{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T05:55:26Z","timestamp":1783749326879,"version":"3.55.0"},"reference-count":80,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>As the global population ages and the HIV pandemic matures, a growing number of older persons aged \u226550 years are becoming increasingly vulnerable to acquiring HIV. Unfortunately, older persons are often neglected and left out of sexual health programs and services. This study explored the experiences of older persons living with and without HIV in accessing prevention and care services and how those experiences translate into the neglect and abuse of older persons. The study also explored older people's perspectives on community responses to HIV in older people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative analysis used data from 37 individuals who participated in focus group discussions conducted in 2017\/2018 across two communities in Durban, South Africa. Using an interview guide and thematic content analysis, salient themes regarding attitudes to HIV in older persons and factors of access to HIV prevention and cares services for older persons were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study participant's mean age was 59.6 years. Major themes emerging from the data included factors impacting HIV prevention and transmission in older people; community responses to HIV contributing to the abuse of older people, and structural drivers of abuse in older people living with HIV (OPLHIV). Knowledge about HIV and how to protect themselves from HIV was limited among participants. Older persons were frightened to acquire HIV at an older age as they feared judgment and discrimination for getting HIV at that age. OPLHIV reported frequently experiencing community stigma and poor staff attitudes and practices at health facilities, such as a triage health delivery system that fueled community stigma. Participants also experienced neglect, verbal and emotional abuse at healthcare facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although there were no reports of physical and sexual abuse of older persons in this study, this study shows that despite decades of HIV programs in the country, HIV-related stigma, discrimination, and disrespect of older persons remain pervasive in the community and at health facilities. As an increasing number of people age and live longer with HIV, the neglect and outright abuse of older persons need urgent policy and program interventions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1061339","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T05:06:26Z","timestamp":1678683986000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["\u201cA frightening experience, especially at our age\u201d: Examining the neglect and abuse of older persons in HIV prevention and care programs"],"prefix":"10.3389","volume":"11","author":[{"given":"Makandwe","family":"Nyirenda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sizakele","family":"Sukazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cebo","family":"Buthelezi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Hanass-Hancock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"B1","unstructured":"World Population Prospects 2022: Summary of Results.2022"},{"key":"B2","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1037\/pag0000347","article-title":"Sexual activity, sexual thoughts, and intimacy among older adults: links with physical health and psychosocial resources for successful aging","volume":"34","author":"Kolodziejczak","year":"2019","journal-title":"Psychol Aging."},{"key":"B3","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1007\/s10508-014-0465-1","article-title":"Sexual health and well-being among older men and women in England: findings from the English longitudinal study of ageing","volume":"45","author":"Lee","year":"2016","journal-title":"Arch Sex Behav."},{"key":"B4","unstructured":"Abuse of older people.2022"},{"key":"B5","doi-asserted-by":"publisher","first-page":"S194","DOI":"10.1093\/geront\/gnw004","article-title":"Elder abuse: global situation, risk factors, and prevention strategies","volume":"56","author":"Pillemer","year":"2016","journal-title":"Gerontologist."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1947","DOI":"10.1056\/NEJMra1404688","article-title":"Elder abuse","volume":"373","author":"Lachs","year":"2015","journal-title":"New England J Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4102\/curationis.v38i1.1166","article-title":"The views of the elderly on the impact that HIV and AIDS has on their lives in the Thulamela Municipality, Vhembe District, Limpopo province","volume":"38","author":"Singo","year":"2015","journal-title":"Curationis."