{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:32:35Z","timestamp":1740162755535,"version":"3.37.3"},"reference-count":62,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004895","name":"European Social Fund","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100004895","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100005156","name":"Alexander von Humboldt Foundation","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100005156","id-type":"DOI","asserted-by":"crossref"}]},{"name":"German Federal Ministry of Education and Research","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/501100000288","name":"Royal Society","doi-asserted-by":"publisher","award":["210479\/Z\/18\/Z"],"award-info":[{"award-number":["210479\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/501100000288","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["210479\/Z\/18\/Z"],"award-info":[{"award-number":["210479\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Baden-Wuerttemberg Ministry of Science, Research, and the Arts","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,10,14]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this study is to examine the association between relationship satisfaction and blood pressure (BP) in a low-income setting and to screen for gender moderation in this context. Research conducted in high-income settings suggests that relationship satisfaction is associated with better physical and mental health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross-sectional study design was employed, using both questionnaire and physical measurement data. Multiple linear regression models were calculated for systolic and diastolic BP and adjusted for age, gender, demographics\/socioeconomics and other health-related variables. Gender moderation was tested using interaction terms in multivariable analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A household survey was conducted in 2018 in rural northwestern Burkina Faso.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Final analysis included 2114 participants aged over 40 who were not pregnant, reported being in a partnership and had valid BP readings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Systolic and diastolic BP levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A significant positive association existed between relationship satisfaction (Couples Satisfaction Index-4 score) and systolic BP (B=0.23, 95%\u2009CI (0.02 to 0.45), p=0.03) when controlling for demographics\/socioeconomics. Nevertheless, this relationship lost statistical significance when additional adjustments were made for health-related variables (B=0.21, 95%\u2009CI (\u22120.01 to 0.42), p=0.06). There was no significant association of relationship satisfaction and diastolic BP and no evidence of gender moderation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In contrast to many higher-income settings, we found a positive association between relationship satisfaction and systolic BP in very low-income rural Burkina Faso. Our results add to the evidence regarding the contextual nature of the association between relationship satisfaction and health, as high relationship satisfaction may not act as a health promotor in this socioeconomic context.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2024-089374","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T18:15:25Z","timestamp":1731435325000},"page":"e089374","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Association of relationship satisfaction with blood pressure: a cross-sectional study of older adults in rural Burkina Faso"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2301-1516","authenticated-orcid":false,"given":"Felicitas Maria","family":"Jaspert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6604-491X","authenticated-orcid":false,"given":"Guy","family":"Harling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Sie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamadou","family":"Bountogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Till","family":"B\u00e4rnighausen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beate","family":"Ditzen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie Sandy","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"2024121219382036000_14.11.e089374.1","doi-asserted-by":"crossref","unstructured":"United Nations . World Population Prospects 2019: Highlights, 2019. Available: https:\/\/doi.org\/10.18356\/13bf5476-en","DOI":"10.18356\/13bf5476-en"},{"key":"2024121219382036000_14.11.e089374.2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30374-2"},{"key":"2024121219382036000_14.11.e089374.3","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1016\/S0140-6736(18)31992-5","article-title":"NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4","volume":"392","author":"Bennett","year":"2018","journal-title":"The Lancet"},{"key":"2024121219382036000_14.11.e089374.4","doi-asserted-by":"crossref","unstructured":"Holt-Lunstad J , Smith TB , Layton JB . Social relationships and mortality risk: a meta-analytic review. PLoS Med 2010;7. doi:10.1371\/journal.pmed.1000316","DOI":"10.4016\/19865.01"},{"key":"2024121219382036000_14.11.e089374.5","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199301000-00007"},{"key":"2024121219382036000_14.11.e089374.6","doi-asserted-by":"publisher","DOI":"10.1126\/science.3399889"},{"key":"2024121219382036000_14.11.e089374.