{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:28:43Z","timestamp":1785882523733,"version":"3.56.0"},"reference-count":43,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"crossref","award":["2016\/07765-0 (FetRisks project)"],"award-info":[{"award-number":["2016\/07765-0 (FetRisks project)"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"crossref","award":["2020\/05458-9 (OAS)"],"award-info":[{"award-number":["2020\/05458-9 (OAS)"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"crossref","award":["2022\/13271-1 (LJPM)"],"award-info":[{"award-number":["2022\/13271-1 (LJPM)"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"crossref","award":["2022\/16153-0 (RJB)"],"award-info":[{"award-number":["2022\/16153-0 (RJB)"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Brazilian National Council for Scientific and Technological Development","award":["Productivity researchers (RPVF and NG)"],"award-info":[{"award-number":["Productivity researchers (RPVF and NG)"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Stillbirth is a fundamental component of childhood mortality, but its causes are still insufficiently understood. This study aims to explore stillbirth risk factors by using a multidisciplinary approach to stimulate public policies and protocols to prevent stillbirth, improve maternal care and support bereaved families.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>In this case\u2013control study with stillbirths and live births in 14 public hospitals in S\u00e3o Paulo, mothers are interviewed at hospitals after delivery, and hospital records and prenatal care registries are reviewed. Maternal and umbilical cord blood samples and placentas are collected to analyse angiogenesis and infection biomarkers, and the placenta\u2019s anatomopathological exam. Air pollutant exposure is estimated through the participant\u2019s residence and work addresses. Traditional and non-invasive autopsies by image-guided histopathology are conducted in a subset of stillbirths. Subsample mothers of cases are interviewed at home 2\u2009months after delivery on how they were dealing with grief. Information contained in the official prenatal care registries of cases and controls is being compiled. Hospital managers are interviewed about the care offered to stillbirth mothers. Data analysis will identify the main risk factors for stillbirth, investigate their interrelations, and evaluate health services care and support for bereaved families. We hope this project will contribute to the understanding of stillbirth\u2019s risk factors and related health services in Brazil, providing new knowledge about this central public health problem, contributing to the improvement of public policies and prenatal and puerperal care, helping to prevent stillbirths and improve the healthcare and support for bereaved families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This study protocol was approved by the Ethics Committee of the Municipal Health Secretary (process no 16509319.0.3012.5551) and of the Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo (process no 16509319.0.0000.0068). Results will be communicated to the study participants, policy-makers and the scientific community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-079261","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T15:31:54Z","timestamp":1718206314000},"page":"e079261","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Assessing the risks for stillbirth in S\u00e3o Paulo, Brazil: protocol for a multidisciplinary case\u2013control study \u2013 FetRisks"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7006-6177","authenticated-orcid":false,"given":"Rafael Junqueira","family":"Buralli","sequence":"first","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4648-113X","authenticated-orcid":false,"given":"Zilda Pereira","family":"da Silva","sequence":"additional","affiliation":[{"name":"Departamento de Epidemiologia, Universidade de Sao Paulo Faculdade de Saude Publica, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2354-9050","authenticated-orcid":false,"given":"Gizelton Pereira","family":"Alencar","sequence":"additional","affiliation":[{"name":"Departamento de Epidemiologia, Universidade de Sao Paulo Faculdade de Saude Publica, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerusa Maria","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, Sao Paulo, Brazil"},{"name":"Departamento de Medicina Preventiva, Universidade de S\u00e3o Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2232-4631","authenticated-orcid":false,"given":"Mara Sandra","family":"Hoshida","sequence":"additional","affiliation":[{"name":"Laboratorio de Investiga\u00e7ao Medica em Fisiologia Obstetrica (LIM 57), Universidade de S\u00e3o Paulo Hospital das Cl\u00ednicas, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1145-9672","authenticated-orcid":false,"given":"Expedito