{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:10:31Z","timestamp":1791875431563,"version":"4.3.4"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Lebanon, a country located on the eastern shore of the Mediterranean Sea, is one of the world\u2019s smaller sovereign states. In the past few decades, Lebanon endured a perpetual political turmoil and several armed conflicts. July 12, 2006, marked the start of a one-month war in Lebanon, which resulted in thousands of casualties. Little is known about the long-term consequences of war injuries inflicted on civilians during the July 2006 war.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The objectives of this paper were to identify and evaluate: 1- civilians\u2019 access to healthcare and medicine under conditions of war; 2- the long-term socioeconomic burden on injured civilians; and 3- their quality of life more than a decade post-war. We adopted a mixed-method research design with an emphasis on the qualitative component. We conducted interviews with patients, collected clinical and financial data from hospital medical records, and administered a self-rated health questionnaire, the EQ-5D-5L. Simple descriptive statistics were calculated using Excel. NVivo 12\u00ae was used for data management and thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We conducted 25 interviews. Injured civilians were mostly males, average age of 27. The most common mechanism of injury was blast injury. Most patients underwent multiple surgeries as well as revision surgeries. The thematic analysis revealed three themes: 1- recall of the time of the incident, the thousand miles journey, and patients\u2019 access to services; 2- post-trauma sequelae and services; and 3- long-term impact. Patients described the long-term burden including chronic pain, poor mobility, anxiety or depression, and limited activities of daily living.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Civilians injured during the July 2006 war described the traumatising events they endured during the war and the limited access to medical care during and post-war. Up until this study was conducted, affected civilians were still experiencing physical, psychological, and financial sequelae. Acknowledging the limitations of this study, which include a small sample size and recall bias, the findings underscore the necessity for the expansion of services catering to civilians injured during wartime.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2023.1305021","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T05:54:12Z","timestamp":1702014852000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":15,"title":["Long-term burden of war injuries among civilians in LMICs: case of the July 2006 war in Lebanon"],"prefix":"10.3389","volume":"11","author":[{"given":"Elsa","family":"Kobeissi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyne","family":"Menassa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gladys","family":"Honein-AbouHaidar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nassim","family":"El Achi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahi","family":"Abdul-Sater","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Farhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalia","family":"Al Mohtar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Hajjar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rima A.","family":"Abdul-Khalek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bachar F.","family":"Chaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Elamine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shehan","family":"Hettiaratchy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassan","family":"Abu-Sittah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"key":"ref1","volume-title":"Trends in armed conflict, 1946\u20132017","author":"Dupuy","year":"2018"},{"key":"ref2","volume-title":"World health statistics 2018: monitoring health for the SDGs, sustainable development goals","year":"2018"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e666","DOI":"10.1016\/S2214-109X(16)30184-X","article-title":"Health in times of uncertainty","volume":"4","author":"Lafta","year":"2016","journal-title":"Lancet Glob Health"},{"key":"ref4","author":"Qassim","year":"2017"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1186\/s12914-018-0165-3","article-title":"The burden of war-injury in the Palestinian health care sector in Gaza strip","volume":"18","author":"Mosleh","year":"2018","journal-title":"BMC Int Health Hum Rights"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/s12914-018-0173-3","article-title":"Life after conflict-related amputation trauma: a clinical study from the Gaza strip","volume":"18","author":"Heszlein-Lossius","year":"2018","journal-title":"BMC Int Health Hum Rights"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1098\/rstb.2010.0230","article-title":"Traumatic brain injury","volume":"366","author":"Risdall","year":"2011","journal-title":"Philos Trans R Soc Lond Ser B Biol Sci"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"120","DOI":"10.5334\/aogh.3015","article-title":"Ecology of war, Health Research and knowledge subjugation: insights from the Middle East and North Africa region","volume":"86","author":"El Achi","year":"2020","journal-title":"Ann