{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T04:08:46Z","timestamp":1762056526845,"version":"build-2065373602"},"reference-count":62,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"Florida International University (FIU) Research Center for Minority Institutions (RCMI) Community Research Enhancement Grant","doi-asserted-by":"publisher","award":["5U54MD012393"],"award-info":[{"award-number":["5U54MD012393"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Thyroid hormone abnormalities are among the most common endocrine disorders comorbidly suffered alongside metabolic syndrome and type 2 diabetes mellitus (T2DM), and within the euthyroid range they may also impact other outcomes, such as mood disorders. This study aimed to observationally examine the relationship between TSH and social determinants of health and clinical measures in a euthyroid Hispanic\/Latinx patient sample with a diagnosis of anxiety and\/or depression disorders from a community health clinic. A needs assessment was completed using a random sample of 100 de-identified medical records of individuals who received free medical care, including mental health, at a community-based clinic. Those with low normal TSH (&lt;2 mIU\/L) compared with high normal TSH (\u22652 mIU\/L) had a greater odds of food insecurity (p = 0.016) and being at 100% of the federal poverty level (p = 0.015). The low normal TSH group had significantly higher fasting glucose (p = 0.046), hemoglobin A1c (p = 0.018), and total cholesterol (p = 0.034) compared with the high normal TSH group. In those with T2DM, individuals with low normal TSH had six-times greater odds of having high fasting glucose (p = 0.022) and high hemoglobin A1c (p = 0.029). These relationships warrant further study, to inform future public health policies and follow-up care for underserved and vulnerable communities.<\/jats:p>","DOI":"10.3390\/ijerph19138142","type":"journal-article","created":{"date-parts":[[2022,7,3]],"date-time":"2022-07-03T22:50:46Z","timestamp":1656888646000},"page":"8142","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Economic and Cardiometabolic Risk Factors Are Predictors of Lower Thyroid Stimulating Hormone (TSH) Levels in Hispanic\/Latinx Adults with Euthyroidism\u2014A Community-Based Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0158-8104","authenticated-orcid":false,"given":"Sabrina Sales","family":"Martinez","sequence":"first","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9848-862X","authenticated-orcid":false,"given":"Ivan","family":"Delgado-Enciso","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"},{"name":"Faculty of Medicine and Cancerology State Institute, University of Colima, Colima State Health Services, Colima 28040, CP, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jezabel","family":"Maisonet","sequence":"additional","affiliation":[{"name":"Caridad Center, Boynton Beach, FL 33472, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aydevis Jean","family":"Pierre","sequence":"additional","affiliation":[{"name":"Caridad Center, Boynton Beach, FL 33472, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8448-6033","authenticated-orcid":false,"given":"Adriana","family":"Campa","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Kallus","sequence":"additional","affiliation":[{"name":"Caridad Center, Boynton Beach, FL 33472, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3295-4768","authenticated-orcid":false,"given":"Janet","family":"Diaz Martinez","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"},{"name":"Research Center in a Minority Institution (FIU-RCMI), Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.clinbiochem.2016.06.007","article-title":"Thyroid Hormone Testing in the 21st Century","volume":"49","author":"Singh","year":"2016","journal-title":"Clin. Biochem."},{"key":"ref_2","unstructured":"(2021, October 10). General Information\/Press Room|American Thyroid Association. Available online: https:\/\/www.thyroid.org\/media-main\/press-room\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1530\/EJE-12-0111","article-title":"Geographic Variations in the Frequency of Thyroid Disorders and Thyroid Peroxidase Antibodies in Persons without Former Thyroid Disease within Germany","volume":"167","author":"Meisinger","year":"2012","journal-title":"Eur. J. Endocrinol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1530\/EJE-14-0898","article-title":"Shift of the TSH Reference Range with Improved Iodine Supply in Northeast Germany","volume":"172","author":"Ittermann","year":"2015","journal-title":"Eur. J. Endocrinol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1093\/bmb\/ldr030","article-title":"The Epidemiology of Thyroid Disease","volume":"99","author":"Vanderpump","year":"2011","journal-title":"Br. Med. Bull."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1210\/er.2018-00163","article-title":"Thyroid Dysfunction and Diabetes Mellitus: Two Closely Associated Disorders","volume":"40","author":"Biondi","year":"2019","journal-title":"Endocr. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1001\/jama.2019.9052","article-title":"Subclinical Hypothyroidism: A Review","volume":"322","author":"Biondi","year":"2019","journal-title":"JAMA"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1016\/S0140-6736(17)30703-1","article-title":"Hypothyroidism","volume":"390","author":"Chaker","year":"2017","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/S0140-6736(16)00278-6","article-title":"Hyperthyroidism","volume":"388","author":"Lee","year":"2016","journal-title":"Lancet"},{"key":"ref_10","first-page":"3","article-title":"Laboratory Support for the Diagnosis and Monitoring of Thyroid Disease","volume":"13","author":"Baloch","year":"2004","journal-title":"Thyroid"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"83","DOI":"10.3121\/cmr.2016.1309","article-title":"Biochemical Testing of the Thyroid: TSH Is the Best and, Oftentimes, Only Test Needed\u2014A Review for Primary Care","volume":"14","author":"Sheehan","year":"2016","journal-title":"Clin. Med. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3389\/fendo.2018.00287","article-title":"Editorial: \u201cHomeostasis and Allostasis of Thyroid Function.\u201d","volume":"9","author":"Dietrich","year":"2018","journal-title":"Front. Endocrinol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"619568","DOI":"10.3389\/fendo.2021.619568","article-title":"Within-Person Variation in Serum Thyrotropin Concentrations: Main Sources, Potential Underlying Biological Mechanisms, and Clinical Implications","volume":"12","author":"Roelfsema","year":"2021","journal-title":"Front. Endocrinol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2892","DOI":"10.1161\/CIRCULATIONAHA.118.036859","article-title":"Thyroid and Cardiovascular Disease","volume":"139","author":"Cappola","year":"2019","journal-title":"Circulation"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1111\/j.1365-2265.2012.04477.x","article-title":"Thyroid Function and the Risk of Coronary Heart Disease: 12-Year Follow-up of the HUNT Study in Norway","volume":"77","author":"Platou","year":"2012","journal-title":"Clin. Endocrinol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1111\/j.1365-2265.2007.02943.x","article-title":"Carotid Artery Intima Media Thickness Is Inversely Related to Serum Free Thyroxine in Euthyroid Subjects","volume":"67","author":"Dullaart","year":"2007","journal-title":"Clin. Endocrinol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e77","DOI":"10.1016\/j.atherosclerosis.2008.09.022","article-title":"Thyroid Function Is Associated with Carotid Intima-Media Thickness in Euthyroid Subjects","volume":"204","author":"Takamura","year":"2009","journal-title":"Atherosclerosis"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e002468","DOI":"10.1161\/CIRCGEN.118.002468","article-title":"Thyroid Function and Dysfunction in Relation to 16 Cardiovascular Diseases: A Mendelian Randomization Study","volume":"12","author":"Larsson","year":"2019","journal-title":"Circ. Genom. Precis. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1159\/000508407","article-title":"Thyroid Hormones within the Normal Range and Cardiac Function in the General Population: The EPIPorto Study","volume":"10","author":"Neves","year":"2021","journal-title":"Eur. Thyroid J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1001\/archinternmed.2012.402","article-title":"Subclinical Hyperthyroidism and the Risk of Coronary Heart Disease and Mortality","volume":"172","author":"Collet","year":"2012","journal-title":"Arch. Intern. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1007\/s00127-015-1043-0","article-title":"Diagnosed Thyroid Disorders Are Associated with Depression and Anxiety","volume":"50","author":"Ittermann","year":"2015","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"590648","DOI":"10.1155\/2012\/590648","article-title":"The Link between Thyroid Function and Depression","volume":"2012","author":"Hage","year":"2012","journal-title":"J. Thyroid Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jpsychores.2012.11.013","article-title":"Association of Diabetes with Anxiety: A Systematic Review and Meta-Analysis","volume":"74","author":"Smith","year":"2013","journal-title":"J. Psychosom. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.2337\/diacare.24.6.1069","article-title":"The Prevalence of Comorbid Depression in Adults With Diabetes","volume":"24","author":"Anderson","year":"2001","journal-title":"Diabetes Care"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1089\/thy.2020.0166","article-title":"Disparities Research in Thyroid Cancer: Challenges and Strategies for Improvement","volume":"30","author":"Chen","year":"2020","journal-title":"Thyroid"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"139","DOI":"10.21106\/ijma.236","article-title":"Social Determinants of Health in the United States: Addressing Major Health Inequality Trends for the Nation, 1935\u20132016","volume":"6","author":"Singh","year":"2017","journal-title":"Int. J. MCH AIDS"},{"key":"ref_27","unstructured":"(2022, May 02). Social Determinants of Health. Available online: https:\/\/www.who.int\/health-topics\/social-determinants-of-health#tab=tab_1."