{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T01:04:40Z","timestamp":1791421480045,"version":"4.3.3"},"reference-count":63,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Ministry of Health, Rome, Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo (N\u00b0 16\\22), Trieste, Italy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Few studies have explored consent request practices during childbirth. Objective: We explored consent request practices during childbirth in a referral hospital and research centre in Italy, capturing both women and health workers\u2019 perspectives. Methods: Data were collected using self-administrated questionnaires between December 2016 and September 2018. Nine key maternal and newborn procedures were analysed. Associations between consent requests and women characteristics were explored by multiple logistic regression. Results: Among 1244 women, the rate of consent requests varied widely, with caesarean section (CS) showing the highest rate (89.1%) and neonatal conjunctivitis prophylaxis presenting the lowest rate (11.4%). Information provided on \u201crisks\/benefits\u201d and \u201creasons\u201d for procedures by health staff was most often not comprehensive for procedures of interest (range 18.6\u201387.4%). The lack of informed consent is not specifically linked to any pattern of women characteristics. According to 105 health workers, adequate protocols and standard forms for consent requests were available in 67.6% and 78.1% of cases, respectively, while less than one third (31.4%) reported having received adequate training and supportive supervision on how to deliver informed consent. Conclusions: Study findings align with previous evidence showing that consent request practices during childbirth need to be largely improved. More research is needed to investigate effective strategies for improvement.<\/jats:p>","DOI":"10.3390\/ijerph19127166","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T09:33:26Z","timestamp":1654940006000},"page":"7166","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Quality of Informed Consent Practices around the Time of Childbirth: A Cross-Sectional Study in Italy"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4741-4628","authenticated-orcid":false,"given":"Emanuelle Pessa","family":"Valente","sequence":"first","affiliation":[{"name":"Institute for Maternal and Child Health, IRCCS \u201cBurlo Garofolo\u201d, WHO Collaborating Centre for Maternal and Child Health, Via dell\u2019Istria 65\/1, 34137 Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-4788","authenticated-orcid":false,"given":"Ilaria","family":"Mariani","sequence":"additional","affiliation":[{"name":"Institute for Maternal and Child Health, IRCCS \u201cBurlo Garofolo\u201d, WHO Collaborating Centre for Maternal and Child Health, Via dell\u2019Istria 65\/1, 34137 Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7635-0654","authenticated-orcid":false,"given":"Benedetta","family":"Covi","sequence":"additional","affiliation":[{"name":"Institute for Maternal and Child Health, IRCCS \u201cBurlo Garofolo\u201d, WHO Collaborating Centre for Maternal and Child Health, Via dell\u2019Istria 65\/1, 34137 Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8608-2198","authenticated-orcid":false,"given":"Marzia","family":"Lazzerini","sequence":"additional","affiliation":[{"name":"Institute for Maternal and Child Health, IRCCS \u201cBurlo Garofolo\u201d, WHO Collaborating Centre for Maternal and Child Health, Via dell\u2019Istria 65\/1, 34137 Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1056\/NEJMra1411250","article-title":"Enduring and Emerging Challenges of Informed Consent","volume":"372","author":"Grady","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1136\/bmjqs-2016-005969","article-title":"When patient-centred care is worth doing well: Informed consent or shared decision-making","volume":"26","author":"Kunneman","year":"2017","journal-title":"BMJ Qual. Saf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.amjsurg.2017.09.015","article-title":"Informed consent\u2014It\u2019s more than a signature on a piece of paper","volume":"214","author":"Cocanour","year":"2017","journal-title":"Am. J. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1136\/medethics-2018-104884","article-title":"Recent insights into decision-making and their implications for informed consent","volume":"44","author":"Vos","year":"2018","journal-title":"J. Med. Ethics"},{"key":"ref_5","unstructured":"United Nations (2020, February 28). The Global Strategy for Women\u2019s, Children\u2019s and Adolescents\u2019 Health (2016\u20132030). Every Woman Every Child. Available online: https:\/\/www.who.int\/life-course\/partners\/global-strategy\/globalstrategyreport2016-2030-lowres.pdf."},{"key":"ref_6","unstructured":"World Health Organization (2019, September 09). Standards for Improving Quality of Maternal and Newborn Care in Health Facilities, Available online: https:\/\/www.who.int\/maternal_child_adolescent\/documents\/improving-maternal-newborn-care-quality\/en\/."},{"key":"ref_7","unstructured":"The International Childbirth Initiative (2019, December 19). The International Childbirth Initiative (ICI): 12 Steps to Safe and Respectful Mother Baby-Family Maternity Care (September 2018). Available online: https:\/\/www.internationalchildbirth.com."