},{"key":"B8","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1080\/17290376.2018.1433059","article-title":"HIV\/AIDS and older adults in Cameroon: Emerging issues and implications for caregiving and policy-making. SAHARA-J","volume":"15","author":"Tanyi","year":"2018","journal-title":"J Soc Aspects HIV\/AIDS."},{"key":"B9","doi-asserted-by":"publisher","first-page":"629693","DOI":"10.3389\/fsoc.2021.629693","article-title":"Socio-economic implications of COVID-19 pandemic in south Asia: emerging risks and growing challenges","volume":"6","author":"Rasul","year":"2021","journal-title":"Front. Sociol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.ijsu.2020.04.018","article-title":"The socio-economic implications of the coronavirus pandemic (COVID-19): a review","volume":"78","author":"Nicola","year":"2020","journal-title":"Int J Surg."},{"key":"B11","author":"United","year":"2020","journal-title":"Policy Brief: The Impact of COVID-19 on Older Persons"},{"key":"B12","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1080\/08946560801974497","article-title":"Elder abuse and neglect in South Africa: a case of marginalization, disrespect, exploitation and violence","volume":"20","author":"Ferreira","year":"2008","journal-title":"J Elder Abuse Negl."},{"key":"B13","author":"Phakathi","year":"2011","journal-title":"Exploring Elder Abuse Among Clinic Attendees in a Selected Durban Hospital"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e25977","DOI":"10.1002\/jia2.25977","article-title":"Prevalence and factors associated with mild depressive and anxiety symptoms in older adults living with HIV from the Kenyan coast","volume":"25","author":"Mwangala","year":"2022","journal-title":"J Int AIDS Soc."},{"key":"B15","unstructured":"Human rights sexuality in the context of development.2022"},{"key":"B16","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1086\/367892","article-title":"Sexually transmitted diseases other than human immunodeficiency virus infection in older adults","volume":"36","author":"Calvet","year":"2003","journal-title":"Clin Infect Dis."},{"key":"B17","doi-asserted-by":"publisher","first-page":"2321","DOI":"10.1177\/0886260510383037","article-title":"Elder mistreatment and emotional symptoms among older adults in a largely rural population: the South Carolina elder mistreatment study","volume":"26","author":"Begle","year":"2011","journal-title":"J Interpers Violence."},{"key":"B18","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1111\/ppc.12451","article-title":"The correlation of depression with neglect and abuse in individuals over 65 years of age","volume":"56","author":"Aylaz","year":"2020","journal-title":"Perspect Psychiatr Care."},{"key":"B19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1111\/psyg.12488","article-title":"Elder abuse and associated factors in eastern romania","volume":"20","author":"Alexa","year":"2020","journal-title":"Psychogeriatrics."},{"key":"B20","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1001\/jamainternmed.2013.238","article-title":"Elder abuse as a risk factor for hospitalization in older persons","volume":"173","author":"Dong","year":"2013","journal-title":"JAMA Intern Med."},{"key":"B21","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1111\/j.1532-5415.2011.03821.x","article-title":"Elder self-neglect and hospitalization: findings from the Chicago health and aging project","volume":"60","author":"Dong","year":"2012","journal-title":"J Am Geriatr Soc."},{"key":"B22","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1001\/jama.280.5.428","article-title":"The mortality of elder mistreatment","volume":"280","author":"Lachs","year":"1998","journal-title":"JAMA."},{"key":"B23","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1111\/jgs.12212","article-title":"Mortality and disability outcomes of self-reported elder abuse: a 12-year prospective investigation","volume":"61","author":"Schofield","year":"2013","journal-title":"J Am Geriatr Soc."},{"key":"B24","author":"United","year":"2013","journal-title":"HIV and Aging: A Special Supplement to the UNAIDS Report on the Global AIDS Epidemic"},{"key":"B25","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1097\/QAD.0b013e32834982ea","article-title":"Ageing with HIV in South Africa","volume":"25","author":"Hontelez","year":"2011","journal-title":"AIDS."