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COVID-19 Health Literacy Scale Development 制定COVID-19卫生素养量表
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1509
Sevil Alkan Çeviker, B. Akkaya, Şebnem Şenol Akar
Objective: The purpose of this study was to develop a COVID-19 Health Literacy (HL) scale. Material and Methods: Data were obtained from three samples of medical students (n=628) having different demographic characteristics in different regions of Turkey. A pilot study was conducted to assess language validity. Several psychometric tests were conducted to assess the tools’ reliability and validity. Results: A .963 Kaiser-Meyer-Olkin (KMO) value was obtained, in addition to a 72.26% variance score. The scale also demonstrated reliability values (internal consistency; α=.94). Two dimensions consisting of 20 items were identified to represent and the COVID-19 HL. Conclusion: The COVID-19 HL scale demonstrated robust psychometric properties. It was also deemed to be reliable and valid in assessing health literacy of COVID-19 among the medical students and will also be useful in increasing COVID-19 awareness among individuals.
目的:编制新型冠状病毒肺炎健康素养(HL)量表。材料和方法:从土耳其不同地区具有不同人口特征的医学生(n=628)的三个样本中获得数据。进行了一项初步研究以评估语言的有效性。进行了几项心理测量测试来评估工具的信度和效度。结果:Kaiser-Meyer-Olkin (KMO)值为0.963,方差评分为72.26%。量表还显示了信度值(内部一致性;α=总收入)。确定了包含20个项目的两个维度来代表COVID-19 HL。结论:新冠肺炎HL量表具有较强的心理测量特性。在评估医学生对COVID-19的健康素养方面,它也被认为是可靠和有效的,也将有助于提高个人对COVID-19的认识。
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引用次数: 1
Women’s empowerment under the lens of global health equity: Literature review of challenges, best practices, and societal impact 全球卫生公平视角下的妇女赋权:挑战、最佳做法和社会影响的文献综述
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1625
W. Al-Chetachi, Agafya Krivova, Hana’a Badran, S. Azam, E. Radwan, Yasmine Shalaby, Mithila Orin, E. Quintanilla, S. Bhuiyan
Introduction: Women’s empowerment refers to strengthening the social, economic, and educational powers of women. Numerous global initiatives have been implemented to enable women to make decisions about their health and lives. The purpose of this literature review was to review women’s health barriers, related best practices, and their impacts on women's empowerment in the global context. Methods: We comprehensively searched databases: PubMed, CINAHL, and Google Scholar and key program websites. To expand our review, we used a snowball strategy to scan articles, documents, reports, and research outputs of global programs and best practices to overcome barriers. Also, we screened publications posted on websites of organizations working on women’s empowerment and monitoring the Sustainable Development Goals progress. Results: Findings suggest significant advancements have been made in the status of women's health over the past two decades. However, the COVID-19 pandemic has aggravated health barriers, impeding, and even reversing progress, which has resulted in widening women’s inequity in access to health care services worldwide. Conclusions: Findings suggest that successful and sustainable programs should have a multisectoral, multilevel and multistakeholder, diversified interventions approach with social empowerment, as well as the need for legislative enforcement against discrimination and harmful practices towards women.
