{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T19:05:49Z","timestamp":1783537549403,"version":"3.55.0"},"reference-count":53,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NIH R21 AI154990"],"award-info":[{"award-number":["NIH R21 AI154990"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Food insecurity is highly prevalent among people living with HIV (PLHIV) in Senegal and is associated with poor HIV outcomes. Multisectoral nutrition-sensitive agricultural (MNSA) programs may address interconnected drivers of poor HIV outcomes, but evidence is limited, particularly in West Africa. This pilot study evaluated the perceptions and impact of a MNSA program implemented in Senegal. We conducted a convergent mixed methods study among adults \u226518 years of age, living with HIV and receiving ART in Ziguinchor, Senegal. For the quantitative strand, data from MNSA program participants and historical controls were compared. Quantitative measures included the Household Food Insecurity Access Scale (HFIAS), Body Mass Index (BMI), CD4 cell count, and HIV viral load. Group differences were assessed using Chi-square and Mann-Whitney U tests, and logistic regression was used to examine associations with viral suppression. For the qualitative strand, semi-structured interviews were conducted with MNSA program participants. Qualitative data were analyzed thematically. Data from 56 program participants and 59 controls were included. Viral suppression (&lt;1000 copies\/mL) was significantly higher among MNSA participants than controls (94.2% versus 77.8%, p\u2009=\u20090.02). Participants had higher median BMI (24.8 versus 21.7, p\u2009&lt;\u20090.01) and lower prevalence of underweight. Moderate-to-severe food insecurity was lower among program participants, though differences were not statistically significant. Logistic regression showed a trend towards an association between MNSA program participation and viral suppression (OR 3.84; 95% CI 0.97\u201315.13). Qualitative interviews revealed five major themes: greater autonomy and empowerment, improved mental health, strengthened social cohesion, improved household nutrition and financial stability, and enhanced ART adherence. Findings from this pilot study suggest that the MNSA program is acceptable and may be associated with improvements in viral suppression, nutritional status, food security, and psychosocial well-being among PLHIV. Future studies using a randomized controlled approach are needed to further evaluate impacts, explore mechanisms, and assess potential for scalability.<\/jats:p>","DOI":"10.1371\/journal.pgph.0006743","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T17:44:27Z","timestamp":1783532667000},"page":"e0006743","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions and impact of a multisectoral nutrition-sensitive agricultural program among people living with HIV in Senegal, West Africa: A pilot study"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6472-3555","authenticated-orcid":true,"given":"Sarah","family":"Drummond","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques F.","family":"Sambou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seckou","family":"Badji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u00efs","family":"Senghor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Sadio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherif","family":"Gueye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidy","family":"Diatta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bokenie","family":"Diedhiou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baboucar","family":"Diatta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Phillippe","family":"Diatta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00ebl Magloire","family":"Manga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3738-2669","authenticated-orcid":true,"given":"Noah","family":"Barclay-Derman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salif","family":"Sow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boubacar","family":"Kande","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3361-6026","authenticated-orcid":true,"given":"Stephen E.","family":"Hawes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5749-481X","authenticated-orcid":true,"given":"Geoffrey S.","family":"Gottlieb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0977-1085","authenticated-orcid":true,"given":"Moussa","family":"Seydi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle A.","family":"Benzekri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"pgph.0006743.ref001","year":"2024"},{"issue":"11","key":"pgph.0006743.ref002","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0141819","article-title":"High prevalence of severe food insecurity and malnutrition among HIV-infected adults in Senegal, West Africa","volume":"10","author":"NA Benzekri","year":"2015","journal-title":"PLoS One"},{"issue":"12","key":"pgph.0006743.ref003","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1080\/09540121.2017.1338652","article-title":"The dimensions of food insecurity