BMC Public Health最新文献

{"title":"A qualitative study of former participants' experiences of the Green Prescription program in Aotearoa New Zealand.","authors":"Kobus Du Plooy, Beth Wishart, Damian Scarf","doi":"10.1186/s12889-025-24524-z","DOIUrl":"https://doi.org/10.1186/s12889-025-24524-z","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3251"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of physical activity and sedentary behavior with mental health among university students: the mediating role of cardiorespiratory fitness and moderating role of gender.","authors":"Liya Xu, Yutian Ji, Xu Wen","doi":"10.1186/s12889-025-24528-9","DOIUrl":"https://doi.org/10.1186/s12889-025-24528-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the associations between physical activity (PA), sedentary behavior, and mental health among university students, with a focus on the mediating role of cardiorespiratory fitness (CRF) and the potential moderating effect of gender.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 233 university students from Zhejiang University. PA and sedentary behavior were assessed using the Global Physical Activity Questionnaire, mental health was measured by the Depression Anxiety Stress Scale (DASS-42), and CRF was evaluated via a treadmill-based VO₂max test. Harman's single-factor test was used to assess common method bias. Partial correlation, mediation, and moderation analyses were performed using SPSS 27.0 and the PROCESS 3.5 macro.</p><p><strong>Results: </strong>PA was positively associated with CRF (β = 0.0016, P < 0.001) and negatively associated with depression (β = -0.0010, P < 0.001), anxiety (β = -0.0004, P = 0.004), and stress (β = -0.0014, P < 0.001). Sedentary behavior was negatively associated with CRF (β = -0.0096, P = 0.002) but not significantly associated with mental health outcomes directly (P > 0.05). CRF was negatively associated with depression (β = -0.0721, P = 0.040), anxiety (β = -0.0806, P = 0.040), and stress (β = -0.2502, P = 0.007), and partially mediated the associations of PA and sedentary behavior with mental health. Gender significantly influenced depression (F = 1.191, P = 0.276) and anxiety (F = 3.552, P = 0.061), but did not significantly moderate the associations among PA, sedentary behavior, and CRF (interaction P-values > 0.05).</p><p><strong>Conclusion: </strong>CRF partially mediates the association between PA and mental health, suggesting that improved CRF may be one pathway through which PA supports psychological well-being. While sedentary behavior did not directly predict mental health outcomes, its negative impact on CRF may indirectly contribute to psychological distress. Gender differences in mental health were observed, but gender did not significantly alter the relationships between the key study variables.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3260"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between perceived air pollution and myopia: an exploration of the mediating effects of healthy lifestyle factors.","authors":"Ziyun Zhang, Changkun Tang, Peng Shi, Xiaosu Feng","doi":"10.1186/s12889-025-24583-2","DOIUrl":"https://doi.org/10.1186/s12889-025-24583-2","url":null,"abstract":"<p><strong>Objective: </strong>To explore the relationship between air pollution and myopia in Chinese adult population, as well as the mechanism of physical exercise, sedentary behavior and sleep quality in the association between them, so as to provide a basis for formulating comprehensive myopia prevention and control policies.</p><p><strong>Methods: </strong>The data of 2,717 participants from CGSS 2021 were Analyzed. This database used subjective assessment methods to evaluate the perceived air pollution level, myopia prevalence, frequency of physical exercise, sedentary time And sleep quality. Based on SPSS 21.0 software, independent samples t-test, binary logistic regression analysis, and the three-step method for mediating effect test were applied to conduct data statistics and analysis.</p><p><strong>Results: </strong>The average age of the subjects was (52.04 ± 17.64) years old, And the proportion of females was 54.8%. After controlling for relevant variables, there was a significant positive correlation between perceived air pollution and myopia (OR = 1.132, 95%CI = 1.003 ~ 1.278, P < 0.05); there was still a significant positive correlation between sedentary time and myopia (OR = 1.032, 95%CI = 1.005 ~ 1.060, P < 0.05); there was still a significant negative correlation between sleep quality and myopia (OR = 0.798, 95%CI = 0.707 ~ 0.901, P < 0.01); while the correlation between frequency of physical exercise and myopia was not significant (OR = 1.029, 95%CI = 0.967 ~ 1.094, P > 0.05). In addition, sleep quality plays a mediating role in the correlation between perceived air pollution and myopia (P < 0.01), with the mediating effect accounting for 12.06%, while the mediating effects of physical exercise and sedentary behavior are not significant (P > 0.05).</p><p><strong>Conclusion: </strong>There is a significant positive correlation between perceived air pollution and myopia, and sleep quality plays a mediating role in the above correlation.