简介:妇女赋权是指加强妇女的社会、经济和教育权力。已经实施了许多全球倡议,使妇女能够对自己的健康和生活作出决定。本次文献审查的目的是审查妇女健康障碍、相关最佳做法及其在全球范围内对增强妇女权能的影响。方法:综合检索PubMed、CINAHL、Google Scholar等数据库及重点项目网站。为了扩大我们的审查范围,我们采用了滚雪球策略来扫描全球项目和最佳实践的文章、文件、报告和研究成果,以克服障碍。此外,我们还筛选了致力于增强妇女权能和监测可持续发展目标进展的组织网站上发布的出版物。结果:调查结果表明,在过去二十年中,妇女的健康状况取得了重大进展。然而,2019冠状病毒病大流行加剧了健康障碍,阻碍甚至逆转了进展,导致全球妇女在获得卫生保健服务方面的不平等现象进一步扩大。结论:研究结果表明,成功和可持续的项目应采用多部门、多层次、多利益相关方、多元化的干预方法,并赋予社会权力,同时需要立法执法,消除对妇女的歧视和有害做法。
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引用次数: 0
Engaging patients in the HIV care continuum through referral-making behaviours and patterns: A descriptive cross-sectional study 通过转诊行为和模式使患者参与艾滋病毒护理连续体:一项描述性横断面研究
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1546
S. Witte, Rogério M. Pinto, Prema L Filippone, C. J. Choi, M. Wall
Introduction: HIV continuum of care consists of five steps needed to effectively treat and prevent the spread of HIV. Linkage to and retention of patients to this Continuum of Care is a global priority. However, the COVID-19 pandemic has impacted the quality of this Continuum, as people living with HIV, have had to shelter reducing their access to services. As well, HIV agencies have had to close, reduce hours, and shift personnel. Purpose and Methods: The purpose of this descriptive cross-sectional study was to examine the person-centered referral-making behaviors and patterns used by providers to engage patients in the care continuum. Three classes of linkage behaviors among 285 providers in 34 community agencies in New York City were identified using latent class analysis. Results: These linkage behaviors include High (48%); Moderate (34%); and Low (18%). Both High and Moderate consisted of a blend of active and passive strategies and tracking systems. The High included more active strategies such as escorting patients to appointments. Linkage class membership was significantly associated with frequency of linkages to primary care (p=.020). COVID-19 disruptions demonstrate how the Care Continuum has been undermined by insufficient organizational resources. Conclusion: Findings suggest, addresses gaps in linkages should enhance the overall Continuum of Care provided to individuals diagnosed and living with HIV.
导言:艾滋病毒连续护理包括有效治疗和预防艾滋病毒传播所需的五个步骤。将患者与这种连续的护理联系起来并使其保持下去是一项全球优先事项。然而,2019冠状病毒病大流行影响了这一连续体的质量,因为艾滋病毒感染者不得不躲避,从而减少了获得服务的机会。同时,艾滋病防治机构不得不关闭,减少工作时间,调动人员。目的和方法:本描述性横断面研究的目的是检查以人为中心的转诊行为和模式,这些行为和模式由提供者使用,以使患者参与到护理连续体中。采用潜在类分析法,对纽约市34家社区服务机构285名服务提供者的联系行为进行了三类分析。结果:这些联动行为包括High (48%);中等(34%);低(18%)。High和Moderate都包含主动和被动策略以及跟踪系统。高等教育包括更积极的策略,如陪同病人去预约。联系类别成员与与初级保健联系的频率显著相关(p= 0.020)。COVID-19的中断表明,组织资源不足如何破坏了护理连续性。结论:研究结果表明,解决联系方面的差距应加强向诊断和感染艾滋病毒的个人提供的整体连续护理。
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引用次数: 0
Understanding the Health and Well-being of Canadian Black Children and Youth during the COVID-19 pandemic: A Review 了解2019冠状病毒病大流行期间加拿大黑人儿童和青年的健康和福祉:综述
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1622
Janet Kemei, B. Salami
The COVID-19 pandemic has exacerbated health inequities and vulnerabilities in our society, with the Black population being disproportionately affected. As previous pandemics have resulted in an increase in adverse events to children and youth, we reviewed the literature to examine the impact of the COVID-19 pandemic on Black children and youth. We found Black children and youth experience psychosocial stressors related to uncertainties of the future. Differential gender effects related to COVID-19 are also apparent. Physical distancing related to the COVID-19 pandemic which resulted in differential impacts on physical activity levels in children. We also noted, increase levels of isolation may result in undetected child abuse. The review highlights the urgent need for multifaceted interventions that address disparities in social determinants of health and psychosocial needs of Black children and youth in Canada. Future research that addresses the effects of the COVID-19 pandemic on Black children and youth is needed to help create context-specific interventions. 
