AIDS and Behavior最新文献

{"title":"Exploring Preferences for Long-Acting Injectable PrEP Among Postpartum Women in South Africa Using the Consolidated Framework for Implementation Research: The Siphila Sonke Study.","authors":"Oluwaseyi O Isehunwa, Shannon Bosman, Londeka Mbewe, Thandanani Madonsela, Lindani I Msimango, Thembelihle Ntinga, Ayanda Tshazi, Lillian Klasen, Xolani Ntinga, Patricia Smith, Christina Psaros, Alastair van Heerden, Lynn T Matthews","doi":"10.1007/s10461-026-05267-3","DOIUrl":"https://doi.org/10.1007/s10461-026-05267-3","url":null,"abstract":"<p><p>South African women are disproportionately affected by HIV, with increased incidence during pregnancy and postpartum. While oral TDF/FTC pre-exposure prophylaxis (PrEP) is safe, effective, and recommended for pregnant and postpartum women, adherence to a daily pill is challenging, particularly during the postpartum period. Longer-acting injectable (LAI) PrEP products may be more desirable for postpartum women however, limited data on factors influencing uptake are available to inform roll-out of LAI products among postpartum women. Using the Consolidated Framework for Implementation Research (CFIR), we explored LAI PrEP implementation determinants among postpartum women in South Africa. From March-April 2023, 4 focus group discussions (FGDs) were conducted among postpartum women in KwaZulu-Natal. A directed content analysis method was performed. Among 23 women, median age was 27 (range 19-36) years. Two (9%) reported a pregnancy partner living with HIV, 7 (30%) had ever used PrEP, and 21 (91%) had ever breastfed. Factors that may influence LAI PrEP implementation are organized by three CFIR domains. Individuals expressed interest in and potential willingness to use LAI PrEP, but limited knowledge. At the implementation process domain, participants perceived LAI-PrEP users to have high HIV risk perception, and were themselves worried about side-effects, access, and fear of partner conflict. They also identified implementation opportunities including peer PrEP mentors, mobile clinics, and community clinic integration. At the outer setting, cultural beliefs/practices during postpartum were important determinants. Our findings indicate interest and willingness to consider LAI PrEP among postpartum women and highlight implementation opportunities to reduce HIV acquisition and perinatal transmission.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896327","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":"Strategies to Promote HIV Self-Testing and Long-Acting Injectable PrEP Among Ghanaian Youth: Results from the Y-FIT GH National Crowdsourcing Open Call.","authors":"Gloria Aidoo-Frimpong, Abass Tando Abubakar, Yaa Adutwumwaa Obeng, Winfred Kofi Mensa, Daniel Selase Anyidoho, Ernest Ortsin, Stephen Ayisi Addo, Anthony Affum-Adjei Awuah, Ucheoma Nwaozuru, Naa Ashiley Vanderpuye, Paul Sowah, Temitope Ojo, Juliet Iwelunmor, Zhao Ni","doi":"10.1007/s10461-026-05295-z","DOIUrl":"https://doi.org/10.1007/s10461-026-05295-z","url":null,"abstract":"<p><p>Crowdsourcing is a participatory problem-solving approach that engages a large and diverse group of individuals to generate ideas or solutions. In HIV prevention, it provides a structured mechanism for involving youth in shaping intervention strategies. The Innovative Tools to Expand Youth-Friendly HIV Self-Testing and Long-Acting Injectable PrEP Uptake in Ghana (Y-FIT GH) National Open Call applied this method to generate youth-driven ideas to promote HIV self-testing (HIVST) and long-acting injectable PrEP (LAI-PrEP) in Ghana. This study describes youth responses to the open call and identifies strategies they proposed to strengthen HIV prevention among their peers. Ghanaian youth aged 15-24 years were invited to submit creative entries illustrating how HIVST and PrEP could be promoted and accessed by young people. Submissions were received through online platforms and community-based channels between May and August 2025. Following independent review, 103 eligible entries from 12 regions were qualitatively analyzed using an inductive multimodal approach. Written narratives (32%), posters (19%), and audiovisual pieces (18%) were the most common. Six interconnected thematic domains were identified: (1) HIVST and PrEP as pathways to autonomy, safety, and self-respect; (2) creative, peer-led, and culturally resonant communication; (3) multilevel, hybrid delivery models prioritizing accessibility, familiarity, and privacy; (4) stigma shaping youth engagement; (5) gaps in navigation, support, and trust in existing services; and (6) AI and AI-enabled chatbots as emerging channels for confidential information and peer support. The contest effectively engaged Ghanaian youth and generated actionable, contextually grounded strategies to enhance HIVST and PrEP uptake.