{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T18:13:22Z","timestamp":1782670402983,"version":"3.54.5"},"reference-count":52,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Urban Health"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The 2022\u20132023 mpox outbreak has disproportionately impacted gay, bisexual, and other men who have sex with men (GBMSM). The US CDC recommended individuals to explore safer sexual practices that minimize the potential risk of exposure and also strongly encouraged for eligible individuals to prioritize vaccination. This study aimed to analyze social media data related to mpox on <jats:italic>Reddit<\/jats:italic> since the mpox outbreak and identify themes associated with the impact on social behaviors and social processes among targeted population. Publicly available data were collected from the social media <jats:italic>Reddit<\/jats:italic>. We extracted the summarized mpox-related posts since the beginning of May 2022 from popular subreddits that were popular among GBMSM. We thematically analyzed the content to identify the overall themes related to the GBMSM\u2019s responses to the outbreak. There is an overall increase in the number of daily mpox-related posts, with three upticks in late May, late July, and early August\u00a02022, which may correspond to the dates that the first mpox case was identified in the USA, the WHO declared a global public health emergency, and the US Department of Health and Human Services declared a public health emergency. Four themes were identified: (1) changes in sexual behaviors and social activities; (2) mpox vaccine attitude, uptake, and hesitancy; (3) perceived and experienced stigma and homophobia, and mental distress; and (4) online information-seeking and mutual aid and support. GBMSM changed their sexual behaviors and social activities to mitigate their exposure to the virus during this outbreak and actively sought and shared information about mpox vaccination in their respective settings, while some were hesitant due to concerns about side effects and potential effectiveness. Perceived and experienced stigma and discrimination on gay- and same sex-identify have impacted GBMSM\u2019s mental health. Interventions to promote the mpox vaccine must address the historical medical mistrust and vaccine hesitancy among GBMSM.<\/jats:p>","DOI":"10.1007\/s11524-023-00773-4","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T19:23:17Z","timestamp":1692040997000},"page":"1264-1273","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Mpox on Reddit: a Thematic Analysis of Online Posts on Mpox on a Social Media Platform among Key Populations"],"prefix":"10.1007","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9652-388X","authenticated-orcid":false,"given":"Chenglin","family":"Hong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"773_CR1","unstructured":"CDC. Monkeypox in the U.S.\u00a0Centers for Disease Control and Prevention. 2022.\u00a0https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/response\/2022\/world-map.html. Accessed August 10, 2022."},{"key":"773_CR2","unstructured":"World Health Organization. Multi-country monkeypox outbreak: situation update.2022.\u00a0https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON396. Accessed October 11, 2022."},{"key":"773_CR3","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7123e1","volume-title":"MMWR Morb Mortal Wkly Rep","author":"FS Minhaj","year":"2022","unstructured":"Minhaj FS. Monkeypox outbreak \u2014 nine states, May 2022. In: MMWR Morb Mortal Wkly Rep, vol. 71. Epub ahead of print; 2022. https:\/\/doi.org\/10.15585\/mmwr.mm7123e1."},{"key":"773_CR4","unstructured":"US Department of Health and Human Services. Biden-Harris administration bolsters monkeypox response; HHS Secretary Becerra Declares public health emergency. Washington, DC. 2022.\u00a0https:\/\/www.hhs.gov\/about\/news\/2022\/08\/04\/biden-harris-administration-bolsters-monkeypox-response-hhs-secretary-becerra-declares-public-health-emergency.html. Accessed October 11, 2022."},{"key":"773_CR5","unstructured":"News BBC. Monkeypox: first deaths outside Africa in Brazil and Spain. In: BBC News.