Australian and New Zealand Journal of Public Health最新文献

{"title":"Whose values, what bias, which subjectivity?: The need for reflexivity and positionality in epidemiological health equity scholarship","authors":"Brianna Poirier, Dandara Haag, Gustavo Soares, Lisa Jamieson","doi":"10.1016/j.anzjph.2023.100079","DOIUrl":"10.1016/j.anzjph.2023.100079","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430620","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":"Dimensions of the diet-exercise relationship in later life: A qualitative study","authors":"Simone Pettigrew ,&nbsp;Michelle I. Jongenelis ,&nbsp;Zenobia Talati ,&nbsp;Gael Myers ,&nbsp;Nina Sapountsis","doi":"10.1016/j.anzjph.2023.100090","DOIUrl":"10.1016/j.anzjph.2023.100090","url":null,"abstract":"<div><h3>Objective</h3><p>Diet and physical activity are two lifestyle behaviours that are critical for healthy ageing. The aim of this study was to explore how older adults negotiate dietary and physical activity decisions to identify areas of intersection between these two behaviours and inform health promotion interventions targeting both diet and exercise.</p></div><div><h3>Methods</h3><p>This exploratory study utilised a novel data collection approach that involved lay interviewers recruiting their peers to (i) participate in two interviews over a period of six months and (ii) make notes on their thoughts relating to diet and physical activity. Participants were 75 adults aged 60+ years in Western Australia (n = 64 females).</p></div><div><h3>Results</h3><p>Three primary themes were identified: (i) the importance but difficulty of achieving energy balance; (ii) issues relating to managing food intake before, during, and after physical activity; and (iii) reciprocal opportunities for eating and physical activity.</p></div><div><h3>Conclusions</h3><p>Diet and physical activity are linked in complex ways, highlighting the need for multi-factorial interventions.</p></div><div><h3>Implications for public health</h3><p>When developing communications strategies designed to encourage older people to both improve their diets and increase their physical activity, consideration could be given to leveraging existing perceived alignments between healthy eating and being active.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103202","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":"Availability and quality of data related to cultural and linguistic diversity in the Victorian Suicide Register: A pilot study","authors":"Mandy Truong ,&nbsp;Jeremy Dwyer ,&nbsp;Jocelyn Chan ,&nbsp;Lyndal Bugeja","doi":"10.1016/j.anzjph.2023.100078","DOIUrl":"10.1016/j.anzjph.2023.100078","url":null,"abstract":"<div><h3>Objective</h3><p>While people from culturally and linguistically diverse (CALD) backgrounds have been identified as a priority for suicide prevention in Australia, little is known about suicide in CALD communities. We aim to describe the availability and quality of CALD data in the Victorian Suicide Register (VSR).</p></div><div><h3>Methods</h3><p>A retrospective consecutive case series review of suicides reported to the Coroners Court of Victoria during 2016 was conducted. Using the VSR, we identify suicides showing evidence of CALD identity and relevant variables were extracted and coded according to an adapted Australian Institute of Health and Welfare framework.</p></div><div><h3>Results</h3><p>During 2016, 126 of 652 suicides (19.3%, 95% confidence intervals 16.4-22.6) were flagged as showing evidence of CALD. The two most frequent CALD indicators for which information was recorded were country of birth and year of arrival. There was less information pertaining to citizenship, residency/visa status, preferred language, English language proficiency and religious affiliation.</p></div><div><h3>Conclusions</h3><p>This study demonstrates that the VSR, like other databases, has substantial gaps in availability and quality of CALD data.</p></div><div><h3>Implications</h3><p>A framework to capture richer data on cultural, religious and linguistic diversity when coding suicides is needed to inform policy on suicide prevention initiatives designed for CALD communities.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069475","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":"A qualitative exploration of the non-financial costs of cancer care for Aboriginal and Torres Strait Islander Australians","authors":"Rachel Cummins ,&nbsp;Robyn Preston ,&nbsp;Stephanie M. Topp ,&nbsp;Judy Taylor ,&nbsp;Sarah Larkins ,&nbsp;Emily Callander ,&nbsp;Lorraine Bell ,&nbsp;Brian Arley ,&nbsp;Gail Garvey","doi":"10.1016/j.anzjph.2023.100085","DOIUrl":"10.1016/j.anzjph.2023.100085","url":null,"abstract":"<div><h3>Objective</h3><p>Knowledge is growing about cancer care and financial costs for Aboriginal and Torres Strait Islander people. However, much remains unknown about the true costs of cancer care, encompassing financial, emotional, and spiritual aspects. We aimed to explore and explain how non-financial costs affect the health-seeking behaviours of these clients.