{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:23:39Z","timestamp":1791851019530,"version":"4.3.4"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004320","name":"Shiraz University of Medical Sciences","doi-asserted-by":"publisher","award":["18050"],"award-info":[{"award-number":["18050"]}],"id":[{"id":"10.13039\/501100004320","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Human papillomavirus is the most common cause of sexually transmitted diseases. Various studies report that positive human papillomavirus diagnosis results in psychosexual issues for the infected and reduces their quality of life. However, the adaptation of the infected has not been addressed yet. The present study aims to identify the process by which individuals infected with human papillomavirus adapt to their disease.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>This is a qualitative work of research with a grounded theory design. The setting of the study was the skin clinic of Shahid Faghihi Hospital in Shiraz. The participants consisted of 27 individuals: 18 patients, 3 doctors, 2 counselors, and 4 spouses of patients. The subjects were selected via purposeful and theoretical sampling method until data saturation was reached. Data were collected through face-to-face, in-depth, semi-structured interviews from April 2019 to December 2020. The collected data were analyzed using Corbin and Strauss\u2019s method (2015) and MAXQDA 2018.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The theory which emerged from the data was \u201ctrying to maintain resilience in the absence of psychological security.\u201d Analysis of data showed the main concern of participants in adapting to their diagnosis with human papillomavirus was \u201clife stress\u201d. \u201cStigma and ignorance\u201d was found to be a contextual condition and \u201cparadox in support\u201d was an intervening condition in the patients\u2019 adaptation. The patients\u2019 action\/interaction responses to their main concern in the context in question were \u201cemotional confrontation\u201d and \u201cmaintaining resilience.\u201d The outcome was \u201coscillation between tension and tranquility.\u201d<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The present study explains the process by which patients with human papillomavirus adapt to their condition. Identification of the concerns of patients with human papillomavirus and the factors which affect their adaptation can help healthcare policy-makers and providers develop effective support plans in order to increase patients\u2019 quality of life. Early interventions, e.g. counseling care providers to modify their behaviors toward alleviating the psychosexual tension of the infected, can facilitate the adaptation of the infected and decrease the consequences of the infection for them.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1186\/s12978-021-01264-y","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T16:03:20Z","timestamp":1635264200000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Adaptation of patients diagnosed with human papillomavirus: a grounded theory study"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6377-7250","authenticated-orcid":false,"given":"Narjes","family":"Nick","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2193-5844","authenticated-orcid":false,"given":"Camellia","family":"Torabizadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3218-1988","authenticated-orcid":false,"given":"Mehdi","family":"Ghahartars","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7831-8401","authenticated-orcid":false,"given":"Roksana","family":"Janghorban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"1264_CR1","unstructured":"Human papillomavirus (HPV) and cervical cancer Geneva: World Health Organization; 2020. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/human-papillomavirus-(hpv)-and-cervical-cancer."},{"key":"1264_CR2","unstructured":"HPV and Cancer USA: National Cancer Institute; 2020. https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/risk\/infectious-agents\/hpv-and-cancer."