},{"key":"B26","doi-asserted-by":"publisher","first-page":"e0207005","DOI":"10.1371\/journal.pone.0207005","article-title":"Global and regional trends of people living with HIV aged 50 and over: Estimates and projections for 2000-2020","volume":"13","author":"Autenrieth","year":"2018","journal-title":"PLoS ONE."},{"key":"B27","doi-asserted-by":"publisher","first-page":"383","DOI":"10.2466\/pr0.96.2.383-386","article-title":"Strengths and distress in adults who are aging with HIV: a pilot study","volume":"96","author":"Vance","year":"2005","journal-title":"Psychol Rep."},{"key":"B28","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1089\/apc.2006.20.350","article-title":"Comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV\/AIDS","volume":"20","author":"Emlet","year":"2006","journal-title":"AIDS Patient Care STDS."},{"key":"B29","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1080\/17290376.2014.938103","article-title":"Experiences of HIV-related stigma among HIV-positive older persons in Uganda \u2013 a mixed methods analysis","volume":"11","author":"Kuteesa","year":"2014","journal-title":"J Soc Aspects of HIV\/AIDS."},{"key":"B30","doi-asserted-by":"publisher","first-page":"198","DOI":"10.2989\/16085906.2020.1797841","article-title":"HIV stigma, resilience and depressive symptoms among older adults living with HIV in rural Namibia","volume":"19","author":"Kalomo","year":"2020","journal-title":"Afr J AIDS Res."},{"key":"B31","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1017\/S0714980817000022","article-title":"Mental health experiences of older adults living with HIV: uncertainty, stigma, and approaches to resilience","volume":"36","author":"Furlotte","year":"2017","journal-title":"Can J Aging."},{"key":"B32","doi-asserted-by":"publisher","first-page":"295","DOI":"10.2989\/16085906.2012.754829","article-title":"Older people living with HIV in Uganda: understanding their experience and needs","volume":"11","author":"Kuteesa","year":"2012","journal-title":"Afr J AIDS Res."},{"key":"B33","unstructured":"HIV and Older People. HIV and Specific Populations 2021.2021"},{"key":"B34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2989\/16085906.2022.2090395","article-title":"An analysis of the relationship between HIV risk self-perception with sexual behaviour and HIV status in South African older adults","volume":"27","author":"Nyirenda","year":"2022","journal-title":"Afr J AIDS Res."},{"key":"B35","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1097\/00124784-200107030-00005","article-title":"Age-appropriate HIV prevention messages for older adults: findings from focus groups in New York State","volume":"7","author":"Klein","year":"2001","journal-title":"J Pub Health Manage Prac."},{"key":"B36","doi-asserted-by":"publisher","first-page":"625787","DOI":"10.3389\/fmed.2021.625787","article-title":"HIV stigma and discrimination: perspectives and personal experiences of healthcare providers in Yogyakarta and Belu, Indonesia","volume":"8","author":"Fauk","year":"2021","journal-title":"Front Med."},{"key":"B37","first-page":"175","article-title":"Population ageing in South Africa: trends, impact, and challenges for the health sector","volume":"2019","author":"Solanki","year":"2019","journal-title":"S Afr Health Rev."},{"key":"B38","doi-asserted-by":"publisher","first-page":"358","DOI":"10.3389\/fpubh.2018.00358","article-title":"Elder abuse\u2014the current state of research in South Africa","volume":"6","author":"Kotz\u00e9","year":"2018","journal-title":"Front Pub Health."},{"key":"B39","doi-asserted-by":"publisher","first-page":"463","DOI":"10.11564\/28-1-500","article-title":"Prevalence and predictors of elder abuse in Mafikeng Local Municipality in South Africa","volume":"28","author":"Bigala","year":"2014","journal-title":"Afr Population Stud."},{"key":"B40","year":"2020","journal-title":"General Household Survey Selected Development Indicators"},{"key":"B41","author":"Simbayi","year":"2017","journal-title":"South African National HIV Prevalence, Incidence, Behaviour and Communication Survey"},{"key":"B42","doi-asserted-by":"publisher","first-page":"e1914378","DOI":"10.1001\/jamanetworkopen.2019.14378","article-title":"Trends in HIV prevention, treatment, and incidence in a hyperendemic area of KwaZulu-Natal, South Africa","volume":"2","author":"Kharsany","year":"2019","journal-title":"JAMA Network Open."},{"key":"B43","doi-asserted-by":"publisher","first-page":"812","DOI":"10.7196\/SAMJ.4181","article-title":"HIV prevalence and incidence in people 50 years and older in rural South Africa","volume":"100","author":"Wallrauch","year":"2010","journal-title":"S Afr Med J."