BMC Public Health最新文献

{"title":"Explanation of factors affecting food choice among Iranian young adults (18 to 24 years old): a qualitative study.","authors":"Maryam Mohammadzadeh, Zahra Namkhah, Elaheh Abdolahzadeh, Mehrsadat Mahdizadeh, Seyyed Reza Sobhani","doi":"10.1186/s12889-025-22478-w","DOIUrl":"10.1186/s12889-025-22478-w","url":null,"abstract":"<p><strong>Background: </strong>The young adult period, encompassing the ages of 18 to 24, is characterized by a rapid increase in weight, particularly among individuals born in recent decades, during which environments have become saturated with inexpensive, palatable, and processed foods. While physiological, environmental, and social factors significantly impact health conditions, decisions such as food selection, also play a critical role over time. Understanding food choices is crucial for developing effective health promotion efforts aimed at addressing the root causes of disease and mortality. The aim of this study is to explain the factors affecting the food choices of Iranian youth.</p><p><strong>Methods: </strong>The study population comprised young individuals from Mashhad, and interviews continued until data saturation was reached to capture exhaustive insights on the phenomenon. This qualitative study employed semi-structured in-person interviews for data collection, alongside content analysis using an inductive approach based on the methodologies developed by Granheim and Lundman. Data analysis followed a systematic procedure involving transcription, re-reading, categorization of meaning units, coding, and theme extraction, leading to the identification of new concepts. Data were analyzed using MAXQDA 2020 software.</p><p><strong>Results: </strong>The results indicated that factors influencing young people's food choices were categorized into three overarching themes: Self-concepts: Personal reflections on food behaviors, Abundance of inventory and manifestation of food quality, and the module of the surrounding social environment. The first theme encompasses categories reflecting various influences on individual-centric food choices. The second theme highlights characteristics of the food itself. Lastly, the third theme focuses on the social and environmental impacts of food selection.</p><p><strong>Conclusion: </strong>This research explains the multifaceted factors affecting the food choices of young individuals, emphasizing the roles of individual characteristics, social environments, and dietary potential. It underscores the need for targeted interventions that address the diverse influences on dietary behaviors to promote healthier eating among youth.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1228"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762868","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":"Having lunch at the staff canteen and plant food consumption among 19-39-year-old Finnish employees.","authors":"Elina Mauramo, Jatta Salmela, Noora Kanerva, Susanna Raulio, Tea Lallukka","doi":"10.1186/s12889-025-22445-5","DOIUrl":"10.1186/s12889-025-22445-5","url":null,"abstract":"<p><strong>Background: </strong>Having lunch at the staff canteen has been shown to be associated with daily food consumption and generally healthier food habits in employed populations but associations with the consumption of different types of plant foods have not been investigated. This study among Finnish municipal employees examined whether having lunch at the staff canteen is associated with the consumption of a range of plant foods including fruit, berries, fresh and cooked vegetables and wholegrain bread.</p><p><strong>Methods: </strong>Survey data from the Helsinki Health Study among female and male 19-39-year-old employees of the City of Helsinki, Finland, were used. The survey was conducted in 2017 (N = 5898, response rate 51.5%). A food frequency questionnaire was used to inquire about the overall consumption of food items during the last four weeks, with frequency categories ranging from 'not during the past 4 weeks' to 'two times or more daily'. Variables of daily/non-daily consumption and consumption times/four weeks were formed for each plant food item. Having lunch at the staff canteen was used as a dichotomy of 'yes/no'. Covariates included socioeconomic circumstances and working conditions. Logistic regression modelling was used for analysing the associations.</p><p><strong>Results: </strong>Employees who usually had lunch at the staff canteen (39%) consumed vegetables, but not berries, fruit or whole grain bread, more frequently than those who did not Having lunch at the staff canteen was associated with daily (vs. non-daily) consumption of both fresh vegetables (women OR 1.93, 95% CI 1.63-2.28; men OR 2.18, 1.68-2.83) and cooked vegetables (women OR 1.29, 1.11-1.51; men OR 1.75, 1.23-2.50). The observed associations remained after adjustments for socioeconomic circumstances and working conditions.</p><p><strong>Conclusions: </strong>Having lunch at the staff canteen was associated with more frequent fresh and cooked vegetable consumption. The results warrant further studies, including interventions, investigating whether and how staff canteens could promote the consumption of plant foods among employees.