\u00a02022, 30 July 2022. https:\/\/www.bbc.com\/news\/health-62350022. Accessed August 10, 2022."},{"key":"773_CR6","unstructured":"Pan American Health Organization\/World Health Organization (PAHO\/WHO). Epidemiological Update Monkeypox in non-endemic countries - 13 June 2022. 2022.\u00a0https:\/\/www.paho.org\/en\/documents\/epidemiological-update-monkeypox-non-endemic-countries-13-june-2022. Accessed August 10, 2022."},{"key":"773_CR7","doi-asserted-by":"crossref","unstructured":"The Lancet regional health \u2013 Europe. lessons from COVID-19 are shaping the response to monkeypox outbreak. Lancet Reg Health Eur. 2022;18:100463.","DOI":"10.1016\/j.lanepe.2022.100463"},{"key":"773_CR8","first-page":"2200471","volume":"27","author":"JI Mart\u00ednez","year":"2022","unstructured":"Mart\u00ednez JI, Montalb\u00e1n EG, Bueno SJ, et al. Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022. Eurosurveillance. 2022;27:2200471.","journal-title":"Eurosurveillance"},{"key":"773_CR9","doi-asserted-by":"publisher","unstructured":"Thornhill JP, Barkati S, Walmsley S, et al. Monkeypox virus infection in humans across 16 countries\u2013April\u2013June 2022.\u00a0N Engl J Med. 2022;387(8):679\u2013691. https:\/\/doi.org\/10.1056\/NEJMoa2207323","DOI":"10.1056\/NEJMoa2207323"},{"key":"773_CR10","doi-asserted-by":"publisher","unstructured":"Philpott D. Epidemiologic and clinical characteristics of monkeypox cases \u2014 United States, May 17\u2013July 22, 2022. MMWR Morb Mortal Wkly Rep. 2022;71. Epub ahead of print https:\/\/doi.org\/10.15585\/mmwr.mm7132e3.","DOI":"10.15585\/mmwr.mm7132e3"},{"key":"773_CR11","doi-asserted-by":"publisher","unstructured":"O\u2019Shea J. Interim guidance for prevention and treatment of monkeypox in persons with HIV infection \u2014 United States, August 2022. MMWR Morb Mortal Wkly Rep. 2022;71. Epub ahead of print https:\/\/doi.org\/10.15585\/mmwr.mm7132e4.","DOI":"10.15585\/mmwr.mm7132e4"},{"key":"773_CR12","doi-asserted-by":"publisher","unstructured":"Bragazzi NL, Kong JD, Mahroum N, et al. Epidemiological trends and clinical features of the ongoing monkeypox epidemic: a preliminary pooled data analysis and literature review.\u00a0J Med Virol. 2023;95(1):e27931. https:\/\/doi.org\/10.1002\/jmv.27931","DOI":"10.1002\/jmv.27931"},{"key":"773_CR13","unstructured":"Wash Post. Struggle to protect gay, bisexual men from monkeypox exposes inequities: Washington Post. 2022. https:\/\/www.washingtonpost.com\/health\/2022\/07\/27\/monkeypox-gay-men-vaccine-treatment\/. Accessed August 9, 2022."},{"key":"773_CR14","doi-asserted-by":"publisher","unstructured":"Holloway IW. Lessons for community-based scale-up of monkeypox vaccination from previous disease outbreaks among gay, bisexual, and other men who have sex with men in the United States. Am J Public Health. 2022;112(11):1572\u20131575. https:\/\/doi.org\/10.2105\/AJPH.2022.307075","DOI":"10.2105\/AJPH.2022.307075"},{"key":"773_CR15","doi-asserted-by":"publisher","first-page":"1351","DOI":"10.1080\/09540121.2017.1300633","volume":"29","author":"S Cahill","year":"2017","unstructured":"Cahill S, Taylor SW, Elsesser SA, et al. Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts. AIDS Care. 2017;29:1351\u20138.","journal-title":"AIDS Care"},{"key":"773_CR16","doi-asserted-by":"publisher","first-page":"3456","DOI":"10.1007\/s10461-020-02916-z","volume":"24","author":"D Kimball","year":"2020","unstructured":"Kimball D, Rivera D, Gonzales M, et al. Medical mistrust and the PrEP cascade among Latino sexual minority men. AIDS Behav. 2020;24:3456\u201361.","journal-title":"AIDS Behav"},{"key":"773_CR17","doi-asserted-by":"publisher","first-page":"872","DOI":"10.3390\/idr13040079","volume":"13","author":"I Garg","year":"2021","unstructured":"Garg I, Hanif H, Javed N, et al. COVID-19 vaccine hesitancy in the LGBTQ+ population: a systematic review. Infect Dis Rep. 2021;13:872\u201387.","journal-title":"Infect Dis Rep"},{"key":"773_CR18","doi-asserted-by":"publisher","first-page":"405","DOI":"10.2105\/AJPH.2021.306599","volume":"112","author":"D Azucar","year":"2022","unstructured":"Azucar D, Slay L, Valerio DG, et al. Barriers to COVID-19 vaccine uptake in the LGBTQIA community. Am J Public Health. 