},{"issue":"17\u201318","key":"1264_CR3","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.1111\/jocn.12827","volume":"24","author":"L Ambrosio","year":"2015","unstructured":"Ambrosio L, Senosiain Garc\u00eda JM, Riverol Fern\u00e1ndez M, AnautBravo S, D\u00edaz De Cerio Ayesa S, Urs\u00faaSesma ME, et al. Living with chronic illness in adults: a concept analysis. J Clin Nurs. 2015;24(17\u201318):2357\u201367.","journal-title":"J Clin Nurs"},{"issue":"8","key":"1264_CR4","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1007\/s11136-015-1220-3","volume":"25","author":"MV Navarta-S\u00e1nchez","year":"2016","unstructured":"Navarta-S\u00e1nchez MV, Senosiain Garc\u00eda JM, Riverol M, Urs\u00faa Sesma ME, D\u00edazde Cerio Ayesa S, Anaut Bravo S, et al. Factors influencing psychosocial adjustment and quality of life in Parkinson patients and informal caregivers. Qual Life Res. 2016;25(8):1959\u201368.","journal-title":"Qual Life Res"},{"key":"1264_CR5","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1146\/annurev-psych-010416-044014","volume":"68","author":"VS Helgeson","year":"2017","unstructured":"Helgeson VS, Zajdel M. Adjusting to chronic health conditions. Annu Rev Psychol. 2017;68:545\u201371.","journal-title":"Annu Rev Psychol"},{"key":"1264_CR6","doi-asserted-by":"crossref","unstructured":"Argyriadi A, Argyriadis A. Health psychology: psychological adjustment to the disease, disability and loss. 2019.","DOI":"10.31142\/ijtsrd23200"},{"issue":"4","key":"1264_CR7","doi-asserted-by":"crossref","first-page":"226","DOI":"10.5539\/gjhs.v6n4p226","volume":"6","author":"R Janghorban","year":"2014","unstructured":"Janghorban R, Taghipour A, Latifnejad Roudsari R, Abbasi M. Women\u2019s empowerment in Iran: a review based on the related legislations. Glob J Health Sci. 2014;6(4):226\u201335.","journal-title":"Glob J Health Sci"},{"key":"1264_CR8","doi-asserted-by":"crossref","unstructured":"Rahbari L. Sexuality in I ran. Encyclopedia of family studies. 2016:1\u20135.","DOI":"10.1002\/9781119085621.wbefs235"},{"key":"1264_CR9","volume-title":"Theoretical nursing: development and progress","author":"AI Meleis","year":"2018","unstructured":"Meleis AI. Theoretical nursing: development and progress. 6th ed. Philadelphia: Wolters Kluwer; 2018.","edition":"6"},{"issue":"11","key":"1264_CR10","doi-asserted-by":"crossref","first-page":"2999","DOI":"10.1007\/s11136-020-02563-w","volume":"29","author":"YU Cosme","year":"2020","unstructured":"Cosme YU, S\u00e1nchez VC, S\u00e1nchez GI, Baena A, Osorio MAR, Zabala DR, et al. Health-related quality of life of women after HPV testing as triage strategy for an abnormal Pap smear: a nested randomized pragmatic trial in a middle-income country. Qual Life Res. 2020;29(11):2999\u20133008.","journal-title":"Qual Life Res"},{"key":"1264_CR11","first-page":"1","volume":"1","author":"B Santos","year":"2020","unstructured":"Santos B, Moreira C, Vila\u00e7a M, Carvalho E, Pereira M. Dyadic adjustment and sexual satisfaction in HPV diagnosed Portuguese women: a longitudinal study. J Sex Marital Therapy. 2020;1:1\u201312.","journal-title":"J Sex Marital Therapy."},{"key":"1264_CR12","first-page":"1","volume":"190","author":"KV Galbraith-Gyan","year":"2017","unstructured":"Galbraith-Gyan KV, Lechuga J, Jenerette CM, Palmer MH, Moore AD, Hamilton JB. HPV vaccine acceptance among African-American mothers and their daughters: an inquiry grounded in culture. Ethn Health. 2017;190:1\u201318.","journal-title":"Ethn Health"},{"issue":"10","key":"1264_CR13","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1002\/pon.5198","volume":"28","author":"KF Bennett","year":"2019","unstructured":"Bennett KF, Waller J, Ryan M, Bailey JV, Marlow LA. The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): a systematic review. Psychooncology. 2019;28(10):1959\u201370.","journal-title":"Psychooncology"},{"key":"1264_CR14","first-page":"1","volume":"1","author":"E McBride","year":"2020","unstructured":"McBride E, Tatar O, Rosberger Z, Rockliffe L, Marlow LM, Moss-Morris R, et al. Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis. Health Psychol Rev. 2020;1:1\u201335.","journal-title":"Health Psychol Rev"},{"issue":"1","key":"1264_CR15","doi-asserted-by":"crossref","first-page":"37","DOI":"10.15296\/ijwhr.2020.05","volume":"8","author":"M Pourmohsen","year":"2020","unstructured":"Pourmohsen M, Simbar M, Nahidi F, Fakor F, Majd HA. Women\u2019s experiences of infection with human papillomavirus in the face of disease symptoms: a qualitative study. IJWHR. 