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1001\/jamaoto.2014.1745","article-title":"Association of Socioeconomic Status, Race, and Ethnicity With Outcomes of Patients Undergoing Thyroid Surgery","volume":"140","author":"Hauch","year":"2014","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2507","DOI":"10.7150\/jca.52329","article-title":"Socioeconomic Factors Are Associated with the Prognosis of Thyroid Cancer","volume":"12","author":"Li","year":"2021","journal-title":"J. Cancer"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"4809","DOI":"10.1210\/jc.2006-1557","article-title":"Prevalence of Subclinical Thyroid Dysfunction and Its Relation to Socioeconomic Deprivation in the Elderly: A Community-Based Cross-Sectional Survey","volume":"91","author":"Wilson","year":"2006","journal-title":"Int. J. Clin. Endocrinol. Metab."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2571","DOI":"10.1245\/s10434-016-5199-y","article-title":"Racial Disparities in Initial Presentation of Benign Thyroid Disease for Resection","volume":"23","author":"Kuo","year":"2016","journal-title":"Ann. Surg. Oncol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1590\/1414-431x20154445","article-title":"Gender, Race and Socioeconomic Influence on Diagnosis and Treatment of thyroid Disorders in the Brazilian Longitudinal Study of Adult Health(ELSA-Brasil)","volume":"48","author":"Olmos","year":"2015","journal-title":"Braz. J. Med. Biol. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/1475-9276-12-59","article-title":"Multimorbidity and Equity in Health","volume":"12","author":"Shadmi","year":"2013","journal-title":"Int. J. Equity Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e041569","DOI":"10.1136\/bmjopen-2020-041569","article-title":"Are the Needs of People with Multiple Long-Term Conditions Being Met? Evidence from the 2018 General Practice Patient Survey","volume":"10","author":"Rolewicz","year":"2020","journal-title":"BMJ Open"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.healthpol.2017.10.002","article-title":"Managing Multimorbidity: Profiles of Integrated Care Approaches Targeting People with Multiple Chronic Conditions in Europe","volume":"122","author":"Rijken","year":"2018","journal-title":"Health Policy"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1353\/hpu.2020.0075","article-title":"Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National Prapare Implementation","volume":"31","author":"Weir","year":"2020","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_37","unstructured":"(2021, October 05). PRAPARE\u2014NACHC. Available online: https:\/\/www.nachc.org\/research-and-data\/prapare\/."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1530\/eje.1.02136","article-title":"Is There a Need to Redefine the Upper Normal Limit of TSH?","volume":"154","author":"Brabant","year":"2006","journal-title":"Eur. J. Endocrinol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1007\/s40520-018-1071-1","article-title":"Thyroid Hormones, Metabolic Syndrome and Vitamin D in Middle-Aged and Older Euthyroid Subjects: A Preliminary Study","volume":"31","author":"Verrusio","year":"2019","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1111\/cen.13764","article-title":"Prevalence of Thyroid Dysfunction in a Large Southern European Population. Analysis of Modulatory Factors. The APNA Study","volume":"89","year":"2018","journal-title":"Clin. Endocrinol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s13668-014-0104-4","article-title":"The Intersection between Food Insecurity and Diabetes: A Review","volume":"3","author":"Gucciardi","year":"2014","journal-title":"Curr. Nutr. Rep."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/1742395319828430","article-title":"Chronic Disease and Socioeconomic Factors among Uninsured Patients: A Retrospective Study","volume":"17","author":"Rahman","year":"2021","journal-title":"Chronic Illn."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1476","DOI":"10.1007\/s11606-015-3351-1","article-title":"The Relationship Between Food Insecurity and Depression, Diabetes Distress and Medication Adherence Among Low-Income Patients with Poorly-Controlled Diabetes","volume":"30","author":"Silverman","year":"2015","journal-title":"J. Gen. Intern. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"34S","DOI":"10.1177\/1090198114543008","article-title":"National Study of Chronic Disease Self-Management: Age Comparison of Outcome Findings","volume":"41","author":"Ory","year":"2014","journal-title":"Health Educ. Behav."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1111\/1475-6773.13283","article-title":"Food Insecurity, Health Care Utilization, and Health Care Expenditures","volume":"55","author":"Dean","year":"2020","journal-title":"Health Serv. Res."