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3281"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for over-reporting of routine immunization administrative data in the Democratic Republic of Congo: a mixed cross-sectional study to determine explanatory factors for poor data quality.","authors":"Dosithée Ngo-Bebe, Fulbert Nappa Kwilu, Joël Nkiama Konde, Daniel Katuashi Ishoso, Félicité Langwana, Cedric Mwanga, Leon Mbulu Kinuani, Christophe Lungayo Luhata, Jean-Crispin Mukendi, Aimé Mwana-Wabene Cikomola, Marcellin Mengouo Nimpa","doi":"10.1186/s12889-025-24639-3","DOIUrl":"https://doi.org/10.1186/s12889-025-24639-3","url":null,"abstract":"<p><strong>Background: </strong>Differences of more than 30% have been observed between the results of vaccine coverage surveys and routine vaccine coverage data. In the context of the organization and operation of the health system, the study focused on investigating explanatory factors for over-reporting.</p><p><strong>Methods: </strong>This was a mixed-method, cross-sectional, and analytical study. Over-reporting of routine immunization data was defined as a discrepancy of ≥ 10% points between routine data and survey data or recount data (standards) for the Penta3 vaccine. Data were collected by questionnaire from 117 health centers, 30 health zone offices, and 13 provincial health offices. Bivariable and multivariable analyses (α = 5%) were used to find factors influencing over-reporting. Data from 30 in-depth interviews were collected to complement quantitative data.</p><p><strong>Results: </strong>The phenomenon of over-reporting of routine immunization data was verified in the health zones (90% or 77%) and health centers (43%) surveyed in 2019 and 2020. At the health zone level, six explanatory factors emerged. The most significant tree variables being the pressure exerted on managers to achieve pre-established annual targets (p = 0.016), the availability of data collection tools (p = 0.010) and bearer message for manual transport of reports (p = 0.031). At the health center level, seven factors were found, and the four most significant were: availability of a cell phone (p = 0.002), existence of table or graph for coverage monitoring (p = 0.003), availability of a computer in the health center (p = 0.007) and designated health data collector (p = 0.015). Qualitative data revealed three over-reporting practices: deliberate inflation of vaccine delivery figures, readjustment of expected target population figures, and occasional errors in data transcription.</p><p><strong>Conclusion: </strong>Over-reporting is essentially generated by providers. Solving this problem requires lifting the pressure exerted on managers at different levels of the health system, making data management more secure, and qualifying the staff responsible for managing immunization data.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3272"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global burden, socioeconomic disparities, and spatiotemporal dynamics of opioid use disorder mortality and disability: a comprehensive analysis from the global burden of disease study 2017-2021.","authors":"Jianhua Zhang, Ruoxuan Liu, Xue Wang, Leiguang Zhang, Weidong Pei, Junqing Hou, Song Li","doi":"10.1186/s12889-025-24541-y","DOIUrl":"https://doi.org/10.1186/s12889-025-24541-y","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3254"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community engagement approaches and influencing factors in Aedes mosquito management: a case study from North Queensland, Australia.","authors":"Tammy Allen, Alan Crouch, Tanya L Russell, Stephanie M Topp","doi":"10.1186/s12889-025-24486-2","DOIUrl":"https://doi.org/10.1186/s12889-025-24486-2","url":null,"abstract":"<p><strong>Aim: </strong>Community engagement plays a crucial role in preventing and managing Aedes-borne mosquito disease outbreaks, such as dengue. There is limited research on the engagement approaches used in high-income country contexts with existing research suggesting a preference for top-down vector control relying on one-way communication to engage and mobilize at-risk communities. The reasons behind why authorities use certain engagement approaches over others are underexplored. This study explores the community engagement approaches used in Aedes mosquito management in Townsville, Australia, and the factors influencing the choice of these approaches.</p><p><strong>Methods: </strong>The study used a case study design employing two qualitative methodologies: semi-structured key informant interviews (N = 15) and a review of key documents (N = 13). Both inductive and deductive approaches were used to thematically analyse the data.</p><p><strong>Results: </strong>A range of approaches were used to engage the community in Aedes mosquito management. From mass media campaigns and door-to-door inspections, to engaging the community in Wolbachia mosquito-releases, and helping authorities with indoor spraying during outbreak response. The factors influencing the choice of these approaches included legal obligations and regulatory compliance, vector control norms, leadership beliefs, human and financial resourcing.</p><p><strong>Conclusions: </strong>This study provides new insights into why authorities adopt specific community engagement approaches in Aedes mosquito management, within a high-income country context. It identifies barriers to enhancing community engagement and suggests strategies for addressing them in future planning. These findings are particularly relevant given the increasing Aedes mosquito risk in similar high-income country settings.