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896272","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":"Predictors of Initial and Recurrent Hospitalization Among People Living with HIV: A Longitudinal Cohort Study.","authors":"Aaron S Breslow, Ying Jin, Peter J Franz, Elizabeth Cavic, David B Hanna, Uriel Felsen, Laurie Bauman, Melissa Fazzari","doi":"10.1007/s10461-026-05280-6","DOIUrl":"10.1007/s10461-026-05280-6","url":null,"abstract":"<p><p>Hospitalization remains a significant concern among people living with HIV (PLWH), particularly when admissions are recurrent. While prior research has identified psychiatric comorbidities and HIV disease severity as predictors of initial hospitalization, less is known about the factors that drive repeated hospitalizations in the modern treatment era. This study examined psychiatric, demographic, and HIV-related predictors of first and subsequent hospitalizations using longitudinal data from 9,793 PLWH with follow-up care in the Bronx, New York, between 2016 and 2023. Two primary outcomes (i.e., time to non-psychiatric hospitalization and time to HIV-related hospitalization) were modeled independently using Prentice, Williams, and Peterson gap-time models. Recent mental health visits and diagnoses, substance use-related diagnoses, lower CD4 T-cell count, and detectable viral load were each associated with increased risk of first and subsequent hospitalization. Prior mental health care engagement was associated with reduced risk of non-psychiatric hospitalization. Demographic disparities were also observed: women, older people, and patients with Medicaid had higher risk for hospitalization, while those with commercial insurance had lower risk. These findings extend previous research on first-time hospitalization in this population by explicitly distinguishing predictors of first versus subsequent hospitalizations, and underscore the need for integrated psychiatric care, sustained viral suppression, and tailored outpatient support to reduce avoidable hospitalizations.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896255","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":"Unmet Pet Caregiving Needs are Associated with Depression and Anxiety Symptoms Among People Living with HIV.","authors":"Selena Gutierrez, Jacqueline Nicole Jones, Emily Cherenack, Shelby E McDonald, Kaylinn Escobar, Preeti Manavalan, Humberto E Fabelo, Maya Widmeyer, Steven Safren, Robert L Cook, Jennifer W Applebaum","doi":"10.1007/s10461-026-05287-z","DOIUrl":"https://doi.org/10.1007/s10461-026-05287-z","url":null,"abstract":"<p><p>People living with HIV (PLWH) experience disproportionately high rates of depression and anxiety. Human-animal interactions (HAI), particularly through pet ownership, may provide emotional support and companionship; however, the human-animal bond can be threatened by structural and socioeconomic factors that impede one's ability to meet pets' needs. The current study examined how comfort from pets and unmet pet caregiving needs were associated with depression and anxiety symptoms among pet-owning PLWH. Data were derived from the Florida Cohort (2021-2023), a survey study of PLWH in Florida. Participants included 210 pet-owning PLWH who completed the optional pet ownership module. Depression and anxiety were measured using the PHQ-8 and GAD-7; comfort from pets was assessed using the Comfort from Companion Animals Scale; unmet caregiving needs captured difficulty affording boarding, pet food/medication/supplies, and veterinary care. Linear regression models adjusted for sociodemographic covariates and perceived social support. Participants reported high levels of comfort from pets; however, comfort was not significantly associated with depression or anxiety symptoms, even after adjustment. Unmet pet caregiving needs showed a more consistent pattern: difficulty affording veterinary care was the most robust predictor, remaining significantly associated with both depression (B = 2.04, p < 0.01) and anxiety (B = 2.49, p < 0.001) after adjusting for covariates. Difficulty affording boarding and difficulty affording pet food/medications/supplies were associated with higher depression and anxiety symptoms in unadjusted models but did not remain significant after covariate adjustment. Findings highlight the dual role of pets in the lives of PLWH; while pets may provide emotional comfort, unmet pet caregiving needs-particularly around veterinary care-are associated with poorer mental health independent of broader social support and sociodemographic factors. Addressing pet caregiving needs may represent an important opportunity to reduce psychological strain and support emotional wellness among pet-owning PLWH, with implications for HIV care, social services, and future research.