},{"key":"ref_46","unstructured":"(2022, February 16). USDA ERS\u2014Household Food Security in the United States in 2020, Available online: https:\/\/www.ers.usda.gov\/publications\/pub-details\/?pubid=102075."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"304","DOI":"10.3945\/jn.109.112573","article-title":"Food Insecurity Is Associated with Chronic Disease among Low-Income NHANES Participants","volume":"140","author":"Seligman","year":"2010","journal-title":"J. Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"3562","DOI":"10.1210\/jc.2013-1315","article-title":"A Review of the Clinical Consequences of Variation in Thyroid Function within the Reference Range","volume":"98","author":"Taylor","year":"2013","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2924","DOI":"10.1093\/humrep\/dep285","article-title":"Thyroid-Stimulating Hormone Is Associated with Insulin Resistance Independently of Body Mass Index and Age in Women with Polycystic Ovary Syndrome","volume":"24","author":"Mueller","year":"2009","journal-title":"Hum. Reprod."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Leko, M.B., Gunja\u010da, I., Plei\u0107, N., and Zemunik, T. (2021). Environmental Factors Affecting Thyroid-Stimulating Hormone and Thyroid Hormone Levels. Int. J. Mol. Sci., 22.","DOI":"10.3390\/ijms22126521"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1196\/annals.1425.032","article-title":"Housing and Health: Intersection of Poverty and Environmental Exposures","volume":"1136","author":"Rauh","year":"2008","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.2105\/AJPH.2013.301253","article-title":"Environmental Conditions in Low-Income Urban Housing: Clustering and Associations With Self-Reported Health","volume":"104","author":"Adamkiewicz","year":"2014","journal-title":"Am. J. Public Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"258","DOI":"10.2337\/dci20-0053","article-title":"Social Determinants of Health and Diabetes: A Scientific Review","volume":"44","author":"Adler","year":"2021","journal-title":"Diabetes Care"},{"key":"ref_54","first-page":"110","article-title":"Relationship between High Normal TSH Levels and Metabolic Syndrome Components in Type 2 Diabetic Subjects with Euthyroidism","volume":"2","author":"Petrosyan","year":"2015","journal-title":"J. Clin. Transl. Endocrinol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s12933-020-01021-8","article-title":"The Sweet Spot: Fasting Glucose, Cardiovascular Disease, and Mortality in Older Adults with Diabetes: A Nationwide Population-Based Study","volume":"19","author":"Lee","year":"2020","journal-title":"Cardiovasc. Diabetol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1111\/j.1365-2826.2008.01774.x","article-title":"The Thyroid-Brain Interaction in Thyroid Disorders and Mood Disorders","volume":"20","author":"Bauer","year":"2008","journal-title":"J. Neuroendocrinol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/YCO.0b013e328329e1ae","article-title":"Thyroid Disorders in Mental Patients","volume":"22","author":"Bunevicius","year":"2009","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1530\/eje.1.01894","article-title":"Increased Risk of Affective Disorder Following Hospitalisation with Hyperthyroidism\u2014A Register-Based Study","volume":"152","author":"Thomsen","year":"2005","journal-title":"Eur. J. Endocrinol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1210\/jc.2013-3589","article-title":"Thyroid Function Within the Normal Range and the Risk of Depression: A Population-Based Cohort Study","volume":"99","author":"Medici","year":"2014","journal-title":"Int. J. Clin. Endocrinol. Metab."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Hong, J.W., Noh, J.H., and Kim, D.J. (2018). Association between Subclinical Thyroid Dysfunction and Depressive Symptoms in the Korean Adult Population: The 2014 Korea National Health and Nutrition Examination Survey. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0202258"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1756-6614-5-1","article-title":"Gender-Specific Regulation of Response to Thyroid Hormone in Aging","volume":"5","author":"Suzuki","year":"2012","journal-title":"Thyroid Res."},{"key":"ref_62","first-page":"6560","article-title":"Interventions for Improving Outcomes in Patients with Multimorbidity in Primary Care and Community Settings","volume":"2021","author":"Smith","year":"2021","journal-title":"Cochrane Database Syst. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/13\/8142\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:42:07Z","timestamp":1760139727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/13\/8142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,2]]},"references-count":62,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["ijerph19138142"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19138142","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,7,2]]}}}