and malnutrition among people living with HIV in Senegal, West Africa","volume":"29","author":"NA Benzekri","year":"2017","journal-title":"AIDS Care"},{"issue":"7","key":"pgph.0006743.ref004","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1080\/09540121.2021.1894316","article-title":"Food insecurity predicts loss to follow-up among people living with HIV in Senegal, West Africa","volume":"34","author":"NA Benzekri","year":"2022","journal-title":"AIDS Care"},{"issue":"1","key":"pgph.0006743.ref005","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1186\/s12889-021-10444-1","article-title":"The impact of food insecurity on HIV outcomes in Senegal, West Africa: A prospective longitudinal study","volume":"21","author":"NA Benzekri","year":"2021","journal-title":"BMC Public Health"},{"issue":"10","key":"pgph.0006743.ref006","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1371\/journal.pmed.0040260","article-title":"Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland","volume":"4","author":"SD Weiser","year":"2007","journal-title":"PLoS Med"},{"issue":"9","key":"pgph.0006743.ref007","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1080\/09540121.2018.1466983","article-title":"Examining relationships of intimate partner violence and food insecurity with HIV-related risk factors among young pregnant Liberian women","volume":"30","author":"TC Willie","year":"2018","journal-title":"AIDS Care"},{"issue":"9","key":"pgph.0006743.ref008","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1080\/07399332.2017.1337774","article-title":"Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review","volume":"38","author":"E Chop","year":"2017","journal-title":"Health Care Women Int"},{"issue":"4","key":"pgph.0006743.ref009","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0010340","article-title":"Food insecurity as a barrier to sustained antiretroviral therapy adherence in Uganda","volume":"5","author":"SD Weiser","year":"2010","journal-title":"PLoS One"},{"issue":"6","key":"pgph.0006743.ref010","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1080\/09540121.2011.630358","article-title":"Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV\/AIDS on the shore of Lake Victoria, Kenya","volume":"24","author":"JM Nagata","year":"2012","journal-title":"AIDS Care"},{"issue":"5","key":"pgph.0006743.ref011","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1080\/09540120701244943","article-title":"Hunger, waiting time and transport costs: time to confront challenges to ART adherence in Africa","volume":"19","author":"AP Hardon","year":"2007","journal-title":"AIDS Care"},{"issue":"16","key":"pgph.0006743.ref012","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.1097\/01.aids.0000247580.16073.1b","article-title":"Access to adequate nutrition is a major potential obstacle to antiretroviral adherence among HIV-infected individuals in Rwanda","volume":"20","author":"JT Au","year":"2006","journal-title":"AIDS"},{"key":"pgph.0006743.ref013","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/j.1365-3156.2010.02510.x","article-title":"Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa: A meta-ethnography","author":"S Merten","year":"2010","journal-title":"Trop Med Int Health"},{"issue":"4","key":"pgph.0006743.ref014","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1007\/s10461-009-9533-2","article-title":"Transportation costs impede sustained adherence and access to HAART in a clinic population in southwestern Uganda: A qualitative study","volume":"14","author":"DM Tuller","year":"2010","journal-title":"AIDS Behav"},{"key":"pgph.0006743.ref015","article-title":"A review of the role of food insecurity in adherence to care and treatment among adult and pediatric populations living with HIV and AIDS","author":"S Young","year":"2014","journal-title":"AIDS Behav"},{"issue":"8","key":"pgph.0006743.ref016","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1007\/s10461-014-0873-1","article-title":"Does food insecurity undermine adherence to antiretroviral therapy? A systematic review","volume":"19","author":"AW Singer","year":"2015","journal-title":"AIDS Behav"},{"issue":"3","key":"pgph.0006743.ref017","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1007\/s10461-016-1605-5","article-title":"Association between food insecurity and HIV viral suppression: A systematic review and meta-analysis","volume":"21","author":"W Aibibula","year":"2017","journal-title":"AIDS Behav"},{"key":"pgph.0006743.ref018","article-title":"Why are women more food insecure than men? Exploring socioeconomic drivers and the role of COVID-19 in widening the global gender gap","author":"FAO","year":"2024","journal-title":"FAO"},{"key":"pgph.0006743.ref019","year":"2025"},{"issue":"3","key":"pgph.0006743.ref020","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(23)00562-4","article-title":"The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries: A systematic review","volume":"12","author":"NA Escher","year":"2024","journal-title":"Lancet Glob Health"},{"key":"pgph.0006743.ref021","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.gfs.2018.01.002","article-title":"Nutrition-sensitive