2022;112:405\u20137.","journal-title":"Am J Public Health"},{"key":"773_CR19","doi-asserted-by":"publisher","unstructured":"Hong C, Holloway IW, Bednarczyk R, et al. High vaccine confidence is associated with COVID-19 vaccine uptake in gay, bisexual, and other men who have sex with men who use substances. LGBT Health Epub ahead of print. 2023; https:\/\/doi.org\/10.1089\/lgbt.2022.0255.","DOI":"10.1089\/lgbt.2022.0255"},{"key":"773_CR20","doi-asserted-by":"publisher","first-page":"e22042","DOI":"10.2196\/22042","volume":"23","author":"A Ovalle","year":"2021","unstructured":"Ovalle A, Goldstein O, Kachuee M, et al. Leveraging social media activity and machine learning for HIV and substance abuse risk assessment: development and validation study. J Med Internet Res. 2021;23:e22042.","journal-title":"J Med Internet Res"},{"key":"773_CR21","doi-asserted-by":"publisher","unstructured":"Loosier PS, Renfro K, Carry M, et al. Reddit on PrEP: posts about pre-exposure prophylaxis for HIV from Reddit users, 2014\u20132019. AIDS Behav. Epub ahead of print. 2021; https:\/\/doi.org\/10.1007\/s10461-021-03463-x.","DOI":"10.1007\/s10461-021-03463-x"},{"key":"773_CR22","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1016\/j.drugalcdep.2018.10.014","volume":"194","author":"EI Brett","year":"2019","unstructured":"Brett EI, Stevens EM, Wagener TL, et al. A content analysis of JUUL discussions on social media: using Reddit to understand patterns and perceptions of JUUL use. Drug Alcohol Depend. 2019;194:358\u201362.","journal-title":"Drug Alcohol Depend"},{"key":"773_CR23","doi-asserted-by":"publisher","unstructured":"Steinert-Threlkeld ZC. Twitter as Data (Elements in Quantitative and Computational Methods for the Social Sciences). Cambridge: Cambridge University Press; 2018. https:\/\/doi.org\/10.1017\/9781108529327","DOI":"10.1017\/9781108529327"},{"key":"773_CR24","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/s12888-015-0408-y","volume":"15","author":"A Shepherd","year":"2015","unstructured":"Shepherd A, Sanders C, Doyle M, et al. Using social media for support and feedback by mental health service users: thematic analysis of a twitter conversation. BMC Psychiatry. 2015;15:29.","journal-title":"BMC Psychiatry"},{"key":"773_CR25","doi-asserted-by":"publisher","first-page":"108672","DOI":"10.1016\/j.drugalcdep.2021.108672","volume":"222","author":"AM Bunting","year":"2021","unstructured":"Bunting AM, Frank D, Arshonsky J, et al. Socially-supportive norms and mutual aid of people who use opioids: an analysis of Reddit during the initial COVID-19 pandemic. Drug Alcohol Depend. 2021;222:108672.","journal-title":"Drug Alcohol Depend"},{"key":"773_CR26","unstructured":"Biggest social media platforms 2022. Statista, https:\/\/www.statista.com\/statistics\/272014\/global-social-networks-ranked-by-number-of-users\/. Accessed August 7, 2022."},{"key":"773_CR27","first-page":"1","volume":"3","author":"K Saha","year":"2019","unstructured":"Saha K, Kim SC, Reddy MD, et al. The language of LGBTQ+ minority stress experiences on social media. Proc ACM Hum-Comput Interact. 2019;3:1\u201322.","journal-title":"Proc ACM Hum-Comput Interact"},{"key":"773_CR28","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1177\/1461444819890353","volume":"23","author":"AH Triggs","year":"2021","unstructured":"Triggs AH, M\u00f8ller K, Neumayer C. Context collapse and anonymity among queer Reddit users. New Media Soc. 2021;23:5\u201321.","journal-title":"New Media Soc"},{"key":"773_CR29","first-page":"1","volume-title":"Proceedings of the 2018 CHI conference on human factors in computing systems","author":"M Carrasco","year":"2018","unstructured":"Carrasco M, Kerne A. Queer visibility: supporting LGBT+ selective visibility on social media. In: proceedings of the 2018 CHI conference on human factors in computing systems; 2018. p. 1\u201312."},{"key":"773_CR30","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77\u2013101.","journal-title":"Qual Res Psychol"},{"key":"773_CR31","volume-title":"Introducing qualitative research: a student\u2019s guide","author":"R Barbour","year":"2013","unstructured":"Barbour R. Introducing qualitative research: a student\u2019s guide: Sage; 2013."