2019冠状病毒病大流行加剧了我们社会中的卫生不平等和脆弱性,黑人受到的影响尤为严重。由于以前的大流行导致儿童和青少年的不良事件增加,我们回顾了文献,以研究COVID-19大流行对黑人儿童和青少年的影响。我们发现黑人儿童和青少年经历了与未来不确定性相关的心理社会压力。与COVID-19相关的性别差异影响也很明显。COVID-19大流行与保持身体距离有关,对儿童的身体活动水平产生了不同影响。我们还注意到,孤立程度的增加可能导致未被发现的虐待儿童行为。审查强调迫切需要采取多方面的干预措施,解决加拿大黑人儿童和青年健康和心理社会需求的社会决定因素方面的差异。未来需要开展研究,解决COVID-19大流行对黑人儿童和青年的影响,以帮助制定针对具体情况的干预措施。
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引用次数: 0
Quality of Life, Anxiety, Depression and Psychological Distress in Patients with Cancer During the COVID 19 Pandemic: A Systematic Review COVID - 19大流行期间癌症患者的生活质量、焦虑、抑郁和心理困扰:一项系统综述
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1540
K. Prabani, Damayanthi Hdwt
Introduction and Objectives: Quality of life (QOL) and psychological wellbeing deteriorate during the COVID 19 pandemic in patients with cancer. Purpose: This study aims to review the current evidence of QOL, anxiety, depression, psychological distress, and their inter-relationship in patients with cancer and survivors during the COVID 19 pandemic. Moreover, this study identifies factors associated with QOL and mental health in patients with cancer and survivors during the COVID 19 pandemic. Methods: An extensive electronic database search was conducted. Articles published in English assessing cancer patients and cancer survivors’ QOL and psychological wellbeing. Results: Twenty-seven articles with 22,134 participants were included. Concerns related to contracting COVID 19, along with potential treatment plans were predictors of impaired QOL. Advanced age, family support, being identified as a male and having less comorbid conditions were associated with the high level of QOL. Delay or change in treatment plan, contact with COVID 19 positive individuals, and emotional vulnerability were found to be independently associated with high levels of anxiety, depression, and distress. Conclusion: Health professionals, caregivers and support services should pay more attention on QOL and psychological wellbeing of the patients with cancer. Counselling sessions, support services should be established to improve their life satisfaction and wellbeing.
前言和目标:2019冠状病毒病大流行期间,癌症患者的生活质量和心理健康状况恶化。目的:回顾新冠肺炎大流行期间癌症患者和幸存者的生活质量、焦虑、抑郁、心理困扰及其相互关系。此外,本研究还确定了与COVID - 19大流行期间癌症患者和幸存者的生活质量和心理健康相关的因素。方法:进行广泛的电子数据库检索。发表的英文文章评估癌症患者和癌症幸存者的生活质量和心理健康。结果:纳入27篇文章,22134名受试者。对感染COVID - 19的担忧以及潜在的治疗计划是生活质量受损的预测因素。高龄、家庭支持、被确定为男性以及合并症较少与高水平的生活质量相关。研究发现,治疗计划的延迟或改变、与COVID - 19阳性个体的接触以及情绪脆弱性与高度焦虑、抑郁和痛苦独立相关。结论:卫生专业人员、护理人员和支持服务人员应重视癌症患者的生活质量和心理健康状况。应该建立咨询会议和支持服务,以提高他们的生活满意度和幸福感。
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引用次数: 0
The impact of COVID-19 on nursing education in Sri Lanka: A reflective analysis 2019冠状病毒病对斯里兰卡护理教育的影响:反思分析
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1525
S. Rathnayake, Thilanka Jagoda, D. Dassanayake, N. Dharmarathna, Chandrani M Herath, S. Dharmaratne
In the wake of COVID-19, nursing education has shifted to eLearning from traditional methods. This reflective analysis addresses the impact of COVID-19 on the development of competencies among nursing students in Sri Lanka. Four themes were identified: the direct impact of the COVID-19 pandemic on nursing education; the role of eLearning in nursing education during the COVID-19 pandemic; the acquisition of nursing skills and competencies; and implications for education, research, and policy. Virtual online learning has replaced traditional teaching and learning. Acquiring clinical skills and competencies and completing the practicum are challenging. Since nurses are in high demand; nursing education needs to be accelerated and modified. A change in policies related to education and research is essential for developing countries. Blended learning, which includes more simulation teaching, is recommended.