agriculture: What have we learned so far?","volume":"17","author":"MT Ruel","year":"2018","journal-title":"Global Food Security"},{"key":"pgph.0006743.ref022","volume-title":"Food and Agriculture Organization of the United Nations. Farmer field school guidance document: Planning for quality programmes","year":"2016"},{"key":"pgph.0006743.ref023","volume-title":"Household food insecurity access scale (HFIAS) for measurement of food access: indicator guide, version 3","author":"J Coates","year":"2007"},{"key":"pgph.0006743.ref024","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic analysis: A practical guide","author":"V Braun","year":"2022"},{"key":"pgph.0006743.ref025","doi-asserted-by":"crossref","first-page":"2134","DOI":"10.1111\/1475-6773.12117","article-title":"Achieving integration in mixed methods designs-principles and practices","volume":"48","author":"MD Fetters","year":"2013","journal-title":"Health Serv Res"},{"key":"pgph.0006743.ref026","volume-title":"Designing and conducting mixed methods research","author":"JW Creswell","year":"2018"},{"issue":"3","key":"pgph.0006743.ref027","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1177\/1558689817714066","article-title":"The Journal of mixed methods research starts a new decade: The mixed methods research integration trilogy and its dimensions","volume":"11","author":"MD Fetters","year":"2017","journal-title":"Journal of Mixed Methods Research"},{"issue":"12","key":"pgph.0006743.ref028","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.46158","article-title":"Effect of a multisectoral agricultural intervention on hiv health outcomes among adults in Kenya: A cluster randomized clinical trial","volume":"5","author":"CR Cohen","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"14","key":"pgph.0006743.ref029","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1097\/QAD.0000000000000781","article-title":"Shamba Maisha: Randomized controlled trial of an agricultural and finance intervention to improve HIV health outcomes","volume":"29","author":"SD Weiser","year":"2015","journal-title":"AIDS"},{"issue":"1","key":"pgph.0006743.ref030","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s44263-025-00170-w","article-title":"Is membership in microfinance initiatives associated with viral load suppression among HIV patients? Evidence from western Kenya","volume":"3","author":"BB Thapa","year":"2025","journal-title":"BMC Glob Public Health"},{"issue":"6","key":"pgph.0006743.ref031","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0319843","article-title":"Effects of nutritional interventions on nutritional and immunological status and adherence to antiretroviral treatment among adults living with HIV in low- and middle-income countries: Systematic review and meta-analysis","volume":"20","author":"A Nahaskida","year":"2025","journal-title":"PLoS One"},{"issue":"4","key":"pgph.0006743.ref032","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1017\/S0021932018000287","article-title":"Biocultural determinants of overweight and obesity in the context of nutrition transition in Senegal: A holistic anthropological approach","volume":"51","author":"E Cohen","year":"2019","journal-title":"J Biosoc Sci"},{"key":"pgph.0006743.ref033","doi-asserted-by":"crossref","first-page":"045003","DOI":"10.1088\/2634-4505\/ae1163","article-title":"Governing rural electrification in Senegal: Of monopolies, mini grids and beyond","volume":"5","author":"LH Baker","year":"2025","journal-title":"Environ Res Infrastruct Sustain"},{"key":"pgph.0006743.ref034","unstructured":"Development in Gardening (DIG) Senegal. 2025 Endline Report. 2025."},{"issue":"9","key":"pgph.0006743.ref035","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1097\/QAD.0000000000004200","article-title":"Food insecurity and mental health outcomes among people with HIV in West Africa","volume":"39","author":"NA Benzekri","year":"2025","journal-title":"AIDS"},{"issue":"9","key":"pgph.0006743.ref036","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"1","key":"pgph.0006743.ref037","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1080\/17290376.2016.1230072","article-title":"A livelihood intervention to improve economic and psychosocial well-being in rural Uganda: Longitudinal pilot study","volume":"13","author":"B Kakuhikire","year":"2016","journal-title":"SAHARA J"},{"issue":"4","key":"pgph.0006743.ref038","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1080\/17290376.2009.9724945","article-title":"Food security in HIV\/AIDS response: Insights from Homa Bay, Kenya","volume":"6","author":"D Datta","year":"2009","journal-title":"SAHARA J"},{"key":"pgph.0006743.ref039","article-title":"Food security and nutrition interventions in response to the AIDS epidemic: Assessing global action and evidence","author":"N-L Aberman","year":"2014","journal-title":"AIDS Behav"},{"issue":"1","key":"pgph.0006743.ref040","doi-asserted-by":"crossref","first-page":"2860","DOI":"10.1186\/s12889-025-23911-w","article-title":"The effect of an economic empowerment and relationship