Glob Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/s13031-021-00372-7","article-title":"Violence against healthcare in conflict: a systematic review of the literature and agenda for future research","volume":"15","author":"Haar","year":"2021","journal-title":"Confl Heal"},{"key":"ref10","first-page":"281","volume-title":"Mental health consequences of war conflicts. Advances in psychiatry","author":"Rozanov","year":"2019"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e000452","DOI":"10.1136\/bmjpo-2019-000452","article-title":"Blast injuries in children: a mixed-methods narrative review","volume":"3","author":"Milwood Hargrave","year":"2019","journal-title":"BMJ Paediatr Open"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1192\/bjp.188.2.154","article-title":"Trauma exposure in pre-school children in a war zone","volume":"188","author":"Thabet","year":"2006","journal-title":"Br J Psychiatry"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/S1056-4993(03)00004-X","article-title":"Psychological aspects of traumatic injury in children and adolescents","volume":"12","author":"Caffo","year":"2003","journal-title":"Child Adolesc Psychiatr Clin N Am"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1111\/j.1467-7717.2008.01091.x","article-title":"The 2006 war and its inter-temporal economic impact on agriculture in Lebanon","volume":"33","author":"Darwish","year":"2009","journal-title":"Disasters"},{"key":"ref15","volume-title":"Unveiling the COST of internal displacement: 2020 report","author":"Cazabat","year":"2020"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e24","DOI":"10.1093\/pubmed\/fdaa043","article-title":"History of injury in a developing country: a scoping review of injury literature in Lebanon","volume":"43","author":"Al-Hajj","year":"2021","journal-title":"J Public Health"},{"key":"ref17","first-page":"459","article-title":"Rebuilding of the Lebanese health care system: health sector reforms","volume":"12","author":"Kronfol","year":"2006","journal-title":"East Mediterr Health J"},{"key":"ref18","volume-title":"Health beyond politics","author":"Ammar","year":"2009"},{"key":"ref19","volume-title":"Why they died: Civilian casualties in Lebanon during the 2006 war","author":"Bouckaert","year":"2007"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1111\/disa.12039","article-title":"The analytical framework of water and armed conflict: a focus on the 2006 summer war between Israel and Lebanon","volume":"38","author":"Zeitoun","year":"2014","journal-title":"Disasters"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"S103","DOI":"10.1111\/j.1467-7717.2009.01101.x","article-title":"A very political reconstruction: governance and reconstruction in Lebanon after the 2006 war","volume":"34","author":"Hamieh","year":"2010","journal-title":"Disasters"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1080\/07399332.2012.736570","article-title":"Seeking maternal care at times of conflict: the case of Lebanon","volume":"34","author":"Kabakian-Khasholian","year":"2013","journal-title":"Health Care Women Int"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1089\/jwh.2007.0602","article-title":"Women, war, and violence: surviving the experience","volume":"17","author":"Usta","year":"2008","journal-title":"J Women's Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1016\/j.jenvman.2009.11.005","article-title":"Dealing with pollution from conflict: analysis of discourses around the 2006 Lebanon oil spill","volume":"91","author":"Takshe","year":"2010","journal-title":"J Environ Manag"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1080\/17441692.2010.546806","article-title":"Predictors of displacement behaviour during the 2006 Lebanon war","volume":"6","author":"Khawaja","year":"2011","journal-title":"Glob Public Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1007\/s10072-013-1623-2","article-title":"Head and facial injuries due to cluster munitions","volume":"35","author":"Fares","year":"2014","journal-title":"Neurol Sci"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"153","DOI":"10.4103\/0974-9233.92133","article-title":"Cluster bomb ocular injuries","volume":"19","author":"Mansour","year":"2012","journal-title":"Middle East Afr J Ophthalmol"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e017214","DOI":"10.1136\/bmjopen-2017-017214","article-title":"Post-traumatic stress disorder in adult victims of cluster munitions in Lebanon: a 10-year longitudinal study","volume":"7","author":"Fares","year":"2017","journal-title":"BMJ Open"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1007\/s00737-018-0849-7","article-title":"PTSD and gender: could gender differences in war trauma types, symptom clusters and risk factors predict gender differences in PTSD prevalence?","volume":"21","author":"Farhood","year":"2018","journal-title":"Arch Womens Ment Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1080\/17441692.2010.494163","article-title":"Individual and collective determinants of mental health during wartime. A survey of displaced populations amidst the July\u2013august 2006 war in Lebanon","volume":"6","author":"Yamout","year":"2011","journal-title":"Glob Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1037\/trm0000184","article-title":"A review of the psychological impact of the 2006 war on the civilian population in