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000145819.94041.52"},{"key":"2024121219382036000_14.11.e089374.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.06.029"},{"key":"2024121219382036000_14.11.e089374.9","doi-asserted-by":"publisher","DOI":"10.1037\/a0031859"},{"key":"2024121219382036000_14.11.e089374.10","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-008-9018-y"},{"key":"2024121219382036000_14.11.e089374.11","doi-asserted-by":"crossref","unstructured":"Fincham FD , Rogge R , Beach SRH . Relationship satisfaction. In: Vangelisti AL , Perlman D , eds. The Cambridge Handbook of Personal Relationships. Cambridge: Cambridge University Press, 2018: 422\u201336. Available: https:\/\/doi.org\/10.1017\/9781316417867.033","DOI":"10.1017\/9781316417867.033"},{"key":"2024121219382036000_14.11.e089374.12","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.21.4.572"},{"key":"2024121219382036000_14.11.e089374.13","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1177\/0192513X20929071","article-title":"Cultural Similarities and Differences in Relationship Goals in Intercultural Romantic Couples","volume":"42","author":"Fonseca","year":"2021","journal-title":"J Fam Issues"},{"key":"2024121219382036000_14.11.e089374.14","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1037\/0893-3200.8.4.432","article-title":"Global marital satisfaction versus marital adjustment: An empirical comparison of three measures","volume":"8","author":"Heyman","year":"1995","journal-title":"J Fam Psychol"},{"key":"2024121219382036000_14.11.e089374.15","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/21528586.2011.563542","article-title":"Relationship Satisfaction and Gender Differences in a South African Farm-worker Community","volume":"42","author":"Lesch","year":"2011","journal-title":"S Afr Rev Sociol"},{"key":"2024121219382036000_14.11.e089374.16","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-048230","article-title":"Investigating the effect of relationship satisfaction on postpartum women\u2019s health-related quality of life in Burkina Faso: a cross-sectional analysis","volume":"11","author":"Lokubal","year":"2021","journal-title":"BMJ Open"},{"key":"2024121219382036000_14.11.e089374.17","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4314\/rejhs.v9i2.3","article-title":"A Cross-sectional Study of Female HIV Patient Perspective of Dyadic Adjustment in HIV Sero-concordant and Sero-discordant couples","volume":"9","author":"Sodeinde","year":"2021","journal-title":"REJHS"},{"key":"2024121219382036000_14.11.e089374.18","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1007\/s11886-022-01695-4","article-title":"Intimate Relationships and Coronary Heart Disease: Implications for Risk, Prevention, and Patient Management","volume":"24","author":"Smith","year":"2022","journal-title":"Curr Cardiol Rep"},{"key":"2024121219382036000_14.11.e089374.19","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1093\/abm\/kay030","article-title":"Romantic Relationship Satisfaction and Ambulatory Blood Pressure During Social Interactions: Specificity or Spillover Effects?","volume":"53","author":"Cornelius","year":"2019","journal-title":"Ann Behav Med"},{"key":"2024121219382036000_14.11.e089374.20","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1037\/amp0000049","article-title":"Integrative pathways linking close family ties to health: A neurochemical perspective","volume":"72","author":"Uchino","year":"2017","journal-title":"Am Psychol"},{"key":"2024121219382036000_14.11.e089374.21","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbs123"},{"key":"2024121219382036000_14.11.e089374.22","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9384(03)00160-4"},{"key":"2024121219382036000_14.11.e089374.23","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1146\/annurev-clinpsy-032816-045111","article-title":"Lovesick: How Couples\u2019 Relationships Influence Health","volume":"13","author":"Kiecolt-Glaser","year":"2017","journal-title":"Annu Rev Clin Psychol"},{"key":"2024121219382036000_14.11.e089374.24","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-17998-w","article-title":"Relationship satisfaction and metabolic health parameters: a cross-sectional study in Burkinabe population of older adults","volume":"24","author":"Kurniawan","year":"2024","journal-title":"BMC Public Health"},{"key":"2024121219382036000_14.11.e089374.25","doi-asserted-by":"publisher","DOI":"10.1161\/hypertensionaha.119.14240"},{"key":"2024121219382036000_14.11.e089374.26","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/j.1753-4887.2007.00010.x","article-title":"Surrogate