Sexual & Reproductive Healthcare最新文献

{"title":"Experiences of African immigrant and refugee women with prenatal and maternal health care services and treatment adherence in Winnipeg, Manitoba","authors":"Bekelu Negash ,&nbsp;S. Michelle Driedger ,&nbsp;Andrew Hatala ,&nbsp;Ana Iervolino ,&nbsp;Simret Daniel ,&nbsp;Javier Mignone","doi":"10.1016/j.srhc.2025.101076","DOIUrl":"10.1016/j.srhc.2025.101076","url":null,"abstract":"<div><h3>Background</h3><div>The requirements for adequate perinatal and maternal health care services for African women in Canada continue to rise, given the increased number of African immigrants and refugees coming to the country.</div></div><div><h3>Aim</h3><div>The study had three objectives: (1) to explore how East and west African immigrant and refugee women living in Manitoba access perinatal and maternal health care services; (2) describe their interactions with health care providers; and (3) understand how their experience impacts their treatment adherence.</div></div><div><h3>Methods</h3><div>The study was guided by Community-Based Participatory Research (CBPR) in partnership with a community organization, Sexuality Education Resource Centre Manitoba (SERC). Purposive sampling methods was used to recruit 16 women. Interpretative Phenomenological Analysis (IPA) and intersectionality guided the analysis of the data.</div></div><div><h3>Findings and discussion</h3><div>The participants shared accessing these services through the program Healthy Mom and Me, clinics, and family doctors. Some women experienced barriers such as language differences and lack of social support. Several themes emerged from the analysis: it was stressful; left hanging; “they are always and no one explains”; and faith and culture convictions. Five women reported that racism/discrimination or structural barriers affected their experiences. The women also shared that some recommendations were not respectful or relevant to their traditional/cultural way of caring for a newborn.</div></div><div><h3>Conclusion</h3><div>The study offered insights into the lived experiences of African immigrant and refugee women accessing prenatal and maternal health care service. The study also provided insights on ways in which systemic oppression/racism may be occurring in the healthcare system.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101076"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investing in midwifery education strengthens the health of women and children and ensures a healthier society","authors":"Lia Brigante,&nbsp;Rikke Damkjær Maimburg","doi":"10.1016/j.srhc.2025.101074","DOIUrl":"10.1016/j.srhc.2025.101074","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101074"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143358736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of patient-centered contraceptive care: Linking provider contraceptive coercion to patient psychological distress and mental well-being","authors":"Laura E.T. Swan ,&nbsp;Ortal Wasser ,&nbsp;Lindsay M. Cannon","doi":"10.1016/j.srhc.2025.101073","DOIUrl":"10.1016/j.srhc.2025.101073","url":null,"abstract":"<div><h3>Objective</h3><div>Provider-based contraceptive coercion, or pressure from a healthcare provider to use or not to use birth control, undermines patient-centered care. We investigated the relationship between contraceptive coercion and mental health, which is previously unstudied.</div></div><div><h3>Methods</h3><div>In 2023, we used Prolific to survey reproductive-aged people in the United States who were assigned female at birth. We conducted <em>t</em>-tests and linear regression to assess relationships between upward (pressure to use birth control) and downward contraceptive coercion (pressure to <em>not</em> use birth control) and psychological distress and mental well-being among participants who had ever received contraceptive counseling (<em>N</em> = 1,154).</div></div><div><h3>Results</h3><div>In bivariate analyses, we found a significant association between contraceptive coercion and psychological distress (upward coercion: <em>M</em> = 8.31 vs. 9.82, <em>t</em> = -3.023, <em>p</em> = 0.003; downward coercion: <em>M</em> = 8.44 vs. 10.78, <em>t</em> = -2.634, <em>p</em> = 0.009) and between contraceptive coercion and emotional (upward coercion: <em>M</em> = 7.60 vs. 7.04, <em>t</em> = 2.613, <em>p</em> = 0.009; downward coercion: <em>M</em> = 7.56 vs. 6.52, <em>t</em> = 2.744, <em>p</em> = 0.006) and psychological well-being (upward coercion: <em>M</em> = 15.05 vs. 14.03, <em>t</em> = 2.339, <em>p</em> = 0.019; downward coercion: <em>M</em> = 15.00 vs. 12.66, <em>t</em> = 3.018, <em>p</em> = 0.003). When controlling for the effects of sociodemographic factors, both upward (<em>B</em> = 1.06, <em>SE</em> = 0.50, <em>p</em> = 0.034) and downward coercion (<em>B</em> = 1.94, <em>SE</em> = 0.88, <em>p</em> = 0.027) remained positively associated with psychological distress. Although downward coercion remained negatively associated with emotional (<em>B</em> = -0.78, <em>SE</em> = 0.37, <em>p</em> = 0.035) and psychological well-being (<em>B</em> = -1.89, <em>SE</em> = 0.75, <em>p</em> = 0.012), upward coercion did not.