J. A.","family":"Luna","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de S\u00e3o Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"},{"name":"Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5268-4713","authenticated-orcid":false,"given":"Luciana Duzolina Manfr\u00e9","family":"Pastro","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de S\u00e3o Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osmara Alves dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de S\u00e3o Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4511-4995","authenticated-orcid":false,"given":"Lays Janaina Prazeres","family":"Marques","sequence":"additional","affiliation":[{"name":"Departamento de Epidemiologia, Universidade de S\u00e3o Paulo Faculdade de Saude P\u00fablica, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Melim","family":"Zerbinati","sequence":"additional","affiliation":[{"name":"Laboratorio de Virologia (LIM 52), Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s Jimenez","family":"Galisteo Junior","sequence":"additional","affiliation":[{"name":"Laboratorio de Investiga\u00e7ao Medica em Protozoologia, Bacteriologia e Resistencia Antimicrobiana (LIM 49), Universidade de Sao Paulo Hospital das Clinicas, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heitor de","family":"Andrade Junior","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"},{"name":"Laboratorio de Anatomia Patologica, Universidade de Sao Paulo Hospital das Clinicas, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarisse M","family":"Machado","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"},{"name":"Laboratorio de Virologia (LIM 52), Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0913-1579","authenticated-orcid":false,"given":"Luciana Regina","family":"Meireles","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo Instituto de Medicina Tropical de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Schultz","sequence":"additional","affiliation":[{"name":"Laboratorio de Anatomia Patologica, Universidade de Sao Paulo Hospital das Clinicas, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9008-660X","authenticated-orcid":false,"given":"Laura Cunha","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9981-8069","authenticated-orcid":false,"given":"Rossana Pulcineli Vieira","family":"Francisco","sequence":"additional","affiliation":[{"name":"Laboratorio de Investiga\u00e7ao Medica em Fisiologia Obstetrica (LIM 57), Universidade de S\u00e3o Paulo Hospital das Cl\u00ednicas, S\u00e3o Paulo, Brazil"},{"name":"Departamento de Obstetricia e Ginecologia, Universidade de Sao Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9849-0324","authenticated-orcid":false,"given":"Hillegonda Maria Dutilh","family":"Novaes","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de S\u00e3o Paulo Faculdade de Medicina, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0052-1888","authenticated-orcid":false,"given":"Marcia Furquim de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Departamento de Epidemiologia, Universidade de Sao Paulo Faculdade de Saude Publica, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0625-0265","authenticated-orcid":false,"given":"Nelson","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"2025121513310994000_14.6.e079261.1","unstructured":"UNICEF . Never Forgotten: The Situation of Stillbirth around the Globe - UNICEF DATA. 1st edn. New York: United Nations Children\u2019s Fund - UNICEF, 2023. Available: https:\/\/data.unicef.org\/resources\/never-forgotten-stillbirth-estimates-report\/"},{"key":"2025121513310994000_14.6.e079261.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"2025121513310994000_14.6.e079261.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00818-1"},{"key":"2025121513310994000_14.6.e079261.4","doi-asserted-by":"crossref","first-page":"7391","DOI":"10.34172\/ijhpm.2023.7391","article-title":"Global Stillbirth policy review-outcomes and implications ahead of the 2030 sustainable development goal agenda","volume":"12","author":"Mensah Abrampah","year":"2023","journal-title":"Int J Health Policy Manag"},{"key":"2025121513310994000_14.6.e079261.5","doi-asserted-by":"crossref","unstructured":"Marques LJP , Silva ZP da , Alencar GP , et al . Contribui\u00e7\u00f5es DA Investiga\u00e7\u00e3o dos \u00d3bitos Fetais para Melhoria DA Defini\u00e7\u00e3o DA Causa B\u00e1sica do \u00d3bito no Munic\u00edpio de S\u00e3o Paulo, Brasil. Cad Sa\u00fade P\u00fablica 2021;37. doi:10.1590\/0102-311x00079120","DOI":"10.1590\/0102-311x00079120"},{"key":"2025121513310994000_14.6.e079261.