strengthening intervention on food insecurity among couples living with HIV in Malawi","volume":"25","author":"J Kiyingi","year":"2025","journal-title":"BMC Public Health"},{"issue":"10","key":"pgph.0006743.ref041","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1097\/QAD.0000000000003928","article-title":"An agricultural livelihood intervention is associated with reduced HIV stigma among people with HIV","volume":"38","author":"SD Weiser","year":"2024","journal-title":"AIDS"},{"issue":"11","key":"pgph.0006743.ref042","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e32058","article-title":"The influence of an agricultural intervention on social capital and water insecurity coping strategies: Qualitative evidence from female smallholder farmers living with HIV in western Kenya","volume":"10","author":"PM Owuor","year":"2024","journal-title":"Heliyon"},{"issue":"1","key":"pgph.0006743.ref043","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1007\/s10461-015-1285-6","article-title":"A livelihood intervention to reduce the stigma of HIV in Rural Kenya: Longitudinal qualitative study","volume":"21","author":"AC Tsai","year":"2017","journal-title":"AIDS Behav"},{"issue":"12","key":"pgph.0006743.ref044","doi-asserted-by":"crossref","first-page":"3134","DOI":"10.1017\/S1368980023002264","article-title":"Exploring feasibility and acceptability of an integrated urban gardens and peer nutritional counselling intervention for people with HIV in the Dominican Republic","volume":"26","author":"A Celeste-Villalvir","year":"2023","journal-title":"Public Health Nutr"},{"issue":"3","key":"pgph.0006743.ref045","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1007\/s10461-022-03821-3","article-title":"Preliminary Effects of an Urban Gardens and Peer Nutritional Counseling Intervention on HIV Treatment Adherence and Detectable Viral Load Among People with HIV and Food Insecurity: Evidence from a pilot cluster randomized controlled trial in the Dominican Republic","volume":"27","author":"KP Derose","year":"2023","journal-title":"AIDS Behav"},{"issue":"1","key":"pgph.0006743.ref046","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/QAI.0000000000003462","article-title":"Changes in HIV internalized and experienced stigmas and social support after an urban gardens and peer nutritional counseling intervention among people with HIV and food insecurity in the Dominican Republic","volume":"97","author":"KP Derose","year":"2024","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"11","key":"pgph.0006743.ref047","doi-asserted-by":"crossref","first-page":"3763","DOI":"10.1007\/s10461-018-2173-7","article-title":"Does economic strengthening improve viral suppression among adolescents living with HIV? results from a cluster randomized trial in Uganda","volume":"22","author":"LG Bermudez","year":"2018","journal-title":"AIDS Behav"},{"issue":"2","key":"pgph.0006743.ref048","doi-asserted-by":"crossref","first-page":"125","DOI":"10.5897\/JAERD2021.1234","article-title":"Womens empowerment: A gender outcome of an improved agriculture health and nutrition project in Zambia and Malawi","volume":"13","author":"T Amare","year":"2021","journal-title":"J Agric Ext Rural Dev"},{"key":"pgph.0006743.ref049","unstructured":"Joint United Nations Programme on HIV\/AIDS UNAIDS. UNAIDS DATA. 2024."},{"issue":"1","key":"pgph.0006743.ref050","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s13002-017-0192-5","article-title":"Functional diversity of home gardens and their agrobiodiversity conservation benefits in Benin, West Africa","volume":"13","author":"RC Gbedomon","year":"2017","journal-title":"J Ethnobiol Ethnomed"},{"key":"pgph.0006743.ref051","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s13002-015-0049-8","article-title":"Ethnobotanical study of homegarden plants in Sebeta-Awas District of the Oromia Region of Ethiopia to assess use, species diversity and management practices","volume":"11","author":"T Mekonen","year":"2015","journal-title":"J Ethnobiol Ethnomed"},{"issue":"3","key":"pgph.0006743.ref052","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s12571-023-01344-w","article-title":"Heterogeneous impacts of home-gardening on household food and nutrition security in Rwanda","volume":"15","author":"G Issahaku","year":"2023","journal-title":"Food Secur"},{"issue":"1","key":"pgph.0006743.ref053","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/QAD.0000000000003742","article-title":"Impact of a livelihood intervention on gender roles and relationship power among people with HIV","volume":"38","author":"LA Sheira","year":"2024","journal-title":"AIDS"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0006743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T17:44:35Z","timestamp":1783532675000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0006743"}},"subtitle":[],"editor":[{"given":"Julia","family":"Robinson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":53,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,8]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0006743","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]}}}