2020;8(1):37\u201345.","journal-title":"IJWHR"},{"issue":"1","key":"1264_CR16","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/s12905-021-01272-x","volume":"21","author":"K Qaderi","year":"2021","unstructured":"Qaderi K, Mirmolaei ST, Geranmayeh M, Sheikh Hasani S, Farnam F. Iranian women\u2019s psychological responses to positive HPV test result: a qualitative study. BMC Womens Health. 2021;21(1):128.","journal-title":"BMC Womens Health"},{"issue":"7","key":"1264_CR17","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1080\/10810730.2013.864728","volume":"19","author":"KA Kosenko","year":"2014","unstructured":"Kosenko KA, Harvey-Knowles J, Hurley RJ. The information management processes of women living with HPV. J Health Commun. 2014;19(7):813\u201324.","journal-title":"J Health Commun"},{"issue":"1","key":"1264_CR18","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s12978-021-01126-7","volume":"18","author":"K Qaderi","year":"2021","unstructured":"Qaderi K, Mirmolaei ST, Geranmayeh M, Farnam F, Sheikh HS. \u201cDoes HPV affect my fertility?\u201d Reproductive concerns of HPV-positive women: a qualitative study. Reprod Health. 2021;18(1):72.","journal-title":"Reprod Health"},{"issue":"11","key":"1264_CR19","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1111\/1471-0528.12741","volume":"121","author":"M O'connor","year":"2014","unstructured":"O\u2019connor M, Costello L, Murphy J, Prendiville W, Martin C, O\u2019Leary J, et al. \u2018I don\u2019t care whether it\u2019s HPV or ABC, I just want to know if I have cancer\u2019. Factors influencing women\u2019s emotional responses to undergoing human papillomavirus testing in routine management in cervical screening: a qualitative study. BJOG. 2014;121(11):1421\u201330.","journal-title":"BJOG"},{"issue":"11","key":"1264_CR20","doi-asserted-by":"crossref","first-page":"2523","DOI":"10.1111\/jan.13725","volume":"74","author":"YY Hsu","year":"2018","unstructured":"Hsu YY, Wang WM, Fetzer SJ, Cheng YM, Hsu KF. Longitudinal psychosocial adjustment of women to human papillomavirus infection. J Adv Nurs. 2018;74(11):2523\u201332.","journal-title":"J Adv Nurs"},{"issue":"2","key":"1264_CR21","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2471\/BLT.17.206540","volume":"96","author":"EV Langlois","year":"2018","unstructured":"Langlois EV, Tuncalp O, Norris SL, Askew I, Ghaffar A. Qualitative evidence to improve guidelines and health decision-making. Bull World Health Organ. 2018;96(2):79.","journal-title":"Bull World Health Organ"},{"key":"1264_CR22","volume-title":"Basics of qualitative research technique and procedures for developing grounded theory","author":"J Corbin","year":"2015","unstructured":"Corbin J, Strauss A. Basics of qualitative research technique and procedures for developing grounded theory. 4th ed. Los Angeles: SAGE; 2015.","edition":"4"},{"issue":"2","key":"1264_CR23","first-page":"92","volume":"9","author":"N Nick","year":"2021","unstructured":"Nick N, Torabizadeh C, Ghahartars M. Perceived supportive paradox after diagnosing human papillomavirus: a qualitative content analysis. Int J Commun Based Nurs Midwifery. 2021;9(2):92\u2013105.","journal-title":"Int J Commun Based Nurs Midwifery"},{"issue":"3","key":"1264_CR24","doi-asserted-by":"crossref","first-page":"382","DOI":"10.17665\/1676-4285.20165305","volume":"15","author":"JAPS Barreto","year":"2016","unstructured":"Barreto JAPS, de S\u00e1 Barreto MNA, Vidal ECF, Pinto AGA, de Souza AP, Vidal ECF. Feelings of women with human papilloma virus regarding their infection: an exploratory study. Online Braz J Nurs. 2016;15(3):382\u201392.","journal-title":"Online Braz J Nurs"},{"key":"1264_CR25","doi-asserted-by":"crossref","first-page":"101070","DOI":"10.1016\/j.pmedr.2020.101070","volume":"18","author":"S Arrossi","year":"2020","unstructured":"Arrossi S, Almonte M, Herrero R, Gago J, S\u00e1nchez Antelo V, Szwarc L, et al. Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study. Prev Med Rep. 2020;18:101070.","journal-title":"Prev Med Rep."},{"issue":"5","key":"1264_CR26","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1002\/pon.3980","volume":"25","author":"M O'Connor","year":"2016","unstructured":"O\u2019Connor M, O\u2019Leary E, Waller J, Gallagher P, D\u2019Arcy T, Flannelly G, et al. Trends in, and predictors of, anxiety and specific worries following colposcopy: a 12-month longitudinal study. Psychooncology. 