</p></div><div><h3>Methods</h3><p>Following Indigenous research protocols, this research was led by Aboriginal and Torres Strait Islander researchers and guided by Indigenous Hospital Liaison Officers. In-depth interviews and focus groups were conducted with 29 participants (Aboriginal and Torres Strait Islander cancer clients, their carers, and cancer-care professionals) at two Queensland public hospitals.</p></div><div><h3>Results</h3><p>Four interwoven themes encompass non-financial costs of healthcare: leaving home and family; loss of control during cancer treatment; health of the spirit; social costs. The Aboriginal relational concept of ‘being held’ is useful in considering client, family, and carer as central to care with the Indigenous Hospital Liaison Officer two-way interpreting between the care and client team.</p></div><div><h3>Implications for Public Health</h3><p>Framing the reasons that clients and carers have difficulty in engaging in treatment as ‘costs’ enables a focus on how the health system itself is implicated in the disengagement of Aboriginal and Torres Strait Islander clients from treatment.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181135","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":"Is it time to increase the cost of tobacco licences after 10 years of stagnation?","authors":"Samuel Ziesing ,&nbsp;Kerry Ettridge ,&nbsp;Joanne Dono ,&nbsp;Ashley Luppino ,&nbsp;Caroline Miller","doi":"10.1016/j.anzjph.2023.100080","DOIUrl":"10.1016/j.anzjph.2023.100080","url":null,"abstract":"<div><h3>Objective</h3><p>Reducing tobacco licences is one potential lever to reduce tobacco-related harms. A 15-fold increase in annual tobacco retailer licence fees in 2007 led to a 24% decline in the number of licences in 2009. This study investigates the changes in tobacco licences over a subsequent decade in the absence of real fee increases.</p></div><div><h3>Methods</h3><p>The South Australian (SA) government tobacco licencing system databases for 2009 and 2020 were audited, measuring changes in the number and distribution of tobacco and vending machine licences by outlet type, disadvantage, and remoteness.</p></div><div><h3>Results</h3><p>The number of tobacco licences declined by 33.1% overall. Large reductions were observed in food service venues (65.2%) and hotel/motels (37.2%). In 2020, most licences were in service stations (25.1%), hotel/motels (22.9%), and supermarkets (22.2%). Despite proportional reductions across all disadvantage quintiles, the most disadvantaged areas continued to have the largest number of tobacco licensees. Vending machines declined by 63.6% and remained concentrated in hotels/motels (91.4%).</p></div><div><h3>Conclusions</h3><p>Since a 15-fold licence fee increase in 2007 effectively reduced tobacco retailers from 2007-2009, the decline since has been incremental.</p></div><div><h3>Implications for public health</h3><p>Increasing tobacco licence fees is a straightforward and effective measure to reduce tobacco availability and should be re-prioritised.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41096577","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":"Paediatric COVID-19 vaccination coverage and associated factors among migrant and non-migrant children aged 5-11 years in Aotearoa New Zealand: A population-level retrospective cohort study","authors":"Nadia A. Charania ,&nbsp;Linda Kirkpatrick ,&nbsp;Janine Paynter","doi":"10.1016/j.anzjph.2023.100086","DOIUrl":"10.1016/j.anzjph.2023.100086","url":null,"abstract":"<div><h3>Objective</h3><p>Children with migrant and refugee backgrounds may experience immunisation inequities due to barriers to accessing and accepting vaccines. In Aotearoa New Zealand (NZ), national reporting can mask inequities in coverage by migration background. This study explored paediatric COVID-19 vaccine uptake among children with migrant and refugee backgrounds.</p></div><div><h3>Methods</h3><p>This population-level retrospective cohort study compared rates and determinants of paediatric COVID-19 vaccine uptake as of July 2022 amongst migrant and non-migrant children who were aged between 5 and 11 years as of January 2022. Linked de-identified administrative and health data available in Statistics NZ’s Integrated Data Infrastructure were used, and univariate and multivariable logistic regression were conducted to determine associations.</p></div><div><h3>Results</h3><p>Of the total study population (N = 451,323), 3.5% were overseas-born migrant children, 31.3% were NZ-born migrant children, and 65.3% were NZ-born non-migrant children. Only 50.8% (229,164 out of 451,323) of children had received at least one dose. Migrant children were significantly more likely to have received a COVID-19 vaccination than non-migrant children. Logistic modelling revealed that all factors, including ethnicity, gender, age, family type, household income, deprivation, region, parent COVID-19 vaccination status, and child’s previous COVID-19 infection, significantly influenced COVID-19 vaccine uptake. The largest contributing factor was parents’ COVID-19 vaccination status.