside strategies to reduce financial barriers, may improve access and reduce geographic disparities in HIV prevention.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811677","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":"Illness Perception Clusters Moderated the Association Between HIV-related Stigma and Resilience in Mother-Child Dyads Living with HIV: An Actor-Partner Interdependence Moderation Approach.","authors":"Chenxi Wang, Shiyun Ji, Siya Chen, Xiaoliang Zeng, Nancy Xiaonan Yu","doi":"10.1007/s10461-026-05275-3","DOIUrl":"https://doi.org/10.1007/s10461-026-05275-3","url":null,"abstract":"<p><p>Illness perceptions (beliefs about illness identity, impact, understanding, and control) are connected with clinical and psychological outcomes. According to the relationship-oriented model of HIV-related stigma, stigma affects individuals and their significant others. Among mothers living with HIV and their children with perinatally acquired HIV (PHIV) who experience stigma, adaptive or maladaptive illness perception clusters could play a moderating role. This study investigated the extent to which illness perception clusters moderate the dyadic stigma-resilience associations among such mothers and children. In this cross-sectional survey, 123 Chinese dyads of mothers living with HIV and children with PHIV completed measures of illness perceptions, HIV-related stigma, and resilience. For both mothers and children, hierarchical cluster analyses identified an adaptive cluster (lower perceived impact and higher control; mothers: 37.4%, children: 56.9%) and a maladaptive cluster (higher perceived impact and lower control; mothers: 62.6%, children: 43.1%). Mothers and children in the adaptive cluster reported lower stigma and higher resilience. Actor-partner interdependence models (APIM) examined dyadic stigma-resilience associations, showing that higher maternal and child stigma predicted lower child resilience. APIM moderation models showed that illness perception clusters moderated the dyadic stigma-resilience associations: only among dyads with mothers in the maladaptive cluster, mothers' and children's higher stigma predicted their own lower resilience. Only among children in the adaptive cluster, children's higher stigma predicted their lower resilience. These findings extend the relationship-oriented model to mothers and their children living with HIV and call for consideration of both members' illness perceptions and mothers' HIV-related stigma.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811750","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":"Understanding the Influence of PrEP Motivations and Concerns on PrEP Use Among Pregnant Women in Lilongwe, Malawi: A Mixed-Methods Study.","authors":"Lauren M Hill, Friday Saidi, Carol E Golin, Lauren A Graybill, Twambilile Phanga, Jennifer Tseka, Alinda Nyamaizi, Katie R Mollan, Lisa D Pearce, Suzanne Maman, Wilbroad Mutale, Benjamin H Chi","doi":"10.1007/s10461-026-05235-x","DOIUrl":"https://doi.org/10.1007/s10461-026-05235-x","url":null,"abstract":"<p><p>Patient-centered PrEP choice in antenatal care may promote effective use of PrEP to reduce the risk of maternal HIV acquisition. To inform patient-centered counseling, we sought to understand values that pregnant women considered in their PrEP decision-making and their relationship with PrEP use in the context of an adherence support trial in Lilongwe, Malawi. 200 women completed an enrollment survey reporting values (motivations and concerns) they considered when deciding to use PrEP. We examined the associations of these values with study retention and adherence to PrEP (pharmacologic assessment), at 3 and 6 months after enrollment by estimating probability differences (PD). Thirty women and 10 study staff also completed in-depth interviews on the influence of women's values on PrEP adherence. We thematically analyzed interview transcripts through topical coding and summary matrices. Quantitatively, women reporting concerns related to PrEP disclosure and stigma were less likely to be retained. At 6 months, women concerned about partner disclosure (65.0% vs. 87.8%; PD: -22.8%, 95% CI: -44.2%, -1.3%) and family disclosure (68.2% vs. 87.6%; PD: -19.5%, 95% CI: -39.5%, -0.1%), and those who worried they would be perceived as living with HIV (74.5% vs. 88.9%; PD: -14.4%, 95% CI: -27.8%, -1.0%) were less likely to be retained than women without these concerns. Qualitatively, stigma-related concerns led women to avoid PrEP disclosure and conceal their PrEP use which made adherence difficult. Many missed early doses due to concerns about side effects and safety. Some who enrolled with an STI perceived less need for PrEP after their STI resolved. To address adherence barriers, counseling should address the difference between PrEP, ART, and STI treatments. Disclosure support and follow-up counseling to address side effects may also promote PrEP adherence.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787124","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":"Factors Associated with Mobile App Ordering of HIV Self-test Kits and Reporting of Results Among Black People in Canada: Analysis of Data from \"I'm Ready\" National HIV Self-testing Implementation Study.","authors":"Wale Ajiboye, Jason M Lo Hog Tian, Roger Antabe, Lawrence Mbuagbaw, Maureen Owino, Wangari Tharao, Lena Soje, Reena Anthonyraj, David Este, Kristin McBain, Winston Husbands, Notisha Massaquoi, Sean Rourke","doi":"10.1007/s10461-026-05269-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05269-1","url":null,"abstract":"<p><p>Black people experience significant barriers to accessing facility-based HIV testing. HIV self-testing is an effective way to increase testing among populations with limited access to facility-based testing. However, the acceptance and uptake of HIV self-testing varies among different populations. The objective of this study was to examine the factors associated with the uptake of HIV self-testing kits and reporting of test results by Black people. The findings from this study will provide empirical evidence to inform the design of evidence-based strategies aimed at increasing HIV self-testing in Black communities in Canada. We analyzed data for Black participants in the 'I'm Ready' HIV self-teting implementation study to examine factors associated with the uptake of HIV self-test kits and reporting of test results. We used descriptive statistics (frequencies, proportions) to describe demographic characteristics and variables of interest, while bivariate and multivariable binary logistic regression was used to examine associations between demographic characteristics and ordering a kit and submitting a test result. Among the 14,071 participants who participated in the \"I'm Ready\" implementation study, 3,082 (22%) identified as Black. Among Black participants, the majority (51%) were 18-24 years and identified as cis-men (53%) or cis-women (43%). One in five participants identified as gay, bisexual or queer. Age (> 24 years) and gender (non-binary, Trans man/woman, gender queer and self-described gender) were associated with high likelihood of ordering a test kit. However, employment status (being self-employed or unemployed), precarious immigration status (refugee status, temporary work permit status and undocumented status), province or territory of residence, (living in British Columbia, Prairies, Atlantic provinces and the Territories), or living in small and medium sized communities and sexual risk behavior were all associated with less likelihood of ordering a test kit. Only Immigration status (undocumented status or refugee status) was associated with less likelihood of reporting of test results. Interventions to increase the uptake and reporting of HIV self-testing among Black people should explore ways to reach high-risk individuals, those with precarious employment or precarious immigration status, and those who live in small or medium sized communities in Canada.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787040","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}