},{"key":"ref_8","unstructured":"World Health Organization (2020, February 28). A Declaration on the Promotion of Patients\u2019 Rights in Europe, Available online: https:\/\/www.who.int\/genomics\/public\/patientrights\/en\/."},{"key":"ref_9","unstructured":"Council of Europe (2020, February 28). Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine. European Treaty Series. No. 164. Oviedo, 4.IV. Available online: https:\/\/www.coe.int\/en\/web\/conventions\/full-list\/-\/conventions\/treaty\/164."},{"key":"ref_10","unstructured":"Council of Europe (2020, February 28). European Court of Human Rights. European Convention on Human Rights. Available online: https:\/\/www.echr.coe.int\/Documents\/Convention_ENG.pdf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.midw.2015.09.006","article-title":"Human rights in maternity care","volume":"31","author":"Prochaska","year":"2015","journal-title":"Midwifery"},{"key":"ref_12","unstructured":"White Ribbon Alliance (2019, November 11). Respectful Maternity Care. 2019 Updated Respectful Maternity Care Charter. Available online: http:\/\/whiteribbonalliance.org\/campaigns2\/respectful-maternity-care\/."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Widmer, M., Bonet, M., and Betr\u00e1n, A.P. (2020). Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0228063"},{"key":"ref_14","unstructured":"University of Oxford (2018, June 08). National Maternity Survey 2014. Safely Delivered a National Survey of Women\u2019s Experience of Maternity Care 2014. The National Perinatal Epidemiology Unit. Available online: https:\/\/www.npeu.ox.ac.uk\/maternity-surveys."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"100268","DOI":"10.1016\/j.lanepe.2021.100268","article-title":"Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: Online survey investigating maternal perspectives in 12 countries of the WHO European Region","volume":"13","author":"Lazzerini","year":"2022","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/ijgo.14119","article-title":"Quality of care at childbirth: Findings of IMAgiNE EURO in Italy during the first year of the COVID-19 pandemic","volume":"157","author":"Lazzerini","year":"2022","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Zaigham, M., Linden, K., Sengpiel, V., Mariani, I., Valente, E.P., Covi, B., Lazzerini, M., Elden, H., and IMAgiNE EURO Study Group (2022). Large gaps in the quality of healthcare experienced by Swedish mothers during the COVID-19 pandemic: A cross-sectional study based on WHO standards. Women Birth, in press.","DOI":"10.1016\/j.wombi.2022.01.007"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Djanogly, T., Nicholls, J., Whitten, M., and Lanceley, A. (2022). Choice in episiotomy\u2014Fact or fantasy: A qualitative study of women\u2019s experiences of the consent process. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-022-04475-8"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1742-4755-9-16","article-title":"The paradox of vaginal examination practice during normal childbirth: Palestinian women\u2019s feelings, opinions, knowledge and experiences","volume":"9","author":"Hassan","year":"2012","journal-title":"Reprod. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"10","DOI":"10.18332\/ejm\/109311","article-title":"Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh","volume":"3","author":"Karim","year":"2019","journal-title":"Eur. J. Midwifery"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1016\/S0140-6736(19)31992-0","article-title":"How women are treated during facility-based childbirth in four countries: A cross-sectional study with labour observations and community-based surveys","volume":"394","author":"Bohren","year":"2019","journal-title":"Lancet"},{"key":"ref_22","first-page":"8186070","article-title":"Disrespect and Abuse during Childbirth in Ethiopia: A Systematic Review","volume":"23","author":"Mengesha","year":"2020","journal-title":"Biomed. Res. Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e045907","DOI":"10.1136\/bmjopen-2020-045907","article-title":"Association between newborn separation, maternal consent and health outcomes: Findings from a longitudinal survey in Kenya","volume":"11","author":"Nakphong","year":"2021","journal-title":"BMJ Open"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Bakker, W., Zethof, S., Nansongole, F., Kilowe, K., van Roosmalen, J., and van den Akker, T. (2021). Health workers\u2019 perspectives on informed consent for caesarean section in Southern Malawi. BMC Med. Ethics, 22.","DOI":"10.1186\/s12910-021-00584-9"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.ejogrb.2021.07.003","article-title":"Consent on the labour ward: A qualitative study of the views and experiences of healthcare professionals","volume":"264","author":"Kennedy","year":"2021","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_26","unstructured":"Federazione Nazionale degli Ordini dei Medici Chirurghi e degli Odontoiatri (2022, February 12). Codice di Deontologia Medica. Roma: Federazione Nazionale degli Ordini dei Medici Chirurghi e degli Odontoiatri. Available online: https:\/\/portale.fnomceo.it\/codice-deontologico\/."