2016;25(5):597\u2013604.","journal-title":"Psychooncology"},{"issue":"8","key":"1264_CR27","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1002\/jmv.25623","volume":"92","author":"I Alay","year":"2020","unstructured":"Alay I, Kaya C, Karaca I, Yildiz S, Baghaki S, Cengiz H, et al. The effect of being diagnosed with human papillomavirus infection on women\u2019s sexual lives. J Med Virol. 2020;92(8):1290\u20137.","journal-title":"J Med Virol"},{"issue":"8","key":"1264_CR28","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1177\/1359105313507963","volume":"20","author":"EM Daley","year":"2015","unstructured":"Daley EM, Vamos CA, Wheldon CW, Kolar SK, Baker EA. Negative emotions and stigma associated with a human papillomavirus test result: a comparison between human papillomavirus\u2013positive men and women. J Health Psychol. 2015;20(8):1073\u201382.","journal-title":"J Health Psychol"},{"key":"1264_CR29","first-page":"4","volume":"7","author":"N Sargolzaei","year":"2018","unstructured":"Sargolzaei N, Mohebi MD, Hosaini SS, Farzad Z. Psychological well-being and social support in patients with HIV\/AIDS in South-East Iran. Int J High Risk Behav Addict. 2018;7:4.","journal-title":"Int J High Risk Behav Addict."},{"issue":"1","key":"1264_CR30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41598-016-0028-x","volume":"7","author":"S Matsumoto","year":"2017","unstructured":"Matsumoto S, Yamaoka K, Takahashi K, Tanuma J, Mizushima D, Do CD, et al. Social support as a key protective factor against depression in HIV-infected patients: report from large HIV clinics in Hanoi, Vietnam. Sci Rep. 2017;7(1):1\u201312.","journal-title":"Sci Rep"},{"issue":"3","key":"1264_CR31","doi-asserted-by":"crossref","first-page":"179","DOI":"10.4103\/ijnmr.IJNMR_132_18","volume":"24","author":"K MirzaiiNajmabadi","year":"2019","unstructured":"MirzaiiNajmabadi K, Karimi L, Ebadi A. Exploring the barriers to sexual and reproductive health education for men in Iran: a qualitative study. Iran J Nurs Midwifery Res. 2019;24(3):179\u201386.","journal-title":"Iran J Nurs Midwifery Res"},{"key":"1264_CR32","doi-asserted-by":"crossref","unstructured":"Janghorban R, Latifnejad Roudsari R. The shadow of silence on the sexual rights of married Iranian women. 2015;2015:520827.","DOI":"10.1155\/2015\/520827"},{"issue":"1","key":"1264_CR33","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s12178-017-9394-7","volume":"10","author":"I De Martino","year":"2017","unstructured":"De Martino I, D\u2019Apolito R, McLawhorn AS, Fehring KA, Sculco PK, Gasparini G. Social media for patients: benefits and drawbacks. Curr Rev Musculoskelet Med. 2017;10(1):141\u20135.","journal-title":"Curr Rev Musculoskelet Med"},{"key":"1264_CR34","unstructured":"Chalk S. HIV and stigma: The media challenge. International Broadcasting Trust; 2014."},{"issue":"3","key":"1264_CR35","first-page":"216","volume":"82","author":"B Santos","year":"2019","unstructured":"Santos B, Carvalho E, Pereira M. Dyadic adjustment in HPV-infected women one year after diagnosis. Psychiatry. 2019;82(3):216\u201327.","journal-title":"Psychiatry"},{"issue":"1","key":"1264_CR36","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s10508-015-0576-3","volume":"45","author":"A Martins","year":"2016","unstructured":"Martins A, Pereira M, Andrade R, Dattilio FM, Narciso I, Canavarro MC. Infidelity in dating relationships: gender-specific correlates of face-to-face and online extradyadic involvement. Arch Sex Behav. 2016;45(1):193\u2013205.","journal-title":"Arch Sex Behav"},{"issue":"4","key":"1264_CR37","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1007\/s10508-012-9930-x","volume":"41","author":"N Zhang","year":"2012","unstructured":"Zhang N, Parish WL, Huang Y, Pan S. Sexual infidelity in China: Prevalence and gender-specific correlates. Arch Sex Behav. 2012;41(4):861\u201373.","journal-title":"Arch Sex Behav"},{"issue":"1","key":"1264_CR38","first-page":"32","volume":"25","author":"H Cvitanovic","year":"2017","unstructured":"Cvitanovic H, \u0160itum M, Me\u0161trovi\u0107-\u0160tefekov J, Lugovi\u0107-Mihi\u0107 L. Stress and coping in patients with clinical manifestation of Human papillomavirus. Acta Dermatovenerol Croat. 