Australian and New Zealand Journal of Public Health最新文献

{"title":"Examining zoonotic notifications in Aboriginal and Torres Strait Islander populations over time: An analysis of the National Notifiable Diseases Surveillance System from 1996-2021","authors":"Tamara Riley ,&nbsp;Raymond Lovett ,&nbsp;Neil E. Anderson ,&nbsp;Anna Meredith ,&nbsp;Bonny Cumming ,&nbsp;Joanne Thandrayen","doi":"10.1016/j.anzjph.2025.100239","DOIUrl":"10.1016/j.anzjph.2025.100239","url":null,"abstract":"<div><h3>Objective</h3><div>This paper utilised the National Notifiable Diseases Surveillance System database to analyse the commonly notified zoonotic disease presentations in Aboriginal and Torres Strait Islander populations over 25 years, from 1996-2021.</div></div><div><h3>Methods</h3><div>We analysed the top four zoonotic notifications using a descriptive analysis, a time series analysis assessing the trends and seasonal indices, and a de-seasonalised analysis to assess the years contributing to an increase above the trend.</div></div><div><h3>Results</h3><div>Results show an increase in notifications for salmonellosis and campylobacteriosis over the last 10 years. On average, all diseases saw an increase in notifications above the trend in Q1 (Jan-Mar) and less so Q2 (Apr-Jun), and a decrease in notifications below the trend in Q3 (Jul-Sep) and less so in Q4 (Oct-Dec), which is aligned with increases in zoonotic notifications in Australia’s hotter and wetter months.</div></div><div><h3>Conclusion</h3><div>The results present zoonotic notifications in Aboriginal and Torres Strait Islander populations over time and highlight potential implications of climate change due to increasing notifications, and increasing temperatures and extreme weather events in recent years.</div></div><div><h3>Implications for public health</h3><div>The findings can inform preventative health approaches for zoonoses in Indigenous populations, with One Health approaches recommended.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100239"},"PeriodicalIF":2.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of sexually transmitted infections and positive treponemal serology in Solomon Islands guest workers in Australia","authors":"Mikaela Seymour ,&nbsp;Sean O’Connor ,&nbsp;Levi Hou ,&nbsp;Sarai Tafa ,&nbsp;Sarat Tata ,&nbsp;Nicholas Smoll ,&nbsp;Stefanie Vaccher ,&nbsp;Annie Preston-Thomas ,&nbsp;Nishila Moodley","doi":"10.1016/j.anzjph.2025.100241","DOIUrl":"10.1016/j.anzjph.2025.100241","url":null,"abstract":"<div><h3>Objectives</h3><div>The burden of sexually transmitted infections (STIs) in Pacific guest workers in Australia is currently unknown. Our study determined the prevalence of chlamydia, gonorrhoea, HIV and treponemal infection in a group of predominately Solomon Islands guest workers in Australia in 2023. In addition, we sought to understand the effect of sex, age and type of sexual activity on the risk of STIs in this population group.</div></div><div><h3>Methods</h3><div>Workers under one employer were offered chlamydia and gonorrhoea urine polymerase chain reaction testing, treponemal serology with reflex rapid plasma reagin testing, and HIV testing via antibody/antigen detection. Descriptive analyses identified population characteristics and infection frequencies. Logistic regression was used to estimate the likelihood of diagnosis, reported as odds ratios.</div></div><div><h3>Results</h3><div>The participation rate was 93% (n=391). The median age was 31.9 years (interquartile range: 22.9–40.9) and 86.5% were male. Chlamydia (18.5%) and gonorrhoea (1.8%) were common among guest workers. No cases of HIV were diagnosed. Treponemal-specific reactive tests (48.5%) suggested yaws or syphilis exposure despite being asymptomatic, with 37.1% of these having an rapid plasma reagin titre equal to or exceeding 1:16. Women were 3.71 times more likely to have chlamydia [95% confidence interval (CI) 1.97-6.93].</div></div><div><h3>Conclusion</h3><div>High rates of chlamydia and positive treponemal serology may reflect high rates of untreated STIs.</div></div><div><h3>Implications for Public Health</h3><div>This unique dataset guides potential screening programs for Pacific guest workers to complement existing education programs.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100241"},"PeriodicalIF":2.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction of breast density notification within BreastScreen South Australia – Results of an online client survey","authors":"Liz Buckley ,&nbsp;Carolyn Nickson ,&nbsp;Jennifer Stone ,&nbsp;Ellen Kerrins ,&nbsp;Shona Crabb ,&nbsp;David Roder ,&nbsp;Michelle Reintals","doi":"10.1016/j.anzjph.2025.100240","DOIUrl":"10.1016/j.anzjph.2025.100240","url":null,"abstract":"<div><h3>Objective</h3><div>Breast density is one of the strongest predictors of breast cancer risk and significantly reduces the sensitivity of mammography to detect breast cancer. Breast density notification is becoming increasingly common within screening programs in Australia. This opportunistic study evaluates client response to the introduction of breast density notification within BreastScreen South Australia, including their level of understanding, approval of notification and future screening behaviours.