</div></div><div><h3>Conclusion</h3><div>People who perceived coercion in their contraceptive care reported higher levels of psychological distress and worse mental well-being, underscoring the importance of safeguarding patients’ autonomy during contraceptive counseling to support reproductive decision-making and positive mental health outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101073"},"PeriodicalIF":1.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of infertility on the mental health of women undergoing in vitro fertilization treatment","authors":"Aggeliki Moutzouroulia ,&nbsp;Zoi Asimakopoulou ,&nbsp;Chara Tzavara ,&nbsp;Konstantinos Asimakopoulos ,&nbsp;Georgios Adonakis ,&nbsp;Apostolos Kaponis","doi":"10.1016/j.srhc.2025.101072","DOIUrl":"10.1016/j.srhc.2025.101072","url":null,"abstract":"<div><h3>Background &amp; problem</h3><div>Infertility affects a substantial number of couples, posing physical, emotional, and psychological challenges. Infertile women experienced a sense of loss of control and planning of life with high stress and anxiety and they must deal with the uncertainty of treatment. The evolution of assisted reproductive techniques has provided hope for couples that struggle with infertility. The implementation of questionnaires assessing the mental health of women with infertility before, during, and after the IVF procedure proved to be useful tool to evaluate women who needs psychological support.</div></div><div><h3>Aim</h3><div>This study aims to explore the impact of infertility on the mental health of women undergoing IVF treatment.</div></div><div><h3>Methods</h3><div>For the assessment of infertility on women’s mental health, the CES-D Scale, the State-Trait Anxiety Inventory for Adults, and the Fertility Problem Inventory scale were given before or during the diagnostic evaluation of the infertility and before the initiation of infertility treatment (ovulation induction). To assess the effect of ART on the mental health of the participants, the fertility quality of life tool was applied at the end of the procedure.</div></div><div><h3>Findings</h3><div>The current study found that the greater age, the greater educational level and not having experienced a miscarriage were significantly associated with better quality of life and decreased stress during the IVF procedure.</div></div><div><h3>Conclusions</h3><div>The application of psychological interventions <strong>can assist</strong> all women undergoing infertility treatment as a way to cope with the challenges associated with infertility treatment. <strong>IVF couples may need additional support during the procedure.</strong></div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101072"},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexually transmitted infections (Chlamydia trachomatis, genital HSV, and HPV) and female fertility: A scoping review","authors":"Trine S. Kristensen,&nbsp;Amalie Foldager,&nbsp;Anne Sofie D. Laursen,&nbsp;Ellen M. Mikkelsen","doi":"10.1016/j.srhc.2025.101067","DOIUrl":"10.1016/j.srhc.2025.101067","url":null,"abstract":"<div><div>More than one million sexually transmitted infections (STIs) are acquired every day worldwide. They are commonly caused by <em>Chlamydia trachomatis</em> (CT), herpes simplex virus (HSV), or human papillomavirus (HPV) and are suggested to contribute to female infertility. This scoping review aims to map and summarize existing literature on the association between a pre-pregnancy infection with CT, genital HSV, or HPV and female fertility.</div><div>We searched two databases (PubMed, Embase) to identify published literature on the association between CT, genital HSV, or HPV infection and female fertility. We included full-text articles, published from 2002 to 2022, on pre-pregnancy infection with either CT, genital HSV, or HPV within a population of women of reproductive age. The study endpoint was either pregnancy, time-to-pregnancy, or infertility. The included studies were evaluated according to the Critical Appraisal Tool by Joanna Briggs Institute.</div><div>Eight studies were eligible for the review. All of them investigated the association between a CT infection and fertility, while none of them investigated infections with genital HSV or HPV. Three studies found that a CT infection was associated with poorer female fertility, and one study found a similar association in a subgroup analysis of women with a pregnancy intention. Four studies indicated no association, although methodological differences between the studies preclude firm conclusions.</div><div>This review revealed sparse literature investigating the association between CT, HPV, and HSV and subsequent female fertility. Prospective cohort studies with preconception assessments of these STIs are needed to determine the relation between STIs and subsequent fertility.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101067"},"PeriodicalIF":1.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility attitudes and intentions among postgraduate female and male students in China: A qualitative focus group study","authors":"Chanzhi Duan,&nbsp;Yan Wang,&nbsp;Manru Li,&nbsp;Qing Li","doi":"10.1016/j.srhc.2025.101070","DOIUrl":"10.1016/j.srhc.2025.101070","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the fertility attitudes and intentions of postgraduate female and male students in China.