</p></div><div><h3>Conclusions</h3><p>The findings suggest that NZ’s paediatric COVID-19 vaccination programme was able to address logistical and motivational barriers commonly identified amongst migrants and refugees.</p></div><div><h3>Implications for public health</h3><p>As parents’ vaccination status is an important factor in vaccinating their own children, continuous efforts are needed to support confident parental COVID-19 vaccine decision-making. To address social inequities, engagement with marginalised communities to co-design tailored and localised approaches is recommended.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41095435","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":"Hepatitis C virus point-of-care RNA testing: Experience from screening an entire high-security Australian prison population over 3 days","authors":"Chris Wallis ,&nbsp;Mim O’Flynn ,&nbsp;Mary Fenech ,&nbsp;Dorrit Grimstrup","doi":"10.1016/j.anzjph.2023.100083","DOIUrl":"10.1016/j.anzjph.2023.100083","url":null,"abstract":"<div><h3>Objective</h3><p>Point-of-care testing for hepatitis C virus (HCV) in high-risk populations is key to diagnosing and eliminating HCV. We aimed to test all occupants for HCV in an entire prison.</p></div><div><h3>Methods</h3><p>All consenting participants at the Brisbane Women’s Correctional Centre were tested for HCV over 3 days using fingerstick samples. Participants with HCV were linked to care by a Nurse Practitioner experienced in HCV management.</p></div><div><h3>Results</h3><p>211 of 244 participants of the prison population at the time (86%) consented and were tested. 17 participants (8%) had HCV, of who 14 commenced antiviral therapy ≤1 week of testing, 1 was later approved for antiviral therapy in consultation with a physician, and 2 due for release were followed-up and linked to care in the community. Education and counselling provided before testing was rated as very good or excellent by 47% of participants.</p></div><div><h3>Conclusions</h3><p>Testing occupants in a high-security prison of this size is feasible and can provide an overview of HCV infectivity. Testing combined with linkage to care will support the elimination of HCV in this high-risk population.</p></div><div><h3>Implications for public health</h3><p>Point-of-care testing for HCV in prisons with dedicated clinicians, resources, and partnerships, particularly at prison entry, can contribute to eliminating HCV in Australia by 2030.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41099058","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":"Socioeconomic disadvantage and engagement with digital contact tracing for COVID-19 in Western Sydney: A secondary analysis of surveillance data","authors":"Benjamin Silberberg ,&nbsp;Christian Young ,&nbsp;Shopna Bag ,&nbsp;Conrad Moreira ,&nbsp;Sophie Norton ,&nbsp;Jessica Wells ,&nbsp;Ramon Z Shaban","doi":"10.1016/j.anzjph.2023.100087","DOIUrl":"10.1016/j.anzjph.2023.100087","url":null,"abstract":"<div><h3>Objective</h3><p>COVID-19 outcomes were highly inequitably distributed in Australia and worldwide. The digitalisation of public health interventions offers resource-efficiency and increased capacity for pandemic responses, but risks excluding the elderly and disadvantaged, reinforcing existing inequalities. Despite this, there has been little evaluation of the determinants of uptake of digital contact tracing.</p><p>This paper describes the use of digital contact tracing for COVID-19 in a population in metropolitan Sydney and the determinants of engagement in this population.</p></div><div><h3>Methods</h3><p>Routinely collected surveillance data for residents of Western Sydney Local Health District, returning a positive SARS-CoV-2 result between 1^st August 2021 and 12^th February 2022, were extracted including responses to a digital contact tracing questionnaire. Individual records were linked to area-level socioeconomic indices of disadvantage.</p><p>Descriptive analyses explored characteristics of non-responders and geospatial variation. Logistic regression was undertaken to evaluate the effect of age, sex and socioeconomic disadvantage on the odds of response.</p></div><div><h3>Results</h3><p>Of the 133 055 individuals included, 130 645 (98%) were issued a digital contact tracing questionnaire, and 106 432 (81%) responded. Odds of responding were lower in males <em>(odds ratio: 0.79)</em>, individuals aged 80+ <em>(odds ratio: 0.17)</em> and the most disadvantaged communities <em>(odds ratio: 0.32)</em>.</p></div><div><h3>Conclusions</h3><p>Digital data collection for contact tracing was a scalable and efficient tool in the context of the Western Sydney Local Health District COVID-19 response. However, older people and individuals in disadvantaged communities were less likely to engage.