</div></div><div><h3>Method</h3><div>Clients attending three screening clinics (N=14,833) were notified by BreastScreen South Australia of their mammographic breast density, measured by the software program Volpara. Breast density was categorised as follows: A-almost entirely fatty tissue, B-scattered dense tissue, C-heterogeneously dense tissue or D-extremely dense tissue.</div></div><div><h3>Results</h3><div>Of the 5,137 survey respondents (34.6%), 90% supported continued reporting of breast density in the program. Around two-thirds of respondents (65%) felt informed to make decisions regarding their breast care and nearly all (98.5%) intended to continue breast screening. Anxiety in response to breast density notification was reported by 9% of all respondents (4.5% with breast density categories A/B vs 16.6% with categories C/D) and 14% reported confusion (10.7% with breast density categories A/B vs 19.9% with categories C/D). All notified women were and invited to participate in a follow-up survey to assess their response to breast density notification. Over 22% did not know breast density is associated with breast cancer risk and 55% were unsure.</div></div><div><h3>Conclusion</h3><div>Breast density notification was well received by most clients; however, knowledge about associated risk is considered low.</div></div><div><h3>Implications for Public Health</h3><div>Additional new strategies are required to better engage with general practitioners and clients, to improve breast density education and to develop a personalised screening program in the future.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100240"},"PeriodicalIF":2.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yarning with a remote Aboriginal community about the next steps for achieving healthy skin","authors":"Rebecca Dalton ,&nbsp;Erin Victor ,&nbsp;Hannah M.M. Thomas ,&nbsp;Stephanie L. Enkel ,&nbsp;Bep Uink ,&nbsp;Rebecca Bennett ,&nbsp;Slade Sibosado ,&nbsp;Asha C. Bowen","doi":"10.1016/j.anzjph.2025.100242","DOIUrl":"10.1016/j.anzjph.2025.100242","url":null,"abstract":"<div><h3>Objective</h3><div>Skin health is widely recognised as being important for overall good health and well-being, yet the burden of skin infections in remote Aboriginal communities remains high. This project aimed to explore if virtual support for skin health could be a strategy to reduce community barriers to skin health engagement.</div></div><div><h3>Methods</h3><div>This study collected qualitative data using a yarning methodology within a participatory action research design. A community co-researcher who was intimately familiar with the Country, language, and community in which this study was based was employed to guide the research process.</div></div><div><h3>Results</h3><div>The final dataset comprised of interviews with 21 participants. Three primary themes were identified including: Reach Further into the Community with Education and Skin Checks, Virtual Skin Health Support is not Preferred but Acceptable, and Environmental Health Cannot be Ignored.</div></div><div><h3>Conclusions</h3><div>Participants provided several suggestions on improving health promotion messaging within community whilst emphasising the need for a stronger focus on environmental health. The employment of a community co-researcher was integral to informing the methodology.</div></div><div><h3>Implications for Public Health</h3><div>This project provides further evidence of the significance of community engagement, inclusion and capacity building when conducting research in remote Aboriginal communities and the benefits of two-way learning as foundational to good research practices.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100242"},"PeriodicalIF":2.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suboptimal industry adherence to the design specifications of the mandatory pregnancy warning label","authors":"Asad Yusoff ,&nbsp;Bella Sträuli ,&nbsp;Alexandra Jones ,&nbsp;Paula O’Brien ,&nbsp;Jacquie Bowden ,&nbsp;Michelle Jongenelis ,&nbsp;Aimee Brownbill ,&nbsp;Tim Stockwell ,&nbsp;Simone Pettigrew","doi":"10.1016/j.anzjph.2025.100236","DOIUrl":"10.1016/j.anzjph.2025.100236","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether products sold in the Australian alcohol market are displaying the mandatory pregnancy warning label as per the design requirements.</div></div><div><h3>Methods</h3><div>Between June and November 2023, data collectors photographed 5,964 unique alcoholic products from three Sydney alcohol retailers. A random sample of 20% of the 3,760 products displaying the mandatory pregnancy warning label was analysed to assess whether they met the design requirements outlined in the Food Standards Code.