在2019冠状病毒病之后,护理教育已从传统方法转向电子学习。本反思性分析探讨了2019冠状病毒病对斯里兰卡护理专业学生能力培养的影响。确定了四个主题:COVID-19大流行对护理教育的直接影响;COVID-19大流行期间电子学习在护理教育中的作用;获得护理技能和能力;以及对教育、研究和政策的影响。虚拟在线学习已经取代了传统的教与学。获得临床技能和能力并完成实习是具有挑战性的。由于护士需求量很大;护理教育需要加快和改进。改变与教育和研究有关的政策对发展中国家至关重要。建议混合式学习,其中包括更多的模拟教学。
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引用次数: 1
Examining the psychological and behavioural patterns of students in Sri Lanka during COVID-19: A qualitative study 在2019冠状病毒病期间检查斯里兰卡学生的心理和行为模式:一项定性研究
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1458
K. Abhayasinghe, N. Weerasinghe, Lasith Dissanayake, K. Jayasinghe, D. Guruge, A. Sumathipala
Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 pandemic affected many international students, including the Sri Lankan youth and young adults who were studying in the United Kingdom (UK), and repatriated to the motherland during the first wave. The current study aimed to explore and understand the lived experiences, behaviour, and psychological patterns of these students during their lockdown in the UK; quarantine and self-isolation; and repatriation back to Sri Lanka. Methods: This descriptive qualitative study was planned and conducted in a quarantine environment based on the lived experiences of two authors (KA and NW), who were also repatriated students due to COVID-19 pandemic. A convenient sample of sixteen (16) repatriated students (age ranged from 18 – 34) participated in the study. Data was collected using multiple methods including questionnaires, researchers’ objective observations and semi-structured interviews (conducted over the phone or online). The thematic analysis method was used for data analysis. Results: Both positive and negative psychological and behavioural patterns were observed. Three themes emerged were: (1) Fear, worry and anxiety, (2) Irritability and agitation, and (3) Adherence to safety precautions. Many reported negative abrupt changes to their education and lifestyles during this stressful situation. Perceived stigma and emotional imbalance have caused difficulty in coping. Positive changes such as increased efficacy in academic activities, exploring new hobbies and healthy coping skills were also reported. Conclusion: Findings highlight the need for addressing age-specific behavioural, psychological, and educational needs of youth and young adults when developing guidelines to manage similar situations in the future and to increase resilience.
背景:严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)或COVID-19大流行影响了许多在英国学习并在第一波期间返回祖国的国际学生,包括斯里兰卡青年和青年成年人。目前的研究旨在探索和了解这些学生在英国被封锁期间的生活经历、行为和心理模式;检疫和自我隔离;并被遣返回斯里兰卡。方法:根据两位作者(KA和NW)的生活经历,在隔离环境中计划并进行了本描述性定性研究,他们也是因COVID-19大流行而被遣返的留学生。本研究选取了16名回国留学生(年龄在18 - 34岁之间)作为方便样本。数据收集采用多种方法,包括问卷调查,研究人员的客观观察和半结构化访谈(通过电话或在线进行)。数据分析采用专题分析法。结果:观察到积极和消极的心理和行为模式。出现了三个主题:(1)恐惧、担心和焦虑;(2)易怒和激动;(3)遵守安全预防措施。许多人报告说,在这种紧张的情况下,他们的教育和生活方式发生了消极的突然变化。感知到的耻辱和情绪失衡造成了应对困难。积极的变化,如提高学业效率,探索新的爱好和健康的应对技能。结论:研究结果强调,在制定指导方针以应对未来类似情况并增强适应力时,需要解决青年和年轻成年人的特定年龄行为、心理和教育需求。
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引用次数: 0
Perception of self-care ability among patients with stroke post-discharge: A qualitative descriptive study in Iran 脑卒中患者出院后自我照顾能力的感知:伊朗的一项定性描述性研究