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62233-7"},{"key":"2025121513310994000_14.6.e079261.7","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1590\/S0034-89102007000100006","article-title":"Risk-factors for Antepartum fetal deaths in the city of S\u00e3o Paulo","volume":"41","author":"Almeida","year":"2007","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"2025121513310994000_14.6.e079261.8","article-title":"Placental Pathology and maternal risk factors for Stillbirth: A case-control study","volume":"15","author":"Patel","year":"2023","journal-title":"Cureus"},{"key":"2025121513310994000_14.6.e079261.9","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1111\/1471-0528.12995","article-title":"Causes of and factors associated with Stillbirth in Low- and middle-income countries: a systematic literature review","volume":"121 Suppl 4","author":"Aminu","year":"2014","journal-title":"BJOG"},{"key":"2025121513310994000_14.6.e079261.10","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1002\/ijgo.14573","article-title":"Investigation of stillbirths in Brazil: A systematic Scoping review of the causes and related reporting processes in the past decade","volume":"161","author":"Souza","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"2025121513310994000_14.6.e079261.11","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00072918","article-title":"Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors","volume":"35","author":"Varela","year":"2019","journal-title":"Cad Saude Publica"},{"key":"2025121513310994000_14.6.e079261.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01020-X"},{"key":"2025121513310994000_14.6.e079261.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62306-9"},{"key":"2025121513310994000_14.6.e079261.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2010.10.009"},{"key":"2025121513310994000_14.6.e079261.15","doi-asserted-by":"crossref","first-page":"116752","DOI":"10.1016\/j.envpol.2021.116752","article-title":"Ambient air pollution and Stillbirth: an updated systematic review and meta-analysis of Epidemiological studies","volume":"278","author":"Zhang","year":"2021","journal-title":"Environmental Pollution"},{"key":"2025121513310994000_14.6.e079261.16","unstructured":"SMS-SP . Tabnet - \u00d3bitos Fetais. In: Coordena\u00e7\u00e3o de Epidemiologia e Informa\u00e7\u00e3o (CEInfo), Secretaria Municipal da Sa\u00fade de S\u00e3o Paulo (SMS-SP). 2023. Available: http:\/\/tabnet.saude.prefeitura.sp.gov.br\/cgi\/tabcgi.exe?secretarias\/saude\/TABNET\/fetal\/fetal.def"},{"key":"2025121513310994000_14.6.e079261.17","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-03646-5","article-title":"Intra-urban differentials of fetal mortality in clusters of social vulnerability in S\u00e3o Paulo municipality","volume":"11","author":"Marques","year":"2021","journal-title":"Sci Rep"},{"key":"2025121513310994000_14.6.e079261.18","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1590\/S0034-89102011005000058","article-title":"Quality of information registered on fetal deaths certificates in S\u00e3o Paulo","volume":"45","author":"Almeida","year":"2011","journal-title":"Rev Saude Publica"},{"key":"2025121513310994000_14.6.e079261.19","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1590\/S0102-311X2010000100013","article-title":"Morte neonatal Precoce Segundo Complexidade Hospitalar E Rede SUS E N\u00e3o-SUS NA Regi\u00e3o Metropolitana de S\u00e3o Paulo, Brasil","volume":"26","author":"Silva","year":"2010","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"2025121513310994000_14.6.e079261.20","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1590\/1413-81232014191.1943","article-title":"An\u00e1lise Espacial dos Aglomerados de Nascimentos Ocorridos em Hospitais SUS E N\u00e3o SUS do Munic\u00edpio de S\u00e3o Paulo, Brasil","volume":"19","author":"Santos","year":"2014","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"key":"2025121513310994000_14.6.e079261.21","unstructured":"IBGE . Censo Demogr\u00e1fico 2022. Instituto Brasileiro de Geografia e Estatistica, 2023. Available: https:\/\/censo2022.ibge.gov.br\/panorama\/"},{"key":"2025121513310994000_14.6.e079261.22","doi-asserted-by":"crossref","unstructured":"Santos PC dos , Silva ZP da , Chiaravalloti Neto F , et al . Diferenciais dos Aglomerados de Nascidos Vivos no Munic\u00edpio de S\u00e3o Paulo, Brasil, 2010. Cad Sa\u00fade P\u00fablica 2018;34. doi:10.1590\/0102-311x00156416","DOI":"10.1590\/0102-311x00156416"},{"key":"2025121513310994000_14.6.e079261.23","doi-asserted-by":"crossref","DOI":"10.1016\/j.scitotenv.2021.149790","article-title":"Individual and Contextual socioeconomic status as effect modifier in the air pollution-birth outcome Association","volume":"803","author":"do Nascimento","year":"2022","journal-title":"Sci Total Environ"},{"key":"2025121513310994000_14.6.e079261.24","unstructured":"SMS-SP . S\u00edfilis em Gestante - S\u00e9rie Hist\u00f3rica. In: Secretaria Municipal de Sa\u00fade de S\u00e3o Paulo (SMS-SP). 2023. Available: https:\/\/www.prefeitura.sp.gov.br\/cidade\/secretarias\/saude\/vigilancia_em_saude\/index.php?p=246153"},{"key":"2025121513310994000_14.6.e079261.25","unstructured":"SMS-SP . S\u00edfilis Cong\u00eanita - S\u00e9rie Hist\u00f3rica. In: Secretaria Municipal de Sa\u00fade de S\u00e3o Paulo (SMS-SP). 