},{"key":"773_CR32","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1038\/s41746-018-0036-2","volume":"1","author":"JW Ayers","year":"2018","unstructured":"Ayers JW, Caputi TL, Nebeker C, et al. Don\u2019t quote me: reverse identification of research participants in social media studies. NPJ Digit Med. 2018;1:30.","journal-title":"NPJ Digit Med"},{"key":"773_CR33","doi-asserted-by":"publisher","unstructured":"Chiauzzi E, Wicks P. Digital trespass: Ethical and terms-of-use violations by researchers accessing data from an online patient community. J Med Internet Res 2019;21(2):e11985. https:\/\/www.jmir.org\/2019\/2\/e11985. https:\/\/doi.org\/10.2196\/11985.","DOI":"10.2196\/11985"},{"key":"773_CR34","unstructured":"Centers for Disease Control and Prevention. Safer sex, social gatherings, and monkeypox. In:centers for Disease Control and Prevention. 2022. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/prevention\/sexual-health.html. Accessed October 7, 2022."},{"key":"773_CR35","unstructured":"Centers for Disease Control and Prevention. Monkeypox vaccination basics. In: centers for Disease Control and Prevention. 2022. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/vaccines\/vaccine-basics.html. Accessed October 9, 2022."},{"key":"773_CR36","doi-asserted-by":"publisher","unstructured":"Daskalakis D, McClung RP, Mena L, et al. Centers for disease control and prevention's monkeypox response team. Monkeypox: Avoiding the mistakes of past infectious disease epidemics. Ann Intern Med. 2022;175:1177\u20131178. [Epub 16 June 2022]. https:\/\/doi.org\/10.7326\/M22-1748.","DOI":"10.7326\/M22-1748"},{"key":"773_CR37","doi-asserted-by":"publisher","unstructured":"Delaney KP. Strategies adopted by gay, bisexual, and other men who have sex with men to prevent monkeypox virus transmission \u2014 United States, August 2022. MMWR Morb Mortal Wkly Rep. 2022;71. Epub ahead of print https:\/\/doi.org\/10.15585\/mmwr.mm7135e1.","DOI":"10.15585\/mmwr.mm7135e1"},{"key":"773_CR38","doi-asserted-by":"publisher","unstructured":"Hubach RD, Owens C. Findings on the monkeypox exposure mitigation strategies employed by men who have sex with men and transgender women in the United States. Arch Sex Behav Epub ahead of print. 2022; https:\/\/doi.org\/10.1007\/s10508-022-02423-3.","DOI":"10.1007\/s10508-022-02423-3"},{"key":"773_CR39","doi-asserted-by":"publisher","unstructured":"Cascalheira CJ, Hong C, Beltran RM, et al. Analysis of smartphone text data related to mpox from a U.S. sample of gay, bisexual, and other men who have sex with men during the 2022 outbreak. LGBT Health. Epub ahead of print. 2023; https:\/\/doi.org\/10.1089\/lgbt.2022.0307.","DOI":"10.1089\/lgbt.2022.0307"},{"key":"773_CR40","unstructured":"Centers for Disease Control and Prevention. Monkeypox and smallpox vaccine guidance. In: centers for Disease Control and Prevention. 2022.\u00a0https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/smallpox-vaccine.html. Accessed October 11, 2022."},{"key":"773_CR41","unstructured":"Health Alert Network (HAN) - 00490 | Potential Risk for New Mpox Cases. 2023.\u00a0https:\/\/emergency.cdc.gov\/han\/2023\/han00490.asp. Accessed July 6, 2023."},{"key":"773_CR42","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1080\/09540120410001640986","volume":"16","author":"JA Kelly","year":"2004","unstructured":"Kelly JA. Popular opinion leaders and HIV prevention peer education: resolving discrepant findings, and implications for the development of effective community programmes. AIDS Care. 2004;16:139\u201350.","journal-title":"AIDS Care"},{"key":"773_CR43","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1521\/aeap.2015.27.3.275","volume":"27","author":"KP Theall","year":"2015","unstructured":"Theall KP, Fleckman J, Jacobs M. Impact of a community popular opinion leader intervention among African American adults in a southeastern United States community. AIDS Educ Prev. 2015;27:275.","journal-title":"AIDS Educ Prev"},{"key":"773_CR44","doi-asserted-by":"publisher","first-page":"e2264","DOI":"10.2196\/jmir.2264","volume":"15","author":"N-Y Ko","year":"2013","unstructured":"Ko N-Y, Hsieh C-H, Wang M-C, et al. Effects of Internet popular opinion leaders (iPOL) among Internet-using men who have sex with men. J Med Internet Res. 2013;15:e2264.","journal-title":"J Med Internet Res"},{"key":"773_CR45","doi-asserted-by":"publisher","first-page":"1707","DOI":"10.2105\/AJPH.2014.301992","volume":"104","author":"SD Young","year":"2014","unstructured":"Young SD, Holloway I, Jaganath D, et al. Project HOPE: online social network changes in an HIV prevention randomized controlled trial for African American and Latino men who have sex with men. Am J Public Health. 