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3255"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.","authors":"Pramodya Senaratne, Heshan Sameera Kankanam Pathiranage, Dilika Jayawardhana, Kavindu Kaluarachchi, Suhara Gaspe","doi":"10.1186/s12889-025-24108-x","DOIUrl":"https://doi.org/10.1186/s12889-025-24108-x","url":null,"abstract":"<p><strong>Background: </strong>Adolescent pregnancy remains a main concern in Sri Lanka, particularly in the Batticaloa District where the rate is nearly double the national average. Adolescent pregnancy has leads to school dropout and long-term socioeconomic disadvantage for teenage mothers. Because there has been minimal research done within a Sri Lankan context, especially in rural area like Batticaloa, the research aimed to assess how social conditions, accessibility of education, and accessibility of health affect the levels of education and the eventual work opportunities of adolescent mothers.</p><p><strong>Methods: </strong>A quantitative cross-sectional design was followed with a structured questionnaire being administered among 107 adolescent mothers in Batticaloa who became pregnant between the ages of 15-19 years. The research followed a deductive approach, and data analysis was conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM) with the help of SmartPLS. The model examined the influence of social support, access to education, and access to health on educational attainment and its subsequent influence on labor outcomes.</p><p><strong>Results: </strong>Findings indicated that low social support, lack of access to education, and lack of access to healthcare significantly derailed the education of adolescent mothers. Level of education was found to be a significant mediator between the three variables and future job opportunities. The majority of the participants had previously dropped out of school by Grade 10, and merely 10.3% were employed, mostly at low-skilled jobs. Analysis confirmed that derailed education directly limits job opportunities and continues to contribute to economic instability among adolescent mothers.</p><p><strong>Conclusion: </strong>The study brings to the forefront the need for comprehensive, context-sensitive interventions among teen mothers. There has to be reintegration of education, adolescent-friendly healthcare, and vocational training. Reducing stigma and economic and social protection can enhance education and labor market outcomes. Intervention in these domains through a multi-sectoral approach is required to interrupt the inter-generational transmission of poverty and promote the long-term well-being of teen mothers in Batticaloa and similar settings.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3262"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Community-Based interventions effectiveness on hypertension prevention and control: A systematic review and Meta-Analysis.","authors":"Saber Azami-Aghdash, Nasrin Joudyian, Sahar Jafari, Shahin Karami, Ramin Rezapour","doi":"10.1186/s12889-025-24283-x","DOIUrl":"https://doi.org/10.1186/s12889-025-24283-x","url":null,"abstract":"<p><strong>Background: </strong>Designing and implementing community-based interventions for the prevention and control of hypertension is of particular importance. The aim of the present study is to systematically review the effectiveness of community-based interventions conducted for the prevention and control of hypertension.</p><p><strong>Methods: </strong>Data for this systematic review and meta-analysis were collected from the databases PubMed, Scopus, Web of Science, manual search of relevant journals, Google Scholar, searching reference lists of selected articles, and unpublished sources from the beginning of the year 2000 to 2025. A random effects model in Stata:16 software was used for the meta-analysis.</p><p><strong>Results: </strong>Ultimately, 68 articles were included in the study. Interventions were effective in 54 studies and ineffective in 14 studies. Meta-analysis results of 34 studies showed that the interventions reduced the mean systolic blood pressure by 7.26 mmHg [5.32-9.2, CI = 95%] and diastolic blood pressure by 2.77 mmHg [1.81-3.73, CI = 95%]. Overall, interventions conducted in low- and middle-income countries, in healthcare centers, as single-component interventions, and with fewer repetition periods were more effective. Meta-regression results indicated that the variables of patient follow-up duration (weeks) and the frequency of intervention (weeks) did not predict the outcomes of interventions on changes in systolic and diastolic blood pressure. The heterogeneity of study results was high, but the likelihood of publication bias was very low.</p><p><strong>Conclusion: </strong>Due to the significant effectiveness of community-based interventions in preventing and controlling hypertension, the development and implementation of additional such interventions are strongly recommended.