},{"key":"B44","year":"","journal-title":"Beginning of the End of the AIDS Epidemic"},{"key":"B45","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1097\/QAI.0000000000002927","article-title":"The effect of HIV programs in South Africa on national HIV incidence trends, 2000\u20132019","volume":"90","author":"Johnson","year":"2022","journal-title":"JAIDS."},{"key":"B46","doi-asserted-by":"publisher","first-page":"e429","DOI":"10.1016\/S2352-3018(21)00069-2","article-title":"Age patterns of HIV incidence in eastern and southern Africa: a modelling analysis of observational population-based cohort studies","volume":"8","author":"Risher","year":"2021","journal-title":"Lancet HIV."},{"key":"B47","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1016\/S2352-3018(16)30186-2","article-title":"Transmission networks and risk of HIV infection in KwaZulu-Natal, South Africa: a community-wide phylogenetic study","volume":"4","author":"De Oliveira","year":"2017","journal-title":"Lancet HIV."},{"key":"B48","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1097\/QAD.0000000000002037","article-title":"Age-disparate partnerships and incident HIV infection in adolescent girls and young women in rural South Africa","volume":"33","author":"Stoner","year":"2019","journal-title":"AIDS."},{"key":"B49","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.1097\/QAD.0000000000001506","article-title":"Age-disparate relationships and HIV incidence in adolescent girls and young women: evidence from Zimbabwe","volume":"31","author":"Schaefer","year":"2017","journal-title":"AIDS."},{"key":"B50","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1097\/QAI.0000000000002404","article-title":"Brief report: HIV incidence among older adults in a rural south african setting: 2010-2015","volume":"85","author":"G\u00f3mez-Oliv\u00e9","year":"2020","journal-title":"J Acquir Immune Defic Syndr."},{"key":"B51","doi-asserted-by":"publisher","first-page":"50","DOI":"10.7196\/SAMJ.2017.v108i1.12548","article-title":"Good correlation between the Afinion AS100 analyser and the ABX Pentra 400 analyser for the measurement of glycosylated haemoglobin and lipid levels in older adults in Durban, South Africa","volume":"108","author":"Abbai","year":"2018","journal-title":"SAMJ."},{"key":"B52","doi-asserted-by":"publisher","first-page":"101352","DOI":"10.1016\/j.pmedr.2021.101352","article-title":"Assessment of cardiovascular disease risks using Framingham risk scores (FRS) in HIV-positive and HIV-negative older adults in South Africa","volume":"22","author":"Nyirenda","year":"2021","journal-title":"Prev Med Rep."},{"key":"B53","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol."},{"key":"B54","doi-asserted-by":"publisher","first-page":"5814","DOI":"10.3390\/ijerph18115814","article-title":"Structural, personal and socioenvironmental determinants of HIV transmission among transgender women in Indonesia","volume":"18","author":"Fauk","year":"2021","journal-title":"Int J Environ Res Public Health."},{"key":"B55","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1007\/BF02766777","article-title":"ERIC\/ECTJ annual review paper: criteria for assessing the trustworthiness of naturalistic inquiries. Educational communication and technology","volume":"29","author":"Guba","year":"1981","journal-title":"J Theor Res Dev."},{"key":"B56","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s12913-018-2915-2","article-title":"Application of four-dimension criteria to assess rigour of qualitative research in emergency medicine","volume":"18","author":"Forero","year":"2018","journal-title":"BMC Health Serv Res."},{"key":"B57","doi-asserted-by":"publisher","first-page":"1429","DOI":"10.1177\/1049732304270394","article-title":"Bracketing in research: a typology","volume":"14","author":"Gearing","year":"2004","journal-title":"Qual Health Res."},{"key":"B58","doi-asserted-by":"crossref","unstructured":"Nvivo (version 12) (released in March 2020).2020","DOI":"10.1016\/S1464-2859(20)30164-4"},{"key":"B59","first-page":"926","article-title":"Payment of trial participants can be ethically sound: moving past a flat rate","volume":"98","author":"Koen","year":"2008","journal-title":"S Afr Med J."},{"key":"B60","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1089\/apc.2014.0152","article-title":"A forgotten population: older adults with newly diagnosed HIV","volume":"28","author":"Ellman","year":"2014","journal-title":"AIDS Patient Care STDS."