2023. Available: https:\/\/www.prefeitura.sp.gov.br\/cidade\/secretarias\/saude\/vigilancia_em_saude\/index.php?p=246159"},{"key":"2025121513310994000_14.6.e079261.26","unstructured":"BRASIL . Portaria no 72, De 11 de Janeiro de 2010, Bras\u00edlia. 2010."},{"key":"2025121513310994000_14.6.e079261.27","unstructured":"Fleiss JL . Statistical Methods for Rates and Proportions. 1st edn. London: John Wiley & Sons, 1981."},{"key":"2025121513310994000_14.6.e079261.28","first-page":"1043","article-title":"Risk factors for perinatal death in high-risk pregnant women at a tertiary hospital in Curitiba-PR, Brazil: a case-control study","volume":"28","author":"Szyhta","year":"2023","journal-title":"Cien Saude Colet"},{"key":"2025121513310994000_14.6.e079261.29","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-019-4309-4","article-title":"Multiplex qPCR facilitates identification of Betaherpesviruses in patients with acute liver failure of unknown etiology","volume":"19","author":"Raposo","year":"2019","journal-title":"BMC Infect Dis"},{"key":"2025121513310994000_14.6.e079261.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2009.11.001"},{"key":"2025121513310994000_14.6.e079261.31","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1080\/14737159.2019.1582333","article-title":"Quantitative real-time PCR for differential diagnostics of Parvovirus B19 infection in acute liver failure patients","volume":"19","author":"Alves","year":"2019","journal-title":"Expert Rev Mol Diagn"},{"key":"2025121513310994000_14.6.e079261.32","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.3201\/eid1408.080287","article-title":"Genetic and serologic properties of zika virus associated with an epidemic, yap state, micronesia, 2007","volume":"14","author":"Lanciotti","year":"2007","journal-title":"Emerg Infect Dis"},{"key":"2025121513310994000_14.6.e079261.33","doi-asserted-by":"publisher","DOI":"10.1016\/j.mimet.2017.04.010"},{"key":"2025121513310994000_14.6.e079261.34","doi-asserted-by":"publisher","DOI":"10.1016\/J.MIMET.2018.03.009"},{"key":"2025121513310994000_14.6.e079261.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2017.06.003"},{"key":"2025121513310994000_14.6.e079261.36","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01578-06"},{"key":"2025121513310994000_14.6.e079261.37","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3109\/10641955.2015.1115063","article-title":"Preeclampsia and superimposed Preeclampsia: the same disease? the role of angiogenic biomarkers","volume":"35","author":"Costa","year":"2016","journal-title":"Hypertens Pregnancy"},{"key":"2025121513310994000_14.6.e079261.38","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/10473289.2000.10463998","article-title":"Distance-weighted traffic density in proximity to a home is a risk factor for leukemia and other childhood cancers","volume":"50","author":"Pearson","year":"2000","journal-title":"J Air Waste Manage Associat"},{"key":"2025121513310994000_14.6.e079261.39","doi-asserted-by":"crossref","unstructured":"Paris GF , Montigny F de , Pelloso SM . Cross-cultural adaptation and validation evidence of the perinatal grief scale. Texto Contexto - Enferm 2017;26. doi:10.1590\/0104-07072017005430015","DOI":"10.1590\/0104-07072017005430015"},{"key":"2025121513310994000_14.6.e079261.40","doi-asserted-by":"crossref","unstructured":"Greenland S , Diagrams PJC . Wiley Statsref: Statistics Reference Online. Wiley, 2017:1\u201310.Available: https:\/\/onlinelibrary.wiley.com\/doi\/book\/10.1002\/9781118445112","DOI":"10.1002\/9781118445112.stat03732.pub2"},{"key":"2025121513310994000_14.6.e079261.41","unstructured":"Kline RB . Principles and Practice of Structural Equation Modeling. 4th edn. New York City: Guilford Press, 2016."},{"key":"2025121513310994000_14.6.e079261.42","doi-asserted-by":"publisher","DOI":"10.1093\/biostatistics\/kxi026"},{"key":"2025121513310994000_14.6.e079261.43","doi-asserted-by":"crossref","unstructured":"Morin AJS , Myers ND , Lee S . Modern factor analytic techniques: Bifactor models, exploratory structural equation modeling (ESEM), and Bifactor\u2010ESEM. In: Tenenbaum G , Eklund RC , eds. Handbook of Sport Psychology. New York, NY: Wiley Publishers, 2020.","DOI":"10.1002\/9781119568124.ch51"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2023-079261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T21:31:22Z","timestamp":1765834282000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2023-079261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":43,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,12]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bmjopen-2023-079261"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2023-079261","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}