2014;104:1707\u201312.","journal-title":"Am J Public Health"},{"key":"773_CR46","doi-asserted-by":"publisher","unstructured":"Keum BT, Hong C, Beikzadeh M, et al. Letter to the editor: mpox stigma, online homophobia, and the mental health of gay, bisexual, and other men who have sex with men. LGBT Health. Epub ahead of print. 2023; https:\/\/doi.org\/10.1089\/lgbt.2022.0281.","DOI":"10.1089\/lgbt.2022.0281"},{"key":"773_CR47","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.jpsychires.2022.07.028","volume":"154","author":"C Hong","year":"2022","unstructured":"Hong C, Yu F, Xue H, et al. The impact of COVID-19 pandemic on mental health in gay, bisexual, and other men who have sex with men in China: difference by HIV status. J Psychiatr Res. 2022;154:198\u2013202.","journal-title":"J Psychiatr Res"},{"key":"773_CR48","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1080\/00918369.2020.1868191","volume":"68","author":"IW Holloway","year":"2021","unstructured":"Holloway IW, Garner A, Tan D, et al. Associations between physical distancing and mental health, sexual health and technology use among gay, bisexual and other men who have sex with men during the COVID-19 pandemic. J Homosex. 2021;68:692\u2013708.","journal-title":"J Homosex"},{"key":"773_CR49","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1080\/17441692.2022.2063362","volume":"17","author":"G-M Santos","year":"2022","unstructured":"Santos G-M, Hong C, Wilson N, et al. Persistent disparities in COVID-19-associated impacts on HIV prevention and care among a global sample of sexual and gender minority individuals. Glob Public Health. 2022;17:827\u201342.","journal-title":"Glob Public Health"},{"key":"773_CR50","doi-asserted-by":"publisher","first-page":"e26060","DOI":"10.1002\/jia2.26060","volume":"26","author":"C Hong","year":"2023","unstructured":"Hong C, Queiroz A, Hoskin J. The impact of the COVID-19 pandemic on mental health, associated factors and coping strategies in people living with HIV: a scoping review. J Int AIDS Soc. 2023;26:e26060.","journal-title":"J Int AIDS Soc"},{"key":"773_CR51","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1016\/j.jadohealth.2020.08.006","volume":"67","author":"G Gonzales","year":"2020","unstructured":"Gonzales G, de Mola EL, Gavulic KA, et al. Mental health needs among lesbian, gay, bisexual, and transgender college students during the COVID-19 pandemic. J Adolesc Health. 2020;67:645\u20138.","journal-title":"J Adolesc Health"},{"key":"773_CR52","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.2105\/AJPH.2021.306394","volume":"111","author":"E-R Akr\u00e9","year":"2021","unstructured":"Akr\u00e9 E-R, Anderson A, Stojanovski K, et al. Depression, anxiety, and alcohol use among LGBTQ+ people during the COVID-19 pandemic. Am J Public Health. 2021;111:1610\u20139.","journal-title":"Am J Public Health"}],"container-title":["Journal of Urban Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11524-023-00773-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11524-023-00773-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11524-023-00773-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T20:25:56Z","timestamp":1702931156000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11524-023-00773-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,14]]},"references-count":52,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["773"],"URL":"https:\/\/doi.org\/10.1007\/s11524-023-00773-4","relation":{},"ISSN":["1099-3460","1468-2869"],"issn-type":[{"value":"1099-3460","type":"print"},{"value":"1468-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,14]]},"assertion":[{"value":"13 July 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}