International family planning perspectives最新文献

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Links between sex-related expectations about alcohol heavy episodic drinking and sexual risk among young men in a shantytown in Lima Peru. 秘鲁利马一个棚户区青年男子对酒精的性相关期望与性风险之间的联系。
International family planning perspectives Pub Date : 2008-03-01 DOI: 10.1363/3401508
J. Gálvez-Buccollini, V. Paz-Soldán, P. Herrera, S. Delea, R. Gilman, J. Anthony
{"title":"Links between sex-related expectations about alcohol heavy episodic drinking and sexual risk among young men in a shantytown in Lima Peru.","authors":"J. Gálvez-Buccollini, V. Paz-Soldán, P. Herrera, S. Delea, R. Gilman, J. Anthony","doi":"10.1363/3401508","DOIUrl":"https://doi.org/10.1363/3401508","url":null,"abstract":"Alcohol use is frequently identified as a contributor to risky sexual behaviors; however research results are mixed. Given the conflicting evidence researchers have focused on other factors such as expectations about alcohols effects that might help explain the relationship of alcohol use and risky sexual behaviors. Cross-sectional data from 312 sexually experienced males aged 18-30 in a shantytown in Lima Peru were used in logistic regression models to identify associations of heavy episodic drinking and sex-related expectations about alcohol with sexual risk behaviors. Heavy episodic drinking was associated with having had two or more sexual partners and having had sex with a casual partner in the past year (odds ratio 2.8 and 2.5 respectively). After controlling for alcohol consumption sex-related expectations about alcohol were associated with these high-risk sexual behaviors as well as with not using a condom at last sex (1.2) and not using a condom at last sex with a casual partner(1.3). Beliefs about the effect of alcohol on sexual performance could help explain links between alcohol consumption and risky sexual behavior not completely accounted for by the pharmacological effects of alcohol. (authors)","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"34 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67028440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Changing family formation in Nepal: marriage, cohabitation and first sexual intercourse. 尼泊尔家庭形态的变化:婚姻、同居和第一次性行为。
International family planning perspectives Pub Date : 2008-03-01 DOI: 10.1363/ifpp.34.030.08
Marcantonio Caltabiano, Maria Castiglioni
{"title":"Changing family formation in Nepal: marriage, cohabitation and first sexual intercourse.","authors":"Marcantonio Caltabiano,&nbsp;Maria Castiglioni","doi":"10.1363/ifpp.34.030.08","DOIUrl":"https://doi.org/10.1363/ifpp.34.030.08","url":null,"abstract":"<p><strong>Context: </strong>In Nepal, marriage occurs at a relatively young age and arranged weddings are widespread. However, recent changes in the family formation process and the timing of first sexual intercourse suggest that a transformation may be under way.</p><p><strong>Methods: </strong>Data on marriage, cohabitation and first sexual intercourse from the 2001 Nepalese Demographic and Health Survey were used to describe the family formation process. The sequence of these events and the intervals between them were explored for currently married men and women. Hazard models were used to identify factors associated with behavioral changes over time.</p><p><strong>Results: </strong>The average age at marriage among women married before age 20 increased from 13.7 years for those born in 1952-1956 to 15.6 years for those born in 1977-1981, while remaining relatively stable for men married before age 25 (17.3 years for the 1942-1946 birth cohort to 17.7 for the 1972-1976 birth cohort). After individual and couple characteristics were controlled for, younger age at interview was associated with greater odds of simultaneous marriage and cohabitation for both genders (odds ratios, 1.3-1.7). Younger age at interview was also associated with premarital sex among men--those aged 39 or younger had significantly higher risks than older men of having had premarital sex, with odds ratios rising from 1.6 among those aged 35-39 to 1.8 among those aged 15-24.</p><p><strong>Conclusions: </strong>It is important not only to promote education as a means of delaying marriage and childbearing, but also to implement programs and services that prevent reproductive health problems for young married couples.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"34 1","pages":"30-9"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27407888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 36
Women's sexual and reproductive health in post-socialist Georgia: does internal displacement matter? 后社会主义格鲁吉亚妇女的性健康和生殖健康:国内流离失所重要吗?