},{"key":"B61","doi-asserted-by":"publisher","first-page":"5797","DOI":"10.3390\/ijerph17165797","article-title":"Navigating life with hiv as an older adult in south african communities: a phenomenological study","volume":"17","author":"Hlongwane","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"B62","doi-asserted-by":"publisher","first-page":"6668","DOI":"10.3390\/ijerph19116668","article-title":"Psychological and social impact of HIV on women living with HIV and their families in low- and middle-income Asian countries: a systematic search and critical review","volume":"19","author":"Fauk","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B63","doi-asserted-by":"publisher","first-page":"5424","DOI":"10.3390\/ijerph18105424","article-title":"Stigma and discrimination towards people living with hiv in the context of families, communities, and healthcare settings: a qualitative study in Indonesia","volume":"18","author":"Fauk","year":"2021","journal-title":"Int J Environ Res Public Health."},{"key":"B64","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1186\/s12877-019-1116-0","article-title":"\u201cThey don't care about us\u201d: older people's experiences of primary healthcare in Cape Town, South Africa","volume":"19","author":"Kelly","year":"2019","journal-title":"BMC Geriatr."},{"key":"B65","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1080\/09540121.2019.1659919","article-title":"Correlates of loneliness in older persons living with HIV","volume":"32","author":"Yoo-Jeong","year":"2020","journal-title":"AIDS Care."},{"key":"B66","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1089\/apc.2018.0114","article-title":"HIV-related stigma by healthcare providers in the United States: a systematic review","volume":"32","author":"Geter","year":"2018","journal-title":"AIDS Patient Care STDS."},{"key":"B67","doi-asserted-by":"publisher","first-page":"22","DOI":"10.13181\/mji.v22i1.518","article-title":"HIV-related stigma and discrimination: a study of health care workers in Banda Aceh, Indonesia","volume":"22","author":"Harapan","year":"2013","journal-title":"Med J Indonesia."},{"key":"B68","author":"Frisoli","year":"2020","journal-title":"The South African Elderly: Neglect, Social Contribution and the HIV\/AIDS Epidemic"},{"key":"B69","year":"2002","journal-title":"Missing Voices: Views of Older Persons on Elder Abuse"},{"key":"B70","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1177\/0261018319867594","article-title":"Conflict and negotiation in intergenerational care: Older women's experiences of caring with the Old Age Grant in South Africa","volume":"39","author":"Button","year":"2019","journal-title":"Critical Social Policy."},{"key":"B71","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1300\/J031v19n01_06","article-title":"Older people as resources in South Africa","volume":"19","author":"Kimuna","year":"2007","journal-title":"J Aging Soc Policy."},{"key":"B72","year":"2019","journal-title":"National Integrated Sexual and Reproductive Health and Rights Policy"},{"key":"B73","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.1097\/QAD.0000000000001870","article-title":"Achieving the fourth 90: healthy aging for people living with HIV","volume":"32","author":"Harris","year":"2018","journal-title":"AIDS."},{"key":"B74","unstructured":"Sexual and Reproductive Health and Rights Training.2021"},{"key":"B75","unstructured":"- WITS Declaration by Graduands.2021"},{"key":"B76","year":"2007","journal-title":"Handbook on HIV and Human Rights for National Human Rights Institutions"},{"key":"B77","doi-asserted-by":"publisher","first-page":"1344","DOI":"10.1056\/NEJMsr1405012","article-title":"Health and health care in South Africa \u2014 20 years after Mandela","volume":"371","author":"Mayosi","year":"2014","journal-title":"New England J Med."},{"key":"B78","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1093\/heapol\/czw118","article-title":"Quality of integrated chronic disease care in rural South Africa: user and provider perspectives","volume":"32","author":"Ameh","year":"2017","journal-title":"Health Policy Plan."},{"key":"B79","first-page":"19","author":"Reddy","year":"2007","journal-title":"The Plight of Older Persons in South Africa, in Situation and Voices: The Older Poor and Exlcuded in South Africa and India"},{"key":"B80","unstructured":"2022"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1061339\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T05:06:37Z","timestamp":1678683997000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1061339\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,13]]},"references-count":80,"alternative-id":["10.3389\/fpubh.2023.1061339"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1061339","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,13]]},"article-number":"1061339"}}