</div></div><div><h3>Results</h3><div>Across the sample, 11% of products displaying the mandatory pregnancy label did not do so correctly. Adherence was lowest for spirits (73%), then wine (90%), beer (94%) and premix (97%). In terms of package type, adherence was lowest for individual beverages in containers &gt;800 ml in volume (74%).</div></div><div><h3>Conclusions</h3><div>The findings indicate that the application of the mandatory pregnancy warning label may be suboptimal in the Australian alcohol market. The lower adherence among spirits and wine products is concerning given their higher alcohol content.</div></div><div><h3>Implications for Public Health</h3><div>For the effectiveness of the mandatory pregnancy warning label to be optimised, it must be displayed as per specifications. There is a need for ongoing compliance monitoring to improve adherence.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100236"},"PeriodicalIF":2.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bottle feeding to sleep beyond 12 months is associated with higher risk of tooth decay and overweight in Australian children: Findings from the Healthy Smiles Healthy Kids cohort study","authors":"Heilok Cheng ,&nbsp;James John ,&nbsp;Jane Scott ,&nbsp;Elizabeth Denney-Wilson ,&nbsp;Loc Do ,&nbsp;Sameer Bhole ,&nbsp;Louise Baur ,&nbsp;Amit Arora","doi":"10.1016/j.anzjph.2025.100224","DOIUrl":"10.1016/j.anzjph.2025.100224","url":null,"abstract":"<div><h3>Objective</h3><div>Bottle feeding to sleep may increase early childhood caries (ECC) and overweight risk through sugar exposure and overfeeding. This study examined the association between feeding to sleep at 24 and 36 months on both ECC and overweight at 3-4 years.</div></div><div><h3>Methods</h3><div>Participants were children in the Healthy Smiles Healthy Kids longitudinal birth cohort. Exposure was bottle feeding to sleep at 24 and 36 months. Outcomes were ECC (prevalence; number of caries-affected tooth surfaces, dmfs) and overweight at 3-4 years.</div></div><div><h3>Results</h3><div>718 and 729 children had dental examinations and anthropometric measurements, respectively. 30.3% and 21.7% of children were bottle-fed to sleep at 24 and 36 months, respectively. Feeding to sleep at 24 months was associated with higher odds of overweight (OR 1.90, 95%CI 1.06-3.38) and moderately associated with higher caries (dmfs 1.48, 95%CI 1.00-2.20). Feeding to sleep at 36 months was associated with higher caries (dmfs 1.88, 95%CI 1.22-2.91).</div></div><div><h3>Conclusions</h3><div>Feeding to sleep was associated with higher odds of overweight and higher numbers of caries-affected tooth surfaces. Communicating appropriate sleep, settling and bottle cessation methods throughout early childhood may prevent ECC and overweight.</div></div><div><h3>Implications for Public Health</h3><div>Early interventions addressing bottle feeding could reduce the dual burden of ECC and obesity.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100224"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public support for unhealthy food marketing policies in Australia: A cross-sectional analysis of the International Food Policy Study 2022","authors":"Clara Gomez-Donoso ,&nbsp;Bridget Kelly ,&nbsp;Florentine Martino ,&nbsp;Adrian J. Cameron ,&nbsp;Ana Paula C. Richter ,&nbsp;Gary Sacks ,&nbsp;Lana Vanderlee ,&nbsp;Christine M. White ,&nbsp;David Hammond ,&nbsp;Kathryn Backholer","doi":"10.1016/j.anzjph.2025.100231","DOIUrl":"10.1016/j.anzjph.2025.100231","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore public opinion towards food marketing policies.</div></div><div><h3>Methods</h3><div>In 2022, a cross-sectional online survey was completed by 3,923 adults in Australia, including 1,152 caregivers of children aged &lt;18 years. Concern about children’s exposure to unhealthy food marketing was assessed among caregivers. Public support for seven policy options to restrict unhealthy food marketing in different media and settings (broadcast, online, outdoors, packaging and retail) was quantified. Multivariable regression analyses were conducted to examine sociodemographic differences.</div></div><div><h3>Results</h3><div>Most caregivers (85%) reported some degree of concern about their child’s exposure to unhealthy food marketing. Among all respondents, there was a high level of support or neutrality (&gt;70%) for all policies aimed at restricting unhealthy food marketing. Respondents who were female, older, highly educated, who identified as Aboriginal and/or Torres Strait Islander, perceived their monthly income as adequate or had at least one child living in the household reported higher support/neutrality towards several of the assessed policies.</div></div><div><h3>Conclusions</h3><div>Most Australian adults were supportive or neutral towards policies restricting unhealthy food marketing. The level of support varied depending on the policy’s target group and its setting.