International family planning perspectives Pub Date : 2008-03-01 DOI: 10.1363/ifpp.34.021.08
Khatuna Doliashvili, Cynthia J Buckley
{"title":"Women's sexual and reproductive health in post-socialist Georgia: does internal displacement matter?","authors":"Khatuna Doliashvili,&nbsp;Cynthia J Buckley","doi":"10.1363/ifpp.34.021.08","DOIUrl":"https://doi.org/10.1363/ifpp.34.021.08","url":null,"abstract":"<p><strong>Context: </strong>Persons displaced by armed conflicts, natural disasters or other events are at increased risk for health problems. The Republic of Georgia has a substantial population of internally displaced women who may face elevated risks of STIs and pelvic inflammatory disease (PID).</p><p><strong>Methods: </strong>The 1999 Georgia Reproductive Health Survey was used to examine the prevalence of self-reported STI and PID diagnoses among displaced and nondisplaced sexually experienced women. Multivariate analyses were conducted to determine whether displacement is associated with STI and PID risk, and whether the behavioral and socioeconomic factors associated with these diagnoses differ between internally displaced women and the general population.</p><p><strong>Results: </strong>In models that controlled for behavioral factors only, displacement was associated with elevated odds of PID diagnosis (odds ratio, 1.3), but the relationship was only marginally significant when socioeconomic factors were added (1.3). Displacement was not associated with STI diagnosis. The factors associated with STI and PID diagnoses among displaced women generally differed from those in the general population, but access to medical care and previous STI diagnosis were associated with PID diagnosis in both groups. Among nondisplaced women, residing in the capital city was associated with increased odds of STI diagnosis (2.2) but reduced odds of PID diagnosis (0.8).</p><p><strong>Conclusions: </strong>These findings highlight the importance of displacement status in determining a woman's reproductive health risks, and underscore the complex relationships between behavioral and socioeconomic variables and the elevation of STI and PID risk.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"34 1","pages":"21-9"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27407887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
The importance of pleasure. 快乐的重要性。
Ruth Dixon-Mueller
{"title":"The importance of pleasure.","authors":"Ruth Dixon-Mueller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":" ","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40428726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severity and cost of unsafe abortion complications treated in Nigerian hospitals. 尼日利亚医院治疗的不安全堕胎并发症的严重程度和费用。
International family planning perspectives Pub Date : 2008-03-01 DOI: 10.1363/ifpp.34.140.08
Stanley K Henshaw, Isaac Adewole, Susheela Singh, Akinrinola Bankole, Boniface Oye-Adeniran, Rubina Hussain
{"title":"Severity and cost of unsafe abortion complications treated in Nigerian hospitals.","authors":"Stanley K Henshaw,&nbsp;Isaac Adewole,&nbsp;Susheela Singh,&nbsp;Akinrinola Bankole,&nbsp;Boniface Oye-Adeniran,&nbsp;Rubina Hussain","doi":"10.1363/ifpp.34.140.08","DOIUrl":"https://doi.org/10.1363/ifpp.34.140.08","url":null,"abstract":"<p><strong>Context: </strong>Each year, thousands of Nigerian women have unintended pregnancies that end in illegal abortion. Many such procedures occur under unsafe conditions, contributing to maternal morbidity and mortality.</p><p><strong>Methods: </strong>In a 2002-2003 survey of women and their providers in 33 hospitals in eight states across Nigeria, 2,093 patients were identified as being treated for complications of abortion or miscarriage or seeking an abortion. Women's abortion experiences and the health consequences and associated costs were examined through bivariate analysis. Multivariate analysis was used to examine the characteristics of women by type of pregnancy loss and to compare characteristics among three groups of women who had induced abortions in differing circumstances.</p><p><strong>Results: </strong>Among women admitted for abortion-related reasons, 36% had attempted to end the pregnancy before coming to the hospital (including 24% with and 12% without serious complications), 33% obtained an induced abortion at the facility (not withstanding the country's restrictive law) without having made a prior abortion attempt and 32% were treated for complications from a miscarriage. Of women with serious complications, 24% had sepsis, 21% pelvic infection and 11% instrumental injury; 22% required blood transfusion and 10% needed abdominal surgery. The women in this group were poorer and later in gestation than those who sought abortions directly from hospitals. They paid more for treatment (about 13,900 naira) than those who went directly to the hospital for an abortion (3,800 naira) or those treated for miscarriage (5,100 naira).</p><p><strong>Conclusions: </strong>Policy and program interventions are needed to improve access to contraceptive services and postabortion care in order to reduce abortion-related morbidity and mortality.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"34 1","pages":"40-50"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27407889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Links between sex-related expectations about alcohol, heavy episodic drinking and sexual risk among young men in a shantytown in Lima, Peru. 在秘鲁利马一个棚户区的年轻男子中,与酒精有关的性期望、间歇性酗酒和性风险之间的联系。