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1237"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762885","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":"Methods used to find clients and risky sexual behavior among female sex workers in China: a cross-sectional study.","authors":"Zhujun Lian, Ke Xu, Jie Jin, Xingliang Zhang, Junfang Xu","doi":"10.1186/s12889-025-22395-y","DOIUrl":"10.1186/s12889-025-22395-y","url":null,"abstract":"<p><strong>Background: </strong>Female sex workers (FSWs) are high-incidence population of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). The methods used to find clients for commercial sex have diversified in recent years. As a result, it is crucial to analyze the correlation between methods used to find clients and risky sexual behavior and explore changes in risky sexual behavior among FSWs over time.</p><p><strong>Methods: </strong>HIV sentinel surveillance data were collected from Zhejiang Province, China, between 2016 and 2021. In total, 4,798 FSWs were included in our analysis. We collected information related to socio-demographic variables, HIV knowledge, methods used to find clients, and condom use. Descriptive statistics were used to analyze the socio-demographic characteristics of FSWs. Univariate and sequential logistic regression models were employed to determine the influence of methods used to find clients on risky sexual behavior after controlling for other factors.</p><p><strong>Results: </strong>The average age of the 4,798 FSWs was 33.0 ± 7.4 years. The majority (70.6%) who find clients online reported always using condoms over the past month. The proportion of FSWs engaging in risky sexual behavior, defined as not using condoms at the last sexual encounter or not using them consistently over the past month, was lowest among those who find clients online, whereas the risk was highest among those who worked at a fixed site (p < 0.001). Sequential logistic regression demonstrated that compared to FSWs who find clients at a fixed site, those finding clients online (OR = 0.6, p < 0.001) were significantly associated with risky sexual behavior.</p><p><strong>Conclusion: </strong>FSWs had a high knowledge regarding acquired immunodeficiency syndrome (AIDS), but with greater likelihood of risky sexual behavior, particularly among FSWs who find customers at a fixed site. The risk of engaging in condomless sex among FSWs who find client at fixed sites was higher than those online. Therefore, it is essential to explore health interventions that improve condom use among FSWs.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1232"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762891","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":"First aid self-efficacy: a scale adaptation and psychometric properties.","authors":"Minna Sihvo, Ville Heilala, Tommi Kärkkäinen","doi":"10.1186/s12889-025-22486-w","DOIUrl":"10.1186/s12889-025-22486-w","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy is a crucial predictor of effective performance in medical emergencies requiring first aid skills. Despite this, there is no standardized instrument for reliably measuring self-efficacy in first aid situations. The aim was to fill this gap by developing a novel first aid self-efficacy scale and validate it through a comprehensive assessment of its psychometric properties.</p><p><strong>Methods: </strong>A systematic assessment of the existing first aid self-efficacy scales was conducted. A psychometric analysis process involving 1152 participants was undertaken for the new scale. The analysis utilized factor analysis, non-parametric item response theory, and classical test theory, including validity assessment.</p><p><strong>Results: </strong>The developed first aid self-efficacy scale demonstrated excellent psychometric properties. The scale exhibited a robust internal structure, high reliability, and strong construct validity. It showed significant positive correlations with related constructs and effectively distinguished between different levels of first aid knowledge and training history.</p><p><strong>Conclusion: </strong>The first aid self-efficacy scale is a novel, reliable, and valid instrument for assessing self-efficacy in first aid contexts. It can be used to measure the impact of first aid training and interventions, thereby promoting more effective layperson responses in emergencies. The scale's robust psychometric properties make it a valuable tool for both research and practical applications in emergency preparedness and first aid training.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1234"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762876","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":"The impact of individual and contextual socioeconomic factors on colorectal cancer screening adherence in Turin, Italy: a multilevel analysis.","authors":"Stefano Rousset, Elena Strippoli, Carlo Senore, Teresa Spadea, Marco Calcagno, Nicolás Zengarini, Gianluigi Ferrante","doi":"10.1186/s12889-025-22396-x","DOIUrl":"10.1186/s12889-025-22396-x","url":null,"abstract":"<p><strong>Background: </strong>Screening participation can be influenced by both individual socioeconomic position and contextual factors. In Italy, disparities exist regarding screening adherence, but it is important to understand the specific factors driving these disparities in specific locations according to different screening protocols. The aim of this study is to identify the impact of individual and contextual socio-economic factors on adherence to the organized colorectal cancer screening in the city of Turin, Italy.</p><p><strong>Methods: </strong>Retrospective observational study on the population of assisted residents in Turin, eligible for colorectal screening from January 2010- June 2019. Colorectal screening in Piedmont involved inviting 58-year-old individuals to undergo a flexible sigmoidoscopy (FS) or, in case of non-adherence, a faecal immunochemical test (FIT). The program also included another protocol based directly on FIT as the first test. Adherence to the two screening protocols according to demographic/socioeconomic characteristics and contextual factors was evaluated with multilevel Poisson models.