Pub Date : 2021-12-01 DOI: 10.32920/ihtp.v1i3.1439
N. Jafari-Golestan, A. Dalvandi, M. Hosseini, M. Fallahi-khoshknab, A. Ebadi, M. Rahgozar, S. Sidani
Background: Patients with stroke, once at home, experience different perceptions of their ability for self-care. The purpose of this qualitative descriptive study was to elucidate patients’ perception of their self-care ability. Methods: Semi-structured interviews were held with 10 patients with stroke, within one month following discharge from hospital. Sampling was purposeful and continued until data saturation was reached. All recorded interviews were transcribed and imported to MAXQDA software. The transcripts were content analyzed, following the five-step method by Granheim and Lundman. Results: Three main categories and ten subcategories were revealed: immersion in distress (feeling of sorrow and sadness, lack of control of life, feeling of anxiety and worry), perceived difficulty (dependency on others, disabling nature of the disease, multiple underlying diseases and mental health problems) and compatible adaptive reaction (acceptance of disability, improving health literacy, enhancement of spiritual health). Conclusions: Patients with stroke reported limited ability for self-care post-discharge, which had a considerable effect on their engagement in self-care behaviors and application of recommended treatment methods at home. The findings have implications for designing nurse-led interventions to promote self-care in this vulnerable patient population.
背景:脑卒中患者一旦回到家中,对自己的自我照顾能力会有不同的认知。本研究旨在探讨病患对自我照顾能力的认知。方法:对10例脑卒中患者在出院后1个月内进行半结构化访谈。采样是有目的的,并一直持续到数据饱和为止。所有记录的访谈被转录并导入到MAXQDA软件中。按照Granheim和Lundman的五步法对转录本进行内容分析。结果:揭示了三个主要类别和十个小类别:沉浸在痛苦中(感到悲伤和悲伤,缺乏对生活的控制,感到焦虑和担心),感知困难(依赖他人,疾病的致残性质,多种潜在疾病和心理健康问题)和兼容适应性反应(接受残疾,提高健康素养,增强精神健康)。结论:脑卒中患者出院后自我护理能力有限,这对其参与家庭自我护理行为和推荐治疗方法的应用有相当大的影响。研究结果对设计护士主导的干预措施以促进这一弱势患者群体的自我护理具有启示意义。
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引用次数: 0
Older Syrian Refugees’ Experiences of Language Barriers in Postmigration and (re)settlement Context in Canada. 年长的叙利亚难民在加拿大移民后和(重新)定居背景下的语言障碍经历。
Pub Date : 2021-12-01 DOI: 10.32920/ihtp.v1i3.1483
Souhail Boutmira
This research explores older Syrian experiences of language barriers in Canada's post-migration and resettlement context. Guided by the ecosystemic model, the qualitative descriptive method was used to describe the experiences of six older adults (three women and three men, 55-year-old and over) living in the Greater Toronto-Hamilton Area. Results suggest the lack of English proficiency affects refugees' resettlement and, in particular, older adults at risk of abuse. Language barriers influence older adult refugees because it limits their ability to navigate the Canadian systems, exacerbate their dependency on adult children, increase social isolation, and decrease employment and income opportunities. Participants' commitment to learning English comes from their conviction that fluency has an essential role in shaping their experiences in Canada. Conclusions can help policymakers identify specific interventions to address language barriers among older adult Refugees.