</p></div><div><h3>Implications for Public Health</h3><p>Responses to future pandemics should leverage the resource-efficiency of digital interventions but should avoid compounding existing health inequalities.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103107","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":"E-cigarette use and other risk factors associated with tobacco smoking susceptibility among Australian adolescents","authors":"Maree Scully ,&nbsp;Elizabeth Greenhalgh ,&nbsp;Emily Bain ,&nbsp;Melanie Wakefield ,&nbsp;Sarah Durkin ,&nbsp;Victoria White","doi":"10.1016/j.anzjph.2023.100076","DOIUrl":"10.1016/j.anzjph.2023.100076","url":null,"abstract":"<div><h3>Objective</h3><p>To explore risk factors for smoking susceptibility among Australian adolescents to inform prevention policies and programs.</p></div><div><h3>Methods</h3><p>Cross-sectional survey of students aged 12–17 years who reported having never smoked (n=4,171). Bivariate associations between smoking susceptibility and a range of factors previously linked to youth smoking and smoking susceptibility were initially examined, with significant factors (<em>p</em>&lt;0.05) included in a final multivariable logistic regression model.</p></div><div><h3>Results</h3><p>Eleven percent of adolescents who had never smoked were susceptible to smoking. Smoking susceptibility was independently associated with ever use of e-cigarettes (adjusted odds ratio [AOR]=3.26, 95% confidence interval [CI]: 1.83-5.81), perceiving those who smoke to be more popular (AOR=2.87, 95% CI: 1.62-5.10), having a close friend/s who smokes (AOR=2.66, 95% CI: 1.61-4.40), not perceiving smoking one or two cigarettes occasionally as personally dangerous (AOR=2.56, 95% CI: 1.61-4.09), and having symptoms of depression (AOR=1.59, 95% CI: 1.06-2.38).</p></div><div><h3>Conclusions</h3><p>The strongest smoking-initiation risk factor identified was ever use of e-cigarettes, with social norms, harm misperceptions around low-rate tobacco use and mental health also linked to smoking susceptibility.</p></div><div><h3>Implications for Public Health</h3><p>Stronger e-cigarette regulations that reduce promotion to and access by youth, as well as interventions addressing the other identified risk factors, may help prevent future smoking uptake among Australian adolescents.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064933","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":"Mapping pandemic responses in urban Indigenous Australia: Reflections on systems thinking and pandemic preparedness","authors":"Bronwyn Fredericks ,&nbsp;Abraham Bradfield ,&nbsp;James Ward ,&nbsp;Sue McAvoy ,&nbsp;Shea Spierings ,&nbsp;Agnes Toth-Peter ,&nbsp;Troy Combo","doi":"10.1016/j.anzjph.2023.100084","DOIUrl":"10.1016/j.anzjph.2023.100084","url":null,"abstract":"<div><h3>Objectives</h3><p>We investigate some of the strengths and challenges associated with Covid-19 responses in urban Indigenous communities in Brisbane, Australia. Our research reflects on the interconnected dynamics that impact health outcomes and mitigate or exacerbate the risk of Covid-19 spreading within urban Indigenous communities.</p></div><div><h3>Methods</h3><p>Three systems thinking workshops were held in 2021 with Indigenous and non-Indigenous stakeholders (N15/workshop) from State and Federal services, along with Aboriginal Community Controlled Health Organisations. All worked in the urban Indigenous health sector. Stakeholders produced a Causal Loop Diagram (CLD) incorporating the critical feedbacks determining the dynamics influencing health outcomes. The aim of the research was to help stakeholders’ build awareness of how the structure of the system influences health outcomes.</p></div><div><h3>Results</h3><p>Stakeholders identified 6 key dynamics which have a negative or positive impact on mitigating risks of Covid-19 infection. By mapping these dynamics within a CLD, 7 intervention points were identified.</p></div><div><h3>Conclusions</h3><p>Systems thinking provides a useful tool in identifying the complexities associated with navigating health challenges, but further research is needed to develop frameworks that work in conjunction with Indigenous Australian methodologies.</p></div><div><h3>Implications for public health</h3><p>Indigenous voices and communities must lie central to health responses/policies for Indigenous peoples. When systems thinking is done by or in collaboration with stakeholders it provides a visual language that can help design public health policy. What can be ascertained is that their effectiveness is predicated on systems thinking’s integration with Indigenous methodologies that acknowledges Indigenous self-determination and challenges Eurocentric representations of health and Indigeneity.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41096539","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}