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3253"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of exercise interventions on executive function in school-aged children with ADHD: a systematic review and meta-analysis.","authors":"Ruinan Liu, Zehui Wen, Dong Han, Ji Wang","doi":"10.1186/s12889-025-24335-2","DOIUrl":"https://doi.org/10.1186/s12889-025-24335-2","url":null,"abstract":"<p><strong>Background: </strong>Executive function deficits are a core deficit among school-aged children with ADHD. Although exercise interventions have received increasing attention in recent years, many existing studies have overlooked potential biases introduced by differences in measurement paradigms and scoring methods, which may compromise the validity and consistency of the findings. This meta-analysis aimed to evaluate the effects of exercise interventions on executive function in school-aged children with ADHD and to explore the moderating effects of measurement paradigms under different scoring methods.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Embase, Web of Science, Cochrane Library, Scopus, CNKI, and Wanfang, covering publications from database inception to December 28, 2024. A total of 16 randomized controlled trials were included. Meta-analysis was performed using Stata 17.0.</p><p><strong>Results: </strong>The meta-analysis revealed that exercise interventions had significant overall effects on improving inhibitory control(positive scoring: g = 0.60, 95% CI [0.34, 0.87], P < 0.001; reverse scoring: g=-0.69, 95% CI [-0.91, -0.46], P < 0.001) and working memory (positive scoring: g = 0.51, 95% CI [0.30, 0.70], P < 0.001; reverse scoring: g=-0.55, 95% CI [-0.74, -0.36], P < 0.001) in school-aged children with ADHD under both positive and reverse scoring conditions. However, the overall effect on cognitive flexibility was significant only under the reverse scoring condition (g=-0.54, 95% CI [-0.75, -0.33], P < 0.001), and not under the positive scoring condition (g = 0.28, 95% CI [-0.01, 0.56], P = 0.10). Subgroup analyses further indicated that the effects of exercise interventions on inhibitory control, working memory, and cognitive flexibility varied depending on the measurement paradigms and scoring methods used.</p><p><strong>Conclusion: </strong>Exercise interventions can significantly improve inhibitory control and working memory in school-aged children with ADHD. However, their effect on cognitive flexibility appears to be limited. Moreover, the observed intervention effects are influenced by the measurement paradigms and scoring. METHODS EMPLOYED: .</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3265"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing physical activity literacy and practices among adults in the United Arab Emirates: a cross-sectional study.","authors":"Rifah Anwar Assadi, Afreen Abdul Rahim Sanaullah, Sathyapriya Nandagopal, Shahnaz Mohamed Wazil, Priya Pardasani, Meenadarsini Dhamothiran, And Ozyigit, Jagat Gopinath, Ans Ahmed Mahmood, Maryam Almarzooqi, Bibi Morsal Sayedy, Elham Riyaz, Jayakumary Muttappallymyalil","doi":"10.1186/s12889-025-24490-6","DOIUrl":"https://doi.org/10.1186/s12889-025-24490-6","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity among adults in the United Arab Emirates (UAE) is a growing public health concern, contributing to chronic diseases and increased healthcare burdens. Understanding physical activity literacy (PAL) and behaviour, along with associated sociodemographic factors, is essential for designing effective interventions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 630 adults in UAE, using a validated self-administered questionnaire. The tool assessed knowledge of physical activity and its health benefits, engagement in physical activity, and sociodemographic characteristics. Knowledge scores were categorized as 'good' (≥ 6) and 'poor' (≤ 5). Data were analysed using SPSS version 28, for associations between literacy, behavior, and demographic factors were analyzed using chi-square tests, with Bonferroni correction for multiple comparisons. Effect sizes and 95% confidence intervals (CI) were reported.</p><p><strong>Results: </strong>Most participants (95.2%) demonstrated good knowledge of physical activity benefits, though misconceptions persisted regarding its effects on HIV/AIDS (32.4% incorrect) and blood pressure (28.9% incorrect). A high proportion (97.3%) reported engaging in physical activity, with 61% moderately active (3-5 times/week) and 19% highly active (6-7 times/week). There was no statistically significant association between knowledge level and physical activity performance (p = 0.192; odds ratio = 0.359, 95% CI: 0.078-1.647). Significant associations were observed between literacy level and gender (p = 0.001) as well as employment status (p = 0.002), with females and unemployed individuals more likely to have higher literacy. Physical activity engagement was not significantly associated with any sociodemographic variable.</p><p><strong>Conclusions: </strong>Although both knowledge and participation levels are high among adults in UAE, targeted educational interventions are needed to address persistent misconceptions, especially regarding specific health outcomes. Tailoring these interventions based on gender and employment status may improve their effectiveness and promote sustained physical activity engagement across different population groups in the UAE.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3275"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}