本研究探讨了加拿大后移民和重新安置背景下的语言障碍的老叙利亚经验。在生态系统模型的指导下,采用定性描述方法描述了居住在大多伦多-汉密尔顿地区的6名老年人(3名女性和3名男性,55岁及以上)的经历。结果表明,缺乏英语水平会影响难民的重新安置,尤其是有被虐待风险的老年人。语言障碍影响到老年难民,因为它限制了他们适应加拿大体系的能力,加剧了他们对成年子女的依赖,增加了社会孤立,减少了就业和收入机会。参与者对学习英语的承诺来自于他们的信念,即流利的英语对塑造他们在加拿大的经历至关重要。结论可以帮助决策者确定解决老年难民语言障碍的具体干预措施。
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引用次数: 3
Electronic health literacy among adults with chronic pain: A descriptive, cross-sectional survey 成人慢性疼痛患者的电子健康素养:一项描述性横断面调查
Pub Date : 2021-12-01 DOI: 10.32920/ihtp.v1i3.1469
Hyejin Park, G. Martorella, G. Schluck
Background: Approximately 100 million American adults are living with chronic pain, which costs the healthcare system an average of $560–635 billion each year. Levels of health literacy and ehealth literacy are important factors in determining a patient’s capacity to manage pain and the multidimensional impact of pain. To our knowledge, few studies have specifically examined the level of ehealth literacy and its association with health literacy among chronic pain patients. The purpose of this study was to 1) assess the levels of health literacy and ehealth literacy in adults with chronic pain, and 2) examine the relationship between health literacy and ehealth literacy skills among adults diagnosed and living with chronic pain. Methods: A non-experimental, descriptive cross-sectional survey was distributed to adults with chronic pain. A total of 196 participants were asked to complete questionnaires related to demographic characteristics, ehealth literacy (eHEALS), and health literacy (HLQ). Descriptive statistics were calculated to summarize data from all the scales used in the study. Results: The average level of ehealth literacy was 32.6 (SD 4.4) out of 40. The level of health literacy was measured by four subscales: having sufficient information to manage my health (mean=2.8; SD=0.55), appraisal of health information (mean=3.27; SD=0.41), ability to find good health information (mean=3.68; SD=0.45), and understanding health information well enough to know what to do (mean=3.66; SD=0.48). Two subscales (i.e., appraisal of health information, ability to find good health information) were significant in predicting ehealth literacy total score. Discussion and Conclusions: Examining ehealth literacy and health literacy can assist in the dissemination of accessible and understandable chronic-pain-related health information for individuals of all health literacy levels. In addition, this will allow the development of interventions for enhancing ehealth literacy skills and/or usability of web-based information for adults with chronic pain.
背景:大约有1亿美国成年人患有慢性疼痛,每年平均花费医疗保健系统5600 - 6350亿美元。卫生知识普及水平和电子卫生知识普及水平是决定患者管理疼痛能力和疼痛多方面影响的重要因素。据我们所知,很少有研究专门调查了慢性疼痛患者的电子健康素养水平及其与健康素养的关系。本研究的目的是1)评估慢性疼痛成人的健康素养和电子健康素养水平,以及2)检查诊断和生活在慢性疼痛中的成人的健康素养和电子健康素养技能之间的关系。方法:对患有慢性疼痛的成人进行非实验性、描述性横断面调查。共有196名参与者被要求完成与人口统计学特征、电子健康素养(eHEALS)和健康素养(HLQ)相关的问卷调查。描述性统计计算汇总了研究中使用的所有量表的数据。结果:在40人中,平均健康素养水平为32.6 (SD 4.4)。健康素养水平通过四个子量表来衡量:有足够的信息来管理我的健康(平均=2.8;SD=0.55)、健康信息评价(mean=3.27;SD=0.41)、查找良好健康信息的能力(mean=3.68;SD=0.45),了解健康信息,知道该做什么(均值=3.66;SD = 0.48)。两个子量表(即对健康信息的评价、找到良好健康信息的能力)在预测电子健康素养总分方面具有重要意义。讨论和结论:检查电子健康素养和健康素养有助于向所有健康素养水平的个人传播可获取和可理解的慢性疼痛相关健康信息。此外,这将有助于制定干预措施,提高患有慢性疼痛的成人的电子卫生素养技能和/或网络信息的可用性。
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引用次数: 0
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International Health Trends and Perspectives
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