International family planning perspectives Pub Date : 2008-03-01 DOI: 10.1363/ifpp.34.015.08
Juan Antonio Gálvez-Buccollini, Valerie Paz-Soldan, Phabiola Herrera, Suzanne DeLea, Robert H Gilman, James C Anthony
{"title":"Links between sex-related expectations about alcohol, heavy episodic drinking and sexual risk among young men in a shantytown in Lima, Peru.","authors":"Juan Antonio Gálvez-Buccollini,&nbsp;Valerie Paz-Soldan,&nbsp;Phabiola Herrera,&nbsp;Suzanne DeLea,&nbsp;Robert H Gilman,&nbsp;James C Anthony","doi":"10.1363/ifpp.34.015.08","DOIUrl":"https://doi.org/10.1363/ifpp.34.015.08","url":null,"abstract":"<p><strong>Context: </strong>Alcohol use is frequently identified as a contributor to risky sexual behaviors; however, research results are mixed. Given the conflicting evidence, researchers have focused on other factors, such as expectations about alcohol's effects that might help explain the relationship of alcohol use and risky sexual behaviors.</p><p><strong>Methods: </strong>Cross-sectional data from 312 sexually experienced males aged 18-30 in a shantytown in Lima, Peru, were used in logistic regression models to identify associations of heavy episodic drinking and sex-related expectations about alcohol with sexual risk behaviors.</p><p><strong>Results: </strong>Heavy episodic drinking was associated with having had two or more sexual partners and having had sex with a casual partner in the past year (odds ratios, 2.8 and 2.5, respectively). After controlling for alcohol consumption, sex-related expectations about alcohol were associated with these high-risk sexual behaviors, as well as with not using a condom at last sex (1.2) and not using a condom at last sex with a casual partner (1.3).</p><p><strong>Conclusion: </strong>Beliefs about the effect of alcohol on sexual performance could help explain links between alcohol consumption and risky sexual behavior not completely accounted for by the pharmacological effects of alcohol.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"34 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27407969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India. 印度马哈拉施特拉邦浦那地区未婚青年婚前关系的相关性。
International family planning perspectives Pub Date : 2007-12-01 DOI: 10.1363/ifpp.33.150.07
Mallika Alexander, Laila Garda, Savita Kanade, Shireen Jejeebhoy, Bela Ganatra
{"title":"Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India.","authors":"Mallika Alexander,&nbsp;Laila Garda,&nbsp;Savita Kanade,&nbsp;Shireen Jejeebhoy,&nbsp;Bela Ganatra","doi":"10.1363/ifpp.33.150.07","DOIUrl":"https://doi.org/10.1363/ifpp.33.150.07","url":null,"abstract":"<p><strong>Context: </strong>Although premarital partnerships-whether or not they involve sex-are widely discouraged in India, some youth do form such partnerships. It is important to know more about the nature of and the factors associated with these relationships.</p><p><strong>Methods: </strong>Data are drawn from a community-based study of 15-24-year-olds in urban slum and rural settings in Pune District, Maharashtra. Multivariate analyses were conducted to identify associations between youths' individual, peer and family factors and their experience of romantic relationships and physical intimacy, including intercourse.</p><p><strong>Results: </strong>Among young men, 17-24% had had a romantic relationship, 20-26% had engaged in some form of physical intimacy and 16-18% had had sex; the proportions among young women were 5-8%, 4-6% and 1-2%, respectively. Exposure to alcohol, drugs or pornographic films and having more frequent interaction with peers were positively associated with romantic and sexual relationships for both young women and young men. Educational attainment was negatively associated with both types of relationships for young women, but only with sexual relationships for young men. Closeness to parents was negatively associated with relationships only for young women. Young women whose father beat their mother were more likely than other young women to form romantic partnerships, and those beaten by their family had an elevated risk of entering romantic and sexual partnerships. Youth who reported strict parental supervision were no less likely than others to enter relationships.</p><p><strong>Conclusions: </strong>Program interventions should ensure that youth are fully informed and equipped to make safe choices and negotiate wanted outcomes, while positively influencing their peer networks; encourage closer interaction between parents and children; and be tailored to the different circumstances and experiences of young women and men.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"33 4","pages":"150-9"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27209408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Jamaican and Barbadian health care providers' knowledge, attitudes and practices regarding emergency contraceptive pills. 牙买加和巴巴多斯保健提供者关于紧急避孕药的知识、态度和做法。
International family planning perspectives Pub Date : 2007-12-01 DOI: 10.1363/ifpp.33.160.07
Eileen A Yam, Georgiana Gordon-Strachan, Garth McIntyre, Horace Fletcher, Sandra G Garcia, Davida Becker, Enrique Ezcurra