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896396","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":"Self-reported and Point-of-Care Biomarkers of Substance Use Measures Among Older Adults with HIV from Low- and Middle-Income Countries.","authors":"Kathryn E Lancaster, Melissa A Stockton, Judith A Hahn, Thida Chanyachukul, Ivan Marbaniang, Dhanushi Rupasinghe, Hai Thi Thanh Nguyen, Edith Kwobah, Helen Byakwaga, Aggrey Semeere, Suzanne Goodrich, Patrizia Carrieri, Gad Murenzi, Hugo Perazzo, Brenda Crabtree Ramírez, Jessica Mejía, Andreas D Haas, Ardele Mandiriri, Albert Minga, Marie Plaisy, Antoine Jaquet, Angela M Parcesepe","doi":"10.1007/s10461-026-05270-8","DOIUrl":"10.1007/s10461-026-05270-8","url":null,"abstract":"<p><p>Measuring alcohol and other drug (AOD) use remains challenging in HIV care in low- and middle-income countries, where self-report and point-of-care (POC) urine biomarkers capture different time windows. Among 2,059 people with HIV aged 40 years or older across eight IeDEA clinics (2020 to 2022), we examined what self-reported AOD use (AUDIT, ASSIST) and POC urine tests (uEtG for alcohol; 5-panel drug screen) each capture. Self-report identified more use than urine testing (unhealthy alcohol 19.7% versus uEtG-positive 12.2%), consistent with its longer recall window. Higher self-reported alcohol intensity was associated with uEtG positivity in a graded pattern, more strongly among women. Urine-positive but self-report-negative results, more common among men, suggested under-reporting. Self-report and biomarkers answer different measurement questions: self-report for longer-term burden and screening, biomarkers for recent use and corroboration. Combining both, including longer-window biomarkers, can strengthen AOD measurement among older PWH in LMICs.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886149","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":"Women's Perceptions of Novel 3-D Printed Vaginal Rings for Multipurpose Prevention.","authors":"Carol Golin, Ella Ferguson, Elizabeth Millar, Jaya Mishra, Christina Perez, Eliza Schenck, Lauren Richey, Sarah Ball, Rima Janusziewicz, S Rahima Benhabbour, Kate M Guthrie","doi":"10.1007/s10461-026-05198-z","DOIUrl":"10.1007/s10461-026-05198-z","url":null,"abstract":"<p><p>Intravaginal rings (IVRs) can be efficacious, user-controlled devices to prevent pregnancy and HIV. Understanding potential user preferences for device characteristics can promote device uptake and use by informing design optimization. We elicited sensory perceptions from a convenience sample of women aged 18-45 years from a large statewide health system to iteratively inform design of a novel 3D-printed multipurpose (contraception and HIV prevention) technology IVRs. We assessed reactions to varying IVR designs and colors in nine virtual focus groups. We modified designs and assessed perceptions of visual AND tactile aspects of modified IVR designs in 25 individual in-person interviews. Overall, women perceived texture, hue, size, comfort, and hygiene as important. Smoother surface topography was preferred for perceived ease of insertion and ability to \"see what was on it\" for cleanliness. Lighter hues were seen as \"calming\". IVR size and pliability related most to perceived comfort, a priority for participants.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886174","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":"Correlates of Alcohol Use and Hazardous Alcohol Consumption Among Adults Living with HIV in Tanzania: Evidence from the Tanzania HIV Impact Survey, 2022-2023.","authors":"Damian Jeremia Damian, Abbas Ismail, Alice Wang, Stephano Cosmas, Jocelyn Rwehumbiza, Fahima Issa, Jerome Kamwela, Ahmed Khatib, Rebecca L Laws, Erika Fazito, Mary Mayige, Jane Nyandele, Sarah E Porter, Prosper F Njau, Mahesh Swaminathan, Tepa Nkumbula, Joel M Francis, Nicolas Schaad, George S Mgomella","doi":"10.1007/s10461-026-05292-2","DOIUrl":"10.1007/s10461-026-05292-2","url":null,"abstract":"<p><p>Hazardous alcohol consumption (HAC) among people living with HIV (PLHIV) has been associated with poor antiretroviral therapy (ART) adherence and unsuppressed HIV viral load (VL). We examined potential correlates of alcohol use and HAC among PLHIV aged ≥ 18 years using nationally representative data from the Tanzania HIV Impact Survey 2022-2023, a cross-sectional population-based household survey. Consenting individuals were tested for HIV and HIV-positive specimens were tested for HIV VL. HAC was determined using the World Health Organization \"Alcohol Use Disorders Identification Test-Concise.