Lebanon","volume":"25","author":"El-Khoury","year":"2019","journal-title":"Traumatology"},{"key":"ref32","first-page":"2","article-title":"Understanding post-conflict mental health: assessment of PTSD, depression, general health and life events in civilian population one year after the 2006 war in South Lebanon","volume-title":"J Trauma Stress Disor Treat.","author":"Farhood","year":"2013"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1007\/s11136-011-9903-x","article-title":"Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)","volume":"20","author":"Herdman","year":"2011","journal-title":"Qual Life Res"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1046\/j.1532-5415.2002.50122.x","article-title":"The GPCOG: a new screening test for dementia designed for general practice","volume":"50","author":"Brodaty","year":"2002","journal-title":"J Am Geriatr Soc"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ageing\/1.4.233","article-title":"Evaluation of a mental test score for assessment of mental impairment in the elderly","volume":"1","author":"Hodkinson","year":"1972","journal-title":"Age Ageing"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1258\/jhsrp.2007.007074","article-title":"The quality of mixed methods studies in health services research","volume":"13","author":"O'cathain","year":"2008","journal-title":"J Health Serv Res Policy"},{"key":"ref38","volume-title":"Low quality healthcare is increasing the burden of illness and health costs globally","year":"2018"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"101889","DOI":"10.1016\/j.ijdrr.2020.101889","article-title":"Hospital disaster and emergency preparedness (HDEP) in Lebanon: a national comprehensive assessment","volume":"51","author":"Al-Hajj","year":"2020","journal-title":"Int J Disast Risk Reduct"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.1017\/dmp.2022.115","article-title":"Beirut explosion: challenge of hospital emergency preparedness","volume":"16","author":"Helou","year":"2022","journal-title":"Disaster Med Public Health Prep"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s13561-023-00435-w","article-title":"The fragile healthcare system in Lebanon: sounding the alarm about its possible collapse","volume":"13","author":"Bou Sanayeh","year":"2023","journal-title":"Heal Econ Rev"},{"key":"ref42","volume-title":"Lebanon emergency response plan","year":"2023"},{"key":"ref43","volume-title":"Support to the Office of the Prime Minister - strengthening disaster risk management capacities in Lebanon","year":"2010"},{"key":"ref44","year":"2023"},{"key":"ref45","volume-title":"Global humanitarian overview 2021","year":"2021"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1080\/17441692.2011.557666","article-title":"Summer 2006 war on Lebanon: a lesson in community resilience","volume":"6","author":"Nuwayhid","year":"2011","journal-title":"Glob Public Health"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1111\/ajps.12067","article-title":"Civil war and social cohesion: lab-in-the-field evidence from Nepal","volume":"58","author":"Gilligan","year":"2014","journal-title":"Am J Polit Sci"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s40779-016-0080-7","article-title":"Changing paradigms in lower extremity reconstruction in war-related injuries","volume":"3","author":"Connolly","year":"2016","journal-title":"Mil Med Res"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/s00127-010-0269-0","article-title":"Mental and physical health of Kosovar Albanians in their place of origin: a post-war 6-year follow-up study","volume":"46","author":"Eytan","year":"2011","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1093\/eurpub\/ckr131","article-title":"Health-related quality of life of Gaza Palestinians in the aftermath of the winter 2008\u201309 Israeli attack on the strip","volume":"22","author":"Abu-Rmeileh","year":"2012","journal-title":"Eur J Pub Health"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1080\/17542863.2017.1355929","article-title":"Post-traumatic stress disorders, depression, and anxiety in unaccompanied refugee minors exposed to war-related trauma: a systematic review","volume":"11","author":"El Baba","year":"2018","journal-title":"Int J Cult Ment Health"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3389\/fpsyt.2020.00020","article-title":"Long-term impact of war, civil war, and persecution in civilian populations-conflict and post-traumatic stress in African communities","volume":"11","author":"Musisi","year":"2020","journal-title":"Front Psych"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"1995","DOI":"10.1016\/j.socscimed.2012.01.040","article-title":"The long-term impact of war on health and wellbeing in northern Vietnam: some glimpses from a recent survey","volume":"74","author":"Teerawichitchainan","year":"2012","journal-title":"Soc Sci Med"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1097\/NMD.0b013e3181878b69","article-title":"The long-term psychosocial impact of a surprise chemical weapons attack on civilians in Halabja, Iraqi Kurdistan","volume":"196","author":"Dworkin","year":"2008","journal-title":"J Nerv Ment Dis"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12904-017-0223-y","article-title":"When a parent dies\u2013a systematic review of the effects of support programs for parentally bereaved children and their