{"title":"Jamaican and Barbadian health care providers' knowledge, attitudes and practices regarding emergency contraceptive pills.","authors":"Eileen A Yam,&nbsp;Georgiana Gordon-Strachan,&nbsp;Garth McIntyre,&nbsp;Horace Fletcher,&nbsp;Sandra G Garcia,&nbsp;Davida Becker,&nbsp;Enrique Ezcurra","doi":"10.1363/ifpp.33.160.07","DOIUrl":"https://doi.org/10.1363/ifpp.33.160.07","url":null,"abstract":"<p><strong>Context: </strong>Little is known about health care providers' knowledge of, attitudes toward and provision of emergency contraceptive pills in the English-speaking Caribbean, where sexual violence and unplanned pregnancies are persistent public health problems.</p><p><strong>Methods: </strong>We conducted interviewer-administered surveys of 200 Barbadian and 228 Jamaican pharmacists, general practitioners, obstetrician-gynecologists and nurses in 2005-2006. For each country, Pearson's chi-square tests were used to assess differences in responses among the four provider groups.</p><p><strong>Results: </strong>Nearly all respondents had heard of emergency contraceptive pills, and large majorities of Barbadian and Jamaican providers had dispensed the method. However, about half had ever refused to dispense it; frequently cited reasons were medical contraindications to use, recent use, method unavailability, safety concerns and being uncomfortable prescribing it. Only one in five providers knew that the method could be safely used as often as needed, and few knew that it was effective if taken within 120 hours of unprotected sexual intercourse. About a quarter of Barbadian and half of Jamaican providers thought the method should be available without a prescription, and half of all providers believed that its use encourages sexual risk-taking and leads to increased STI transmission. Nonetheless, most respondents believed the method was necessary to reduce rates of unintended pregnancy and were willing to dispense it to rape victims, women who had experienced condom failure and women who had not used a contraceptive.</p><p><strong>Conclusions: </strong>Future educational efforts among Jamaican and Barbadian health care providers should emphasize the safety and proper use of emergency contraceptive pills, as well as the need to increase the availability of the method.</p>","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"33 4","pages":"160-7"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27209409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 44
Female and male condoms offer similar protection against exposure to semen. 女用和男用避孕套在防止接触精液方面提供了类似的保护。
International family planning perspectives Pub Date : 2007-12-01 DOI: 10.1363/3925007
D. Hollander
{"title":"Female and male condoms offer similar protection against exposure to semen.","authors":"D. Hollander","doi":"10.1363/3925007","DOIUrl":"https://doi.org/10.1363/3925007","url":null,"abstract":"Breakage slippage and other mechanical problems occur more frequently with female than with male condoms but the two devices are about equally effective barriers to semen exposure according to findings from a randomized crossover trial conducted among women attending a reproductive health clinic in the southern United States in 2000-2001. Prostate-specific antigen (PSA) an indicator of exposure to semen was detected in similar proportions of vaginal fluid samples collected after use of male and female condoms during the study-14% and 17% respectively. PSA was present in high enough levels to potentially affect STD risk in 4-5% of samples associated with each type of device. Exposure to semen was more common if women reported mechanical problems with condoms than if they reported incorrect use. (excerpt)","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"33 1","pages":"250-251"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1363/3925007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67040171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Family planning policies and their impacts on the poor: Peru's experience. 计划生育政策及其对穷人的影响:秘鲁的经验。
International family planning perspectives Pub Date : 2007-12-01 DOI: 10.1363/ifpp.33.176.07
James N Gribble, Suneeta Sharma, Elaine P Menotti
{"title":"Family planning policies and their impacts on the poor: Peru's experience.","authors":"James N Gribble,&nbsp;Suneeta Sharma,&nbsp;Elaine P Menotti","doi":"10.1363/ifpp.33.176.07","DOIUrl":"https://doi.org/10.1363/ifpp.33.176.07","url":null,"abstract":"In this article we review policies and laws relevant to family planning and provide insight on how the family planning policies have evolved and affected access to services as well as how characteristics of and trends in the family planning market* have changed over time. Our assessment draws on multiple information sources including family planning market segmentation data and literature on Perus family planning program. Additional sources such as ombudsman reports user and provider interviews and health facility studies clarify specific points. A historic overview of key family planning policies and programs implemented in Peru focusing on three time periods 1985-1995 1995-2000 and 2000-2004 provides information on policies that have been put in place and the degree to which they have affected access to family planning among the poor. (excerpt)","PeriodicalId":81537,"journal":{"name":"International family planning perspectives","volume":"33 4","pages":"176-81"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27209411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
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