endpoints and emerging surrogate endpoints for risk reduction of cardiovascular disease","volume":"66","author":"Rasnake","year":"2008","journal-title":"Nutr Rev"},{"key":"2024121219382036000_14.11.e089374.27","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0140-6736(16)31919-5","article-title":"Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19\u00b71 million participants","volume":"389","author":"Zhou","year":"2017","journal-title":"The Lancet"},{"key":"2024121219382036000_14.11.e089374.28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.010"},{"key":"2024121219382036000_14.11.e089374.29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0032638","article-title":"Hypertension in sub-Saharan Africa: cross-sectional surveys in four rural and urban communities","volume":"7","author":"Hendriks","year":"2012","journal-title":"PLoS One"},{"key":"2024121219382036000_14.11.e089374.30","doi-asserted-by":"crossref","unstructured":"Bos ER , Jamison DT , Bainga F , et al . Disease and Mortality in Sub-Saharan Africa: The World Bank, 2006. Available: https:\/\/doi.org\/10.1596\/978-0-8213-6397-3","DOI":"10.1596\/978-0-8213-6397-3"},{"key":"2024121219382036000_14.11.e089374.31","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-60906-w","article-title":"Ideal cardiovascular health index and high-normal blood pressure in elderly people: evidence based on real-world data","volume":"14","author":"Ren","year":"2024","journal-title":"Sci Rep"},{"key":"2024121219382036000_14.11.e089374.32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.2011.00247.x"},{"key":"2024121219382036000_14.11.e089374.33","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.09.045"},{"key":"2024121219382036000_14.11.e089374.34","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-021-04301-7","article-title":"Psychological impact of polygamous marriage on women and children: a systematic review and meta-analysis","volume":"21","author":"Shaiful Bahari","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"2024121219382036000_14.11.e089374.35","doi-asserted-by":"crossref","first-page":"105512","DOI":"10.1016\/j.worlddev.2021.105512","article-title":"Are women emancipating? Evidence from marriage, divorce and remarriage in Rural Northern Burkina Faso\u2606","volume":"146","author":"Guirkinger","year":"2021","journal-title":"World Dev"},{"key":"2024121219382036000_14.11.e089374.36","doi-asserted-by":"publisher","DOI":"10.2307\/4153021"},{"key":"2024121219382036000_14.11.e089374.37","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1017\/S2045796012000121","article-title":"The impact of polygamy on women\u2019s mental health: a systematic review","volume":"22","author":"Shepard","year":"2013","journal-title":"Epidemiol Psychiatr Sci"},{"key":"2024121219382036000_14.11.e089374.38","doi-asserted-by":"publisher","DOI":"10.1177\/00207640060061245"},{"key":"2024121219382036000_14.11.e089374.39","doi-asserted-by":"crossref","unstructured":"Hewitt B , Churchill B . Chapter 3 - convergence and difference: marriage and family life from a cross-cultural perspective. In: Halford WK , Vijver F , eds. Cross-cultural family research and practice. Academic Press, 2020: 57\u2013102. Available: http:\/\/dx.doi.org\/10.1016\/B978-0-12-815493-9.00003-X","DOI":"10.1016\/B978-0-12-815493-9.00003-X"},{"key":"2024121219382036000_14.11.e089374.40","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30925-9"},{"key":"2024121219382036000_14.11.e089374.41","unstructured":"United Nations Development Programme . Statistical update 2018: Human development indices and indicators, Available: http:\/\/report2017.archive.s3-website-us-east-1.amazonaws.com"},{"key":"2024121219382036000_14.11.e089374.42","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v3i0.5284"},{"key":"2024121219382036000_14.11.e089374.43","unstructured":"Macrotrends . Burkina Faso literacy rate 1975-2024, Available: https:\/\/www.macrotrends.net\/countries\/BFA\/burkina-faso\/literacy-rate"},{"key":"2024121219382036000_14.11.e089374.44","unstructured":"Institut National de la Statistique et de la D\u00e9mographie [INSD] et ICF International . Enqu\u00eate d\u00e9mographique et de sant\u00e9 et \u00e0 indicateurs multiples du burkina faso 2010. (edsbf-mics iv). 2012. Available: https:\/\/dhsprogram.com\/pubs\/pdf\/FR256\/FR256.pdf"},{"key":"2024121219382036000_14.11.e089374.45","doi-asserted-by":"crossref","DOI":"10.12688\/wellcomeopenres.15455.1","article-title":"Frailty and physical performance in the context of extreme poverty: a population-based study of older adults in rural Burkina Faso","volume":"4","author":"Witham","year":"2019","journal-title":"Wellcome Open Res"},{"key":"2024121219382036000_14.11.e089374.46","unstructured":"World Health Organization . Noncommunicable Diseases and Mental Health Cluster. WHO STEPS surveillance manual: the WHO STEPwise approach to chronic disease risk factor surveillance\/ Noncommunicable Diseases and Mental Health. 