2017;25(1):32.","journal-title":"Acta Dermatovenerol Croat"},{"key":"1264_CR39","doi-asserted-by":"crossref","first-page":"12","DOI":"10.5812\/semj.88715","volume":"20","author":"A Jaberi","year":"2019","unstructured":"Jaberi A, Momennasab M, Cheraghi MA, Yektatalab S, Ebadi A. Spiritual health as experienced by muslim adults in Iran: a qualitative content analysis. Shiraz e Med J. 2019;20:12.","journal-title":"Shiraz e Med J."},{"issue":"5","key":"1264_CR40","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1007\/s10943-017-0411-3","volume":"56","author":"F Vizehfar","year":"2017","unstructured":"Vizehfar F, Jaberi A. The relationship between religious beliefs and quality of life among patients with multiple sclerosis. J Relig Health. 2017;56(5):1826\u201336.","journal-title":"J Relig Health"},{"issue":"2","key":"1264_CR41","first-page":"e40063","volume":"6","author":"Z Nikmanesh","year":"2017","unstructured":"Nikmanesh Z, Azaraein S. The role of religious coping in perception of suffering among patients undergoing dialysis. Jundishapur J Chronic Dis Care. 2017;6(2):e40063.","journal-title":"Jundishapur J Chronic Dis Care."},{"issue":"8","key":"1264_CR42","first-page":"4095","volume":"17","author":"R Khodaveirdyzadeh","year":"2016","unstructured":"Khodaveirdyzadeh R, Rahimi R, Rahmani A, Ghahramanian A, Kodayari N, Eivazi J. Spiritual\/religious coping strategies and their relationship with illness adjustment among Iranian breast cancer patients. Asian Pac J Cancer Prev. 2016;17(8):4095\u20139.","journal-title":"Asian Pac J Cancer Prev"},{"issue":"1","key":"1264_CR43","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10943-018-0647-6","volume":"58","author":"AH Goudarzian","year":"2019","unstructured":"Goudarzian AH, Boyle C, Beik S, Jafari A, Bagheri Nesami M, Taebi M, et al. Self-care in Iranian cancer patients: the role of religious coping. J Relig Health. 2019;58(1):259\u201370.","journal-title":"J Relig Health"},{"key":"1264_CR44","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1111\/1471-0528.16460","volume":"128","author":"KF Bennett","year":"2020","unstructured":"Bennett KF, Waller J, McBride E, Forster AS, Di Gessa G, Kitchener H, et al. Psychosexual distress following routine primary human papillomavirus testing: a longitudinal evaluation within the English Cervical Screening Programme. BJOG. 2020;128:745.","journal-title":"BJOG"},{"issue":"2","key":"1264_CR45","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s10508-014-0388-x","volume":"45","author":"LR Foster","year":"2016","unstructured":"Foster LR, Byers ES. Predictors of the sexual well-being of individuals diagnosed with herpes and human papillomavirus. Arch Sex Behav. 2016;45(2):403\u201314.","journal-title":"Arch Sex Behav"}],"updated-by":[{"DOI":"10.1186\/s12978-021-01288-4","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000}}],"container-title":["Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-021-01264-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12978-021-01264-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-021-01264-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T17:03:38Z","timestamp":1637946218000},"score":1,"resource":{"primary":{"URL":"https:\/\/reproductive-health-journal.biomedcentral.com\/articles\/10.1186\/s12978-021-01264-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1264"],"URL":"https:\/\/doi.org\/10.1186\/s12978-021-01264-y","relation":{"correction":[{"id-type":"doi","id":"10.1186\/s12978-021-01288-4","asserted-by":"object"}]},"ISSN":["1742-4755"],"issn-type":[{"value":"1742-4755","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]},"assertion":[{"value":"23 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 November 2021","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1186\/s12978-021-01288-4","URL":"https:\/\/doi.org\/10.1186\/s12978-021-01288-4","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The present research has been approved by the ethics committee of Shiraz University of Medical Sciences, registered at IR.SUMS.REC.1398.431. All the participants filled out the informed consent form. For ethical considerations, before being interviewed, the participants were informed about the research objectives, the voluntary basis of their participation, their right to withdraw, the confidentiality of their information, and the use of a voice recorder during the interviews.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"213"}}