\" Correlates of alcohol use and HAC were determined using binary logistic regression and sampling weights. Jackknife variance estimation was used to generate 95% confidence intervals (95% CI) and p values. Of 1793 individuals with positive HIV test results, 686 (34.5%) reported any alcohol consumption in the past year, and 364 (17.8%) reported HAC. Higher odds of HAC were observed among PLHIV aged 35-44 years (aOR = 2.35; 95% CI, 1.12-4.93; p = 0.026), 45-54 years (aOR = 2.66; 95% CI, 1.23-5.74; p = 0.015), and 55-64 years (aOR = 2.92; 95% CI, 1.31-6.55; p = 0.011) compared to those aged ≤ 24 years (7.5%). Also, among PLHIV with one sexual partner (18.3%, aOR = 1.85; 95% CI, 1.29-2.65; p = 0.002) and multiple partners (27.7%, aOR = 3.27; 95% CI, 1.84-5.81; p < 0.001) compared to those with no partner in the past 12 months (11.0%). No significant associations were found between alcohol use or HAC and reported ART missed days or VL suppression. In Tanzania, although nearly one-fifth of PLHIV reported HAC, it was not associated with HIV treatment outcomes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aging with HIV: The Interplay of Neighborhood-Level Social Vulnerability, Social Support, and Physical Activity.","authors":"Maia M Cunningham, Evelyn Iriarte, Christine Horvat Davey, Lisa E Manhart, Heidi M Crane, Greer A Burkholder, Barbara M Gripshover, Julia G Fleming, Michael S Saag, Thomas W Buford, Dustin M Long, John D Cleveland, Amanda L Willig, Allison R Webel, Vitor H F Oliveira","doi":"10.1007/s10461-026-05289-x","DOIUrl":"https://doi.org/10.1007/s10461-026-05289-x","url":null,"abstract":"<p><p>Engaging in moderate-to-vigorous physical activity (MVPA) is essential for healthy aging in people with HIV (PWH), though social determinants may influence activity levels. This cross-sectional study examined associations between neighborhood social vulnerability, social support, and MVPA among 198 PWH aged ≥ 50 from the PROSPER-HIV study across four U.S. sites. MVPA was measured with ActiGraph accelerometers (minutes/week), social vulnerability with the Social Vulnerability Index (SVI), and social support with the Multifactorial Assessment of Perceived Social Support-Short Form. Linear regression models were used to estimate the associations between study variables, adjusting for age, sex, and site. Median MVPA was 110 min/week (IQR: 48.03-237.05). Higher SVI was associated with MVPA in unadjusted models but did not reach statistical significance (β= -1.77; p = 0.053), and this association was attenuated after adjustment (p = 0.20). Social support was not associated with MVPA. Findings highlight the need for larger studies using more precise measures of structural factors relevant to physical activity among older PWH.</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":"148863470","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 the Interplay of Movement Dispersion, Sleep, and Quality of Life Among Men With and Without HIV.","authors":"Melissa M Klamm, Kelley Pettee Gabriel, Jung Hye Sung, Yonghua Yan, Angela Duck, Jennifer A Schrack, Adam P Spira, Valentina Stosor, Roger Detels, Sanjay R Patel, Margaret A Fischl, Stephen J Gange, Deborah Konkle-Parker","doi":"10.1007/s10461-026-05293-1","DOIUrl":"10.1007/s10461-026-05293-1","url":null,"abstract":"<p><p>Pure and total movement dispersion are measures of the spread of physical activity (PA) across the day, without (pure) and with (total) intensity. Men with HIV (MWH) tend to have lower PA, more sedentary behavior, and poorer sleep quality and quality of life than men without HIV (MWOH). This study explores the relationship of pure and total movement dispersion with sleep quality, total sleep time, and quality-of-life (QoL) among MWH and MWOH. This study was a secondary analysis from the MACS/WIHS Combined Cohort Study (MWCCS). Participants wore an ActiGraph and an Actiwatch accelerometer on their wrist for 7 days to measure PA and sleep and completed the Pittsburgh Sleep Quality Index and the Medical Outcomes Study Short Form. Spearman's Rank Correlation and multivariable linear regressions were used to analyze relationships among variables. 594 participants were included (M_age = 58.1, 55% MWH, 62% White). MWH demonstrated higher pure (Z = - 3.893, p < 0.001) and total movement dispersion (Z = - 3.826, p < 0.001) than MWOH. MWH reported worse sleep quality (t = - 3.030, p=.003) and general QoL (t = 2.942, p = 0.003), yet better health compared to last year (t = - 2.557, p = 0.011) than MWOH. Pure movement dispersion was significantly associated with less total sleep time (B = - 1.227, p < 0.001), and total movement dispersion was significantly associated with a higher global general health (B = 7.498, p = 0.044). Movement across the day, with and without regard to intensity, warrants exploration on whether the way an individual achieves PA is dispersed matters more than the accumulated minutes.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Ending HIV Behavioral Surveillance of Transgender Persons: Another Casualty of the Assault on Public Health in the United States","authors":"Seth C. Kalichman","doi":"10.1007/s10461-026-05296-y","DOIUrl":"10.1007/s10461-026-05296-y","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"30 9","pages":"2593 - 2595"},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863496","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}