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted using focus group interviews and purposive sampling to select 27 postgraduate students. This diverse group included eight nursing, five pharmacy, four rehabilitation, four ophthalmology, and six stomatology students from a graduate school in China. Data were collected through three focus groups from June 2023 to August 2023. Themes and sub-themes were identified through thematic analysis.</div></div><div><h3>Findings</h3><div>The study identified three themes impacting the students’ fertility intentions: (1) changes in fertility attitudes, (2) personal and external factors affecting their fertility intentions, and (3) the need for fertility support.</div></div><div><h3>Conclusion</h3><div>This study provides insights into the fertility attitudes and intentions of a specific cohort, namely postgraduate students in China. The results indicate that postgraduate students are open to new ideas and place greater importance on personal realization and emotional satisfaction in the context of their fertility intentions than on the three-child policy. We discovered that women’s attitudes and intentions on fertility were frequently impacted by media and other information, whereas men were rarely influenced by such factors. However, family and social support, especially partner support, were crucial in fostering positive fertility intentions among postgraduate students.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101070"},"PeriodicalIF":1.4,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abortion provision and characteristics of abortion patients in an academic medical center in Washington state before and after Dobbs","authors":"Taylor Riley ,&nbsp;Anna E. Fiastro ,&nbsp;Amy Willerford ,&nbsp;Lyndsey S. Benson ,&nbsp;Emily M. Godfrey ,&nbsp;Sarah Prager","doi":"10.1016/j.srhc.2025.101069","DOIUrl":"10.1016/j.srhc.2025.101069","url":null,"abstract":"<div><h3>Objective</h3><div>To examine abortion care in the largest academic medical center in Washington, a state protective of abortion rights, before and after the Supreme Court <em>Dobbs</em> decision.</div></div><div><h3>Methods</h3><div>This retrospective cohort study evaluated abortion provision at the University of Washington between January 1, 2022 and October 31, 2023. Data on patient sociodemographic and clinical characteristics were extracted from electronic medical records. We assessed differences in patient sociodemographics, clinical characteristics, and type of care (medication vs. procedural) comparing the pre-<em>Dobbs</em> (January 1, 2022- June 23, 2022) and post-<em>Dobbs</em> (June 24, 2022 – October 31, 2023) periods using chi-squared tests for categorical variables and t-tests for continuous variables.</div></div><div><h3>Results</h3><div>Among the 494 abortions performed during the study period, most were procedural (63%) and performed in the hospital setting (68%), over one-third (37%) had a fetal anomaly, and 4% were among individuals from out of state. The distribution of gestational duration was bimodal: over one-third of abortions occurred at less than 8 weeks gestation (34%) and 38% were 18 weeks or greater. The weekly number of abortions remained stable and there were minimal significant differences in patient characteristics or type of care comparing the pre-and-post <em>Dobbs</em> periods.</div></div><div><h3>Conclusion</h3><div>Academic medical centers provide comprehensive abortion services that span primary to complex specialty care. The minimal changes in abortion care following <em>Dobbs</em> suggests academic medical centers have important patient care and training opportunities to expand abortion access in Washington state.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101069"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare, socioeconomic and obstetric factors associated with the excess of cesarean sections in 880,000 births from the city of Rio de Janeiro, Brazil","authors":"Eduardo Succini Martins ,&nbsp;Lucas Dantas de Oliveira ,&nbsp;Luiz Felipe Bessa Martins ,&nbsp;Luíza Magalhães Tavares ,&nbsp;Manuela Buy Costa dos Santos ,&nbsp;Mário de Barros Neto ,&nbsp;Millena Vidal Godinho ,&nbsp;Raica Alves Saldanha Marinho ,&nbsp;Susana Souza de Hollanda Cavalcanti ,&nbsp;Victor Hugo Vetter Rodrigues ,&nbsp;Alessandra Bento Veggi ,&nbsp;Raphael Mendonça Guimaraes","doi":"10.1016/j.srhc.2025.101068","DOIUrl":"10.1016/j.srhc.2025.101068","url":null,"abstract":"<div><h3>Objective</h3><div>A study conducted in Rio de Janeiro aimed to identify the factors contributing to the high rate of cesarean deliveries in the city, which is over three times higher than the World Health Organization recommended. However, the city has a role in strategies and policies to empower primary care and to organize delivery care.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study using the Live Birth Information System from 2012 to 2021. We chose variables related to healthcare, socioeconomic, and obstetric factors and performed a binary logistic regression to estimate the association between each variable and the type of delivery.