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s11019-015-9637-6","article-title":"Informed consent and Italian physicians: Change course or abandon ship\u2014From formal authorization to a culture of sharing","volume":"18","author":"Turillazzi","year":"2015","journal-title":"Med. Health Care Philos."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Di Paolo, M., Gori, F., Papi, L., and Turillazzi, E. (2019). A review and analysis of new Italian law 219\/2017, \u2018provisions for informed consent and advance directives treatment\u2019. BMC Med. Ethics, 20.","DOI":"10.1186\/s12910-019-0353-2"},{"key":"ref_29","first-page":"484","article-title":"Risk Management for a Legally Valid Informed Consent","volume":"172","author":"Guerra","year":"2021","journal-title":"Clin. Ter."},{"key":"ref_30","first-page":"e2021072","article-title":"Information obligation in surgery","volume":"92","year":"2021","journal-title":"Acta Biomed."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.jcmg.2012.03.007","article-title":"Low Quality and Lack of Clarity of Current Informed Consent Forms in Cardiology: How to Improve Them","volume":"5","author":"Terranova","year":"2012","journal-title":"JACC Cardiovasc. Imaging"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Attena, F., Abuadili, A.V., and Marino, S. (2014). The informed consent in Southern Italy does not adequately inform parents about infant vaccination. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-211"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Agozzino, E., Borrelli, S., Cancellieri, M., Carfora, F.M., Di Lorenzo, T., and Attena, F. (2019). Does written informed consent adequately inform surgical patients? A cross sectional study. BMC Med. Ethics, 20.","DOI":"10.1186\/s12910-018-0340-z"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1177\/0969733013495225","article-title":"Factors associated with nurses\u2019 opinions and practices regarding information and consent","volume":"21","author":"Ingravallo","year":"2014","journal-title":"Nurs. Ethics"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e000525","DOI":"10.1136\/bmjoq-2018-000525","article-title":"Use of WHO standards to improve quality of maternal and newborn hospital care: A study collecting both mothers\u2019 and staff perspective in a tertiary care hospital in Italy","volume":"8","author":"Lazzerini","year":"2019","journal-title":"BMJ Open Qual."},{"key":"ref_36","unstructured":"STROBE Statement (2019, October 22). STrengthening the Reporting of OBservational Studies in Epidemiology 2009. Available online: https:\/\/www.strobe-statement.org\/index.php?id=strobe-home."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.jogc.2017.12.013","article-title":"Informed Consent during Labour: Patient and Physician Perspectives","volume":"40","author":"Smith","year":"2018","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1111\/ajo.12125","article-title":"The Quality of Consent\u2014What is the Evidence?","volume":"53","author":"Robertson","year":"2013","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1080\/14767058.2019.1622677","article-title":"Episiotomy: An informed consent proposal","volume":"34","author":"Malvasi","year":"2021","journal-title":"J. Matern.-Fetal Neonatal Med."},{"key":"ref_40","first-page":"292","article-title":"Informed consent for cord blood donation. A theoretical and empirical study","volume":"9","author":"Petrini","year":"2011","journal-title":"Blood Transfus."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1097\/JPN.0000000000000182","article-title":"Women\u2019s Voices in Maternity Care. The Triad of Shared Decision Making, Informed Consent, and Evidence-Based Practices","volume":"30","author":"Moore","year":"2016","journal-title":"J. Perinat. Neonat. Nurs."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1111\/ajo.12919","article-title":"Vaginal delivery: An argument against requiring consent","volume":"58","author":"Petersen","year":"2018","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/NMC.0000000000000527","article-title":"Partnering with Patients and Families during Childbirth: Confirming Knowledge for Informed Consent","volume":"44","author":"Simpson","year":"2019","journal-title":"MCN Am. J. Matern. Child. Nurs."},{"key":"ref_44","unstructured":"Marin, M. (2022, March 20). Chi deve Informare il Paziente? La Legge Parla Chiaro. Quotidiano Sanit\u00e0, 6 Gennaio. Available online: https:\/\/www.quotidianosanita.it\/lettere-al-direttore\/articolo.php?articolo_id=80006."