caregivers","volume":"16","author":"Bergman","year":"2017","journal-title":"BMC Palliat Care"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/17450128.2016.1262978","article-title":"A qualitative analysis of parental loss and family separation among youth in post-conflict Liberia","volume":"12","author":"Levey","year":"2017","journal-title":"Vuln Child Youth Stud"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1177\/0141076812472623","article-title":"The long-term impact of early parental death: lessons from a narrative study","volume":"106","author":"Ellis","year":"2013","journal-title":"J R Soc Med"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1080\/14616730903135993","article-title":"The role of childhood parent figure loss in the etiology of adult depression: findings from a prospective longitudinal study","volume":"11","author":"Coffino","year":"2009","journal-title":"Attach Hum Dev"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1007\/s10902-015-9624-x","article-title":"Temporary and long-term consequences of bereavement on happiness","volume":"17","author":"Moor","year":"2016","journal-title":"J Happiness Stud"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1097\/SLA.0000000000004844","article-title":"The hidden costs of war: healthcare utilization among individuals sustaining combat-related trauma (2007-2018)","volume":"277","author":"Dalton","year":"2023","journal-title":"Ann Surg"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1093\/jsh\/shz127","article-title":"The wounded male body: masculinity and disability in wartime and post-WWI Italy","volume":"53","author":"Salvante","year":"2020","journal-title":"J Soc Hist"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"e029892","DOI":"10.1136\/bmjopen-2019-029892","article-title":"Does pain, psychological distress and deteriorated family economy follow traumatic amputation among war casualties? A retrospective, cross-sectional study from Gaza","volume":"9","author":"Heszlein-Lossius","year":"2019","journal-title":"BMJ Open"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40779-018-0183-4","article-title":"Health concerns of veterans with high-level lower extremity amputations","volume":"5","author":"Faraji","year":"2018","journal-title":"Mil Med Res"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"e0213578","DOI":"10.1371\/journal.pone.0213578","article-title":"A national study of veterans with major upper limb amputation: survey methods, participants, and summary findings","volume":"14","author":"Resnik","year":"2019","journal-title":"PLoS One"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1080\/03093640600994581","article-title":"Upper limb prosthesis use and abandonment: a survey of the last 25 years","volume":"31","author":"Biddiss","year":"2007","journal-title":"Prosthetics Orthot Int"},{"key":"ref66","volume-title":"Why do some people choose not to Wear a prosthesis?","author":"Edge","year":"2020"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1080\/13623699.2022.2103042","article-title":"Challenges of conducting research on emergency response and health services provided during conflict in LMICs \u2013 case of Lebanon","volume":"38","author":"Kobeissi","year":"2022","journal-title":"Med Confl Surviv"},{"key":"ref68","volume-title":"A strategic framework for emergency preparedness","year":"2017"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"870","DOI":"10.26719\/2020.26.8.870","article-title":"From health emergency preparedness to response action: a long journey in Lebanon","volume":"26","author":"Rady","year":"2020","journal-title":"East Mediterr Health J"},{"key":"ref70","volume-title":"Situation of persons with disabilities in Lebanon","author":"Combaz","year":"2018"},{"key":"ref71","volume-title":"Concluding observations on the 2nd periodic report of Lebanon: committee on economic, social and cultural rights: UN, economic and social council","year":"2016"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"2619","DOI":"10.1080\/09638288.2016.1236409","article-title":"Experiences of attitudes in Sierra Leone from the perspective of people with poliomyelitis and amputations using orthotics and prosthetics","volume":"39","author":"Andreg\u00e5rd","year":"2017","journal-title":"Disabil Rehabil"},{"key":"ref73","volume-title":"Awareness-raising under article 8 of the convention on the rights of persons with disabilities (a\/HRC\/43\/27)","year":"2029"},{"key":"ref74","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-42488-0","volume-title":"Disability in the global south","author":"Grech","year":"2016"},{"key":"ref75","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1093\/jsh\/shz126","article-title":"Introduction: gender and disability in the two world wars","volume":"53","author":"Salvante","year":"2020","journal-title":"J Soc Hist"},{"key":"ref76","year":"2021"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1305021\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T05:54:23Z","timestamp":1702014863000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1305021\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,8]]},"references-count":76,"alternative-id":["10.3389\/fpubh.2023.1305021"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1305021","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,8]]},"article-number":"1305021"}}