</p><p><strong>Results: </strong>90,227 eligible subjects (53% females) were analysed exploring adherence to FS/FIT. Lower likelihood of participation was found among males from High-Migratory-Pressure-Countries (HMPC), subjects with the lowest educational level, unemployed individuals, subjects living in rented houses, living alone/cohabiting and single parents. Among males, retirees and subjects living in more deprived areas participated more. 36,674 subjects (53% females) were analysed exploring adherence to the first FIT invitation. Adherence rate was higher among women (40% vs. 36%). Lower likelihood of participation was found among HMPC immigrants, males with the lowest educational level, people living in rented accommodation, living alone/cohabiting and single parents. Higher participation was found in retirees. In males, no differences were found between subjects living in more and less deprived areas, but a different likelihood of participation was observed across different areas of the city.</p><p><strong>Conclusions: </strong>Socioeconomic and demographic characteristics influence access to organized colorectal screening in Turin. Immigrant status, low level of education, poor housing conditions and lack of social support, with some differences according to gender, emerged as the most significant barriers that should be tackled in order to increase screening participation and reduce inequalities. Contextual factors play a role only among male subjects.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1235"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762924","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":"Publisher Correction: User-centered design to enhance university students' sex and menstrual education in South Korea: randomized controlled trial.","authors":"Hana Kim, Ji Woon Ko, Doyon Kim, Nagyeom Yoon, Jisan Lee","doi":"10.1186/s12889-025-22332-z","DOIUrl":"10.1186/s12889-025-22332-z","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1218"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750533","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":"Adolescents' health literacy perspectives and implications.","authors":"Adamu Amanu Asari, Zewdie Birhanu, Ameyu Godesso","doi":"10.1186/s12889-025-22341-y","DOIUrl":"10.1186/s12889-025-22341-y","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is an essential stage of life during which individuals develop knowledge, attitudes, and behaviors that can have significant impacts on their present and future health. Therefore, health literacy issue among adolescents is a pressing matter. Understanding adolescents' perspectives of health literacy is crucial for making informed interventions. However, the topic remains unexplored in developing countries like Ethiopia. This study seeks to explore adolescents' perspectives of health literacy within their socio-environmental context in Ethiopia and draw out the implications.</p><p><strong>Methods: </strong>This study employed qualitative research approach, utilizing in-depth interviews and focus group discussions as methods of data collection. Data collection took place from March to October 2023, involving 86 participants (41 male and 45 female) selected through purposive sampling (maximum variation sampling) to capture a wide range of perspectives on the issue. The data analysis followed a thematic analysis approach, using Atlas.ti (version 7.5.18) software.</p><p><strong>Results: </strong>From the adolescents' perspectives, health literacy or being health literate is regarded as comprising various competencies and qualities essential for health, including health awareness and knowledge, abilities to deal with health information, practicing healthy behaviors, upholding healthy norms and values of the community, and being a responsible citizen. The adolescents regard health literacy or being health literate as highly beneficial in healthcare, disease prevention, health maintenance and enhancement, and in taking responsibility not only for ones' own health but also for the health of others, thereby benefiting those around them and their community and society. However, this study found notable gaps in health literacy among the adolescents, influenced by various factors ranging from individual to community and societal levels.</p><p><strong>Conclusion: </strong>The study explored health literacy from adolescents' perspectives in Ethiopia, and contributed to understanding of the issue. It identified notable gaps in adolescent health literacy and provided insights into the enabling and hindering factors. This study laid the ground for developing a health literacy tool sensitive to the Ethiopian sociocultural context and for broader studies to enhance understanding and to develop effective interventions to improve and promote health literacy among adolescents and within the broad society.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1233"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762859","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":"Navigating the Road to Resilience (RR): understanding the work environment's influence on mental health among Indian truck drivers.","authors":"Vidya Bhushan Tripathi, Snigdha Pareek","doi":"10.1186/s12889-025-22370-7","DOIUrl":"10.1186/s12889-025-22370-7","url":null,"abstract":"<p><strong>Objectives: </strong>This paper explores the prevalence and factors contributing to depression among truck drivers in India. The aim is to identify specific factors associated with depression in this population and to provide suggestions for mitigating these factors.