</div></div><div><h3>Results</h3><div>Among 880,182 births that occurred over ten years, we found 54.29 % of cesarean sections. The overall accuracy of the final model was 87.8 %. Although the healthcare, socioeconomic and obstetric dimensions contribute to explaining the excess of cesarean sections, obstetric factors were surprisingly less predictive than variables associated with the context of life and healthcare. The most impressive association was the type of hospital and the occurrence of cesarean sections (OR = 9.81, CI 95 % 9.66–9.97). Compared to the series’s first year, 2021 represented a 26 % lower chance of having a cesarean section in Rio de Janeiro (OR = 0.74, CI 95 % 0.72–0.76), probably due to the implementation of primary care and comprehensive obstetric care policies.</div></div><div><h3>Conclusion</h3><div>The search for an adequate cesarean section rate requires a delicate balance between maternal-fetal safety, patient autonomy, and ensuring that cesarean sections are not performed excessively without medical justification.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101068"},"PeriodicalIF":1.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A phenomenographic study of midwives’ perceptions of abortion care in Japan","authors":"Maki Mizuno ,&nbsp;Fukiko Ando ,&nbsp;Mitsuko Ohira","doi":"10.1016/j.srhc.2025.101066","DOIUrl":"10.1016/j.srhc.2025.101066","url":null,"abstract":"<div><h3>Objective (s)</h3><div>This study aimed to explore midwives’ perceptions of experiences related to abortion care in Japan, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care.</div></div><div><h3>Study Design</h3><div>A qualitative phenomenographic approach was employed to investigate the perceptions of midwives involved in abortion care. Semi-structured online interviews were conducted with 12 midwives recruited through purposive sampling. Data were analyzed using a phenomenographic approach to identify and conceptualize differences and similarities in their perceptions.</div></div><div><h3>Results</h3><div>Midwives’ perceptions of abortion care were categorized into three areas: the situation concerning abortion care, perceptions of abortion, and attitudes toward abortion care. Their perceptions of abortion included complex perspectives on women undergoing abortion, the unborn child, and the midwife. Midwives in this study believed that becoming an abortion care provider was based on the belief that it was their professional duty to provide equal care to all women. The desire to be good care providers for women was reflected in midwives’ actions in striving to fulfill the wishes of women who had abortions.</div></div><div><h3>Conclusion(s)</h3><div>This study suggested that the variations in midwives’ perceptions were reflected in their care, and that the quality of abortion care varies among midwives.</div><div>The findings highlight the need for supportive strategies and continuous education programs to enhance midwives’ professional identity and ability to provide equitable care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101066"},"PeriodicalIF":1.4,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Community members question me and flaunt their children before me”: A call for psychosocial support for women with infertility in Northern Ghana","authors":"Ignatius Anabila Adda ,&nbsp;Florence Naab ,&nbsp;Deborah Armah ,&nbsp;Josephine Kyei ,&nbsp;Abdulai Yahaya ,&nbsp;Theodore Wuni Bobtoyah","doi":"10.1016/j.srhc.2025.101065","DOIUrl":"10.1016/j.srhc.2025.101065","url":null,"abstract":"<div><div>Infertility is a major health issue that poses threats to women’s lives, marriages, and health. Yet little is known about psychosocial support for women with infertility in Northern Ghana. This study aims to understand the psychosocial challenges faced by women with infertility and evaluate the availability and effectiveness of social support systems in East Mamprusi Municipality, Northern Ghana using a qualitative interpretive descriptive design. In-depth interviews were conducted using a semi-structured interview guide. Ethical approval was received from the Institutional Review Board of Ghana Health Service, Accra. Women who visited the health facility desiring to conceive were recruited and interviewed. Thirteen (13) women were interviewed, with each interview lasting 45 min to an hour. The interviews were audiotaped after obtaining permission from the participants, which were transcribed verbatim and analyzed using content analysis. The findings revealed that women faced numerous mental and social problems. Some of these problems include emotional, behavioural, marital instability, the high cost of infertility treatment, and a strong desire to have children. Although the women reported some social support from the community, they lacked strategies to sustain this support. Women with infertility face numerous mental and social challenges. They lack support systems to improve their mental and social health. Health professionals are required to constitute peer support groups for these women and advocate for external assistance to sustain these support groups.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101065"},"PeriodicalIF":1.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}