</div></div><div><h3>Implications for Public Health</h3><div>Implementing unhealthy food marketing policies in Australia would most likely have broad public support and minimal opposition.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100231"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventive health risks in pregnancy: Cross-sectional prevalence survey in three regions of New South Wales, South Australia and Tasmania","authors":"Emma Doherty ,&nbsp;Sophie Dilworth ,&nbsp;John Wiggers ,&nbsp;Luke Wolfenden ,&nbsp;Angie Wilson ,&nbsp;Cathy Leane ,&nbsp;Natasha Schranz ,&nbsp;Judy Parish ,&nbsp;Monique Reardon ,&nbsp;Belinda Tully ,&nbsp;Jenna Hollis ,&nbsp;Justine Daly ,&nbsp;Melanie Kingsland","doi":"10.1016/j.anzjph.2025.100226","DOIUrl":"10.1016/j.anzjph.2025.100226","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the proportion of pregnant people meeting preventive health guideline recommendations in three regions of New South Wales, South Australia and Tasmania.</div></div><div><h3>Methods</h3><div>Cross-sectional surveys of pregnant people attending public maternity services were conducted between November 2021 and April 2022. Participants were asked about their preventive health risks during pregnancy, including tobacco smoking, e-cigarette use, alcohol consumption, gestational weight gain, dietary intake and physical activity.</div></div><div><h3>Results</h3><div>In total, 1064 surveys were completed. Smoking during pregnancy was reported by 10.5% of participants in New South Wales, 7.8% in South Australia and 18.0% in Tasmania. Most participants (95.2%-96.1%) reported that they did not currently consume alcohol. In each region, the majority of participants were currently gaining gestational weight outside recommended ranges (65.0%-70.2%) and not meeting minimum recommendations regarding intake of core food groups (except for fruit) and physical activity (65.2%-75.6%).</div></div><div><h3>Conclusions</h3><div>This study demonstrates a need for greater access to evidence-based interventions to support people reduce their preventive health risks in pregnancy and in turn achieve positive outcomes for themselves and their babies.</div></div><div><h3>Implications for Public Health</h3><div>The findings can inform region-based needs and prioritisation of support for addressing preventive health risks in pregnancy.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100226"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fruit, vegetables and discretionary food intake in Australian adults: Past trends and predicted progress towards population preventive health targets for 2030","authors":"Matthew Ryan ,&nbsp;Danielle L. Baird ,&nbsp;Gilly A. Hendrie","doi":"10.1016/j.anzjph.2025.100223","DOIUrl":"10.1016/j.anzjph.2025.100223","url":null,"abstract":"<div><h3>Objective</h3><div>In Australia, <em>‘improving access to and the consumption of a healthy diet</em>’ is a focus in the National Preventive Health Strategy. The objective of this paper is to describe the past trends and future projections of population intakes against the Strategy’s targets of increasing fruit consumption to 2 servings per day; increasing vegetables to 5 servings; and reducing discretionary foods to &lt;20% of total energy by 2030.</div></div><div><h3>Methods</h3><div>Self-reported intake data were available from an online survey of 275,170 Australian adults collected between 2015 and 2023. Dietary intake was modelled for sex and four age groups and forecasted towards 2030 using gamma-generalised linear models.</div></div><div><h3>Results</h3><div>By 2030, fruit intake is predicted to decrease by 9.7%, discretionary food intake predicted to increase by 18.3%, and vegetable intake predicted to remain stable (but well short of national targets). Differences by sex and age group included an increase in fruit predicted for 18-30 year-olds, and a decrease in vegetables for females but an increase for males.</div></div><div><h3>Conclusions</h3><div>Without significant intervention, it will be difficult to meet Australia’s preventive health dietary targets.</div></div><div><h3>Implications for Public Health</h3><div>Continuous monitoring will be important to inform targeted interventions to improve diet quality and health outcomes.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100223"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National E-cigarette Monitoring and Evidence Consortium: Supporting informed research, policy and practice in Australia","authors":"Emily Banks ,&nbsp;Michelle Scollo ,&nbsp;Coral Gartner ,&nbsp;Becky Freeman ,&nbsp;Sinan Brown ,&nbsp;Sai Campbell ,&nbsp;Amelia Yazidjoglou ,&nbsp;the National E-cigarette Monitoring and Evidence Consortium","doi":"10.1016/j.anzjph.2025.100233","DOIUrl":"10.1016/j.anzjph.2025.100233","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100233"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}