</p><p><strong>Methods: </strong>The study employs an observational cross-sectional analytical approach to explore truck drivers on National Highways through Jaipur, Rajasthan. It explored how work routine, workspace conditions, and family/social engagement impact depression. Variables included work hours, rest breaks, driving conditions, and social factors like police harassment. A sample of 300 drivers was selected using Probability Proportional to Size sampling from four randomly chosen halt points, based on average truck traffic, meeting criteria like experience and vehicle type.</p><p><strong>Results: </strong>The study surveyed truck drivers aged 22-56 years (average 35, SD = 6.6) and identified significant associations between depression and factors like working hours (χ2 = 51.227, p = .000), police humiliation (χ2 = 21.740, p = .000), workspace distraction (χ2 = 89.463, p = .000), and uncomfortable workspace conditions (χ2 = 7.997, p = .005). Age (χ2 = 3.083, p = .079) and marital status (χ2 = 1.782, p = .182) were not significant. Job satisfaction (B = 1.813, p = .001) and supervisor support (B = 1.156, p = .018) were significantly linked to depression.</p><p><strong>Conclusions: </strong>The study concludes that multiple factors significantly influence the likelihood of experiencing depression among truck drivers. Based on these findings, several recommendations are proposed to help reduce depression rates in this population. These include making mental health services readily available and accessible, implementing strict regulations on working hours to prevent excessive fatigue, and preventing police humiliation and abuse. This research contributes to the growing concern about the mental health of truck drivers in India and underscores the need for effective interventions to address these issues comprehensively.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1227"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762897","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":"Cutting through the fog: recognising brain fog as a significant public health concern.","authors":"Darren Haywood, Susan L Rossell, Nicolas H Hart","doi":"10.1186/s12889-025-22525-6","DOIUrl":"10.1186/s12889-025-22525-6","url":null,"abstract":"<p><p>Brain fog is a highly common condition that can have significant impacts on quality of life and functioning. Most people will experience a condition, illness, or infection that might result in the development of brain fog. We provide a call to action to minimise the impacts of brain fog.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1230"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762854","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":"Exploring experiences and perceptions of early withdrawal from a height-adjustable sit-to-stand desk intervention among South African office workers.","authors":"Merling Phaswana, Sunday O Onagbiye, Philippe Jean-Luc Gradidge","doi":"10.1186/s12889-025-22415-x","DOIUrl":"10.1186/s12889-025-22415-x","url":null,"abstract":"<p><strong>Background: </strong>The increasing sedentary behaviour and burden of non-communicable diseases among office workers raise significant concerns. Height-adjustable sit-to-stand desks offer a potential solution, yet uptake remains challenging, limiting their effectiveness and long-term adoption. The experiences of office workers who withdrew from a height-adjustable sit-to-stand desk intervention need to be explored to inform program refinement.</p><p><strong>Methods: </strong>A qualitative approach was used, with pre-identified themes guiding data collection, while subthemes emerged inductively from transcripts and field notes. Twelve participants with a mean age of 46.0 years were conveniently sampled. These office workers withdrew from a height-adjustable standing desk randomised controlled trial and did not form any part of other studies. One-on-one semi-structured interviews guided data collection about the participants' experiences and reasons for early withdrawal from the intervention. Data were thematically analysed using Atlas.ti 23.</p><p><strong>Results: </strong>Most participants were female (n = 10, 83.3%). All participants completed high school, while 41.7% completed a postgraduate degree from a university and credit bureau company. Despite the participants' understanding of the benefits of height-adjustable sit-to-stand workstations, most of the participants discontinued the intervention due to perceived barriers that aligned with the themes: \"discomforts and dislikes\", \"applicability and practicality\", \"people's perception-i.e., what other people will say\" and \"transitioning to electronic sit-to-stand desks\".</p><p><strong>Conclusions: </strong>The findings of this study may assist in formulating a policy to improve compliance with height-adjustable sit-to-stand workstations in the workplace. Future studies should consider individual preferences, design, functionality, knowledge, and motivation to ensure effective implementation, utilisation, and compliance with height-adjustable sit-to-stand workstations.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1209"},"PeriodicalIF":3.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751128","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}