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.siny.2004.09.009","article-title":"Good practice in consent","volume":"10","author":"Cooke","year":"2005","journal-title":"Semin. Fetal Neonatal Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1111\/ajo.12885","article-title":"We need to treat pregnant women as adults: Women should be consented for an attempt at normal vaginal birth as for operative delivery, with risks and potential complications explained","volume":"58","author":"Dietz","year":"2018","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Nedberg, I.H., Vik, E.S., Kongslien, S., Mariani, I., Valente, E.P., Covi, B., Lazzerini, M., and IMAgiNE EURO Study Group (2022). Quality of health care around the time of childbirth during the COVID-19 pandemic: Detailed findings of the IMAgiNE study in Norway and trends over time. Int. J. Gynecol. Obstet., submitted.","DOI":"10.1002\/ijgo.14460"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Arendt, M., Tasch, B., Conway, F., Lecomte, A., Covi, B., Mariani, I., Valente, E.P., Lazzerini, M., and IMAgiNE EURO Study Group (2022). Quality of the maternal and newborn care around the time of childbirth in Luxembourg during the COVID-19 pandemic: Findings of the IMAgiNE EURO study. Int. J. Gynecol. Obstet., submitted.","DOI":"10.1002\/ijgo.14473"},{"key":"ref_49","unstructured":"Bowser, D., and Hill, K. (2010). Exploring Evidence for Disrespect and Abuse in Facility-Based Childbirth, USAID-TRAction Project, Harvard School of Public Health."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Bohren, M.A., Vogel, J.P., Hunter, E.C., Lutsiv, O., Makh, S.K., Souza, J.P., and G\u00fclmezoglu, A.M. (2015). The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med., 12.","DOI":"10.1371\/journal.pmed.1001847"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s12978-017-0326-1","article-title":"Defining disrespect and abuse of newborns: A review of the evidence and an expanded typology of respectful maternity care","volume":"14","author":"Sacks","year":"2017","journal-title":"Reprod. Health"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12992-015-0117-9","article-title":"Attitudes and behaviours of maternal health care providers in interactions with clients: A systematic review","volume":"11","author":"Munnaya","year":"2015","journal-title":"Glob. Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1007\/s11606-012-2077-6","article-title":"Shared decision making: A model for clinical practice","volume":"27","author":"Elwyn","year":"2012","journal-title":"J. Gen. Intern. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/jmwh.12747","article-title":"Choosing to Decline: Finding Common Ground through the Perspective of Shared Decision Making","volume":"63","author":"Megregian","year":"2018","journal-title":"J. Midwifery Womens Health"},{"key":"ref_55","unstructured":"(2022, March 20). LEGGE 22 dicembre 2017, n. 219 Norme in Materia di Consenso Informato e di Disposizioni Anticipate di Trattamento. Available online: https:\/\/www.gazzettaufficiale.it\/eli\/id\/2018\/1\/16\/18G00006\/sg."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.wombi.2018.03.006","article-title":"Refusal of recommended maternity care: Time to make a pact with women?","volume":"31","author":"Jenkinson","year":"2018","journal-title":"Women Birth"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.puhe.2021.02.025","article-title":"Vaccine hesitancy in the era of COVID-19","volume":"194","author":"Troiano","year":"2021","journal-title":"Public Health"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Gesualdo, F., Daverio, M., Palazzani, L., Dimitriou, D., Diez-Domingo, J., Fons-Martinez, J., Jackson, S., Vignally, P., Rizzo, C., and Tozzi, A.E. (2021). Digital tools in the informed consent process: A systematic review. BMC Med. Ethics, 22.","DOI":"10.1186\/s12910-021-00585-8"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Sarkar, R., Sowmyanarayanan, T.V., Samuel, P., Singh, A.S., Bose, A., Muliyil, J., and Kang, G. (2010). Comparison of group counseling with individual counseling in the comprehension of informed consent: A randomized controlled trial. BMC Med. Ethics, 11.","DOI":"10.1186\/1472-6939-11-8"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1016\/S0895-4356(96)00177-1","article-title":"Framing effects on expectations, decision, and side effects experienced: The case of the influenza immunization","volume":"49","author":"Pennie","year":"1996","journal-title":"J. Clin. Epidemiol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1001\/jamasurg.2016.1000","article-title":"Examining the \u201cHalo Effect\u201d of Surgical Care within Health Systems","volume":"151","author":"Brown","year":"2016","journal-title":"JAMA Surg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e048195","DOI":"10.1136\/bmjopen-2020-048195","article-title":"WHO standards-based tool to measure women\u2019s views on the quality of care around the time of childbirth at facility level in the WHO European region: Development and validation in Italy","volume":"12","author":"Lazzerini","year":"2022","journal-title":"BMJ Open"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"e056753","DOI":"10.1136\/bmjopen-2021-056753","article-title":"WHO Standards-based questionnaire to measure health workers\u2019 perspective on the quality of care around the time of childbirth in the WHO European region: Development and mixed-methods validation in six countries","volume":"12","author":"Valente","year":"2022","journal-title":"BMJ Open"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/12\/7166\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:28:01Z","timestamp":1760138881000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/12\/7166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,10]]},"references-count":63,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["ijerph19127166"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19127166","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,10]]}}}