2005. Available: https:\/\/iris.who.int\/handle\/10665\/43376"},{"key":"2024121219382036000_14.11.e089374.47","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000065"},{"key":"2024121219382036000_14.11.e089374.48","unstructured":"Rutstein SO , Johnson K . The DHS wealth index. Calverton, Maryland, USA: ORC Macro, 2004. Available: http:\/\/dhsprogram.com\/pubs\/pdf\/CR6\/CR6.pdf"},{"key":"2024121219382036000_14.11.e089374.49","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0226911","article-title":"\u201cBecause at school, you can become somebody\u201d - The perceived health and economic returns on secondary schooling in rural Burkina Faso","volume":"14","author":"Werner","year":"2019","journal-title":"PLoS ONE"},{"key":"2024121219382036000_14.11.e089374.50","unstructured":"R Foundation for Statistical Computing . R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2020. Available: https:\/\/www.R-project.org\/"},{"key":"2024121219382036000_14.11.e089374.51","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.009029"},{"key":"2024121219382036000_14.11.e089374.52","doi-asserted-by":"crossref","DOI":"10.1002\/brb3.2482","article-title":"Predict marital satisfaction based on the variables of socioeconomic status (SES) and social support, mediated by mental health, in women of reproductive age: Path analysis model","volume":"12","author":"Rashidi Fakari","year":"2022","journal-title":"Brain Behav"},{"key":"2024121219382036000_14.11.e089374.53","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2019-002096","article-title":"Epidemiology of multimorbidity in conditions of extreme poverty: a population-based study of older adults in rural Burkina Faso","volume":"5","author":"Odland","year":"2020","journal-title":"BMJ Glob Health"},{"key":"2024121219382036000_14.11.e089374.54","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1017\/dem.2021.18","article-title":"The role of family networks and social capital on women\u2019s fertility intentions in Ouagadougou, Burkina Faso","volume":"88","author":"Bougma","year":"2022","journal-title":"J Dem Econ"},{"key":"2024121219382036000_14.11.e089374.55","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1093\/geronb\/gbp133","article-title":"Spouses\u2019 cardiovascular reactivity to their partners\u2019 suffering","volume":"65B","author":"Monin","year":"2010","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"2024121219382036000_14.11.e089374.56","doi-asserted-by":"crossref","DOI":"10.1111\/spc3.12468","article-title":"Close Relationships and Health: The Interactive Effect of Positive and Negative Aspects","volume":"13","author":"Ross","year":"2019","journal-title":"Soc Personal Psychol Compass"},{"key":"2024121219382036000_14.11.e089374.57","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1037\/hea0000677","article-title":"Marital satisfaction and mortality in the United States adult population","volume":"37","author":"Whisman","year":"2018","journal-title":"Health Psychol"},{"key":"2024121219382036000_14.11.e089374.58","doi-asserted-by":"crossref","first-page":"8817","DOI":"10.3390\/su12218817","article-title":"Global Perspective on Marital Satisfaction","volume":"12","author":"Dobrowolska","year":"2020","journal-title":"Sustainability"},{"key":"2024121219382036000_14.11.e089374.59","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/jomf.12077","article-title":"Gender Differences in Marital Satisfaction: A Meta\u2010analysis","volume":"76","author":"Jackson","year":"2014","journal-title":"J of Marriage and Family"},{"key":"2024121219382036000_14.11.e089374.60","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6811.2012.01412.x"},{"key":"2024121219382036000_14.11.e089374.61","doi-asserted-by":"crossref","DOI":"10.1186\/s12872-019-1147-7","article-title":"Determinants of systemic hypertension in older adults in Africa: a systematic review","volume":"19","author":"Bosu","year":"2019","journal-title":"BMC Cardiovasc Disord"},{"key":"2024121219382036000_14.11.e089374.62","unstructured":"Jaspert FM , Harling G , Si\u00e9 A , et al . Association of relationship satisfaction and blood pressure in rural burkina faso\u2019s elderly population. Abstract Presented at the 37th Annual Conference of the European Health Psychology Society (EHPS 2023), September 4-8, 2023; Bremen, 404. Available: https:\/\/2023.ehps.net\/wp-content\/uploads\/2023\/09\/EHPS_2023_Abstracts_UPLOAD.pdf"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2024-089374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T03:57:27Z","timestamp":1734062247000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2024-089374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":62,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,12]]},"published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1136\/bmjopen-2024-089374"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2024-089374","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}