{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:39:46Z","timestamp":1791218386633,"version":"4.1.0"},"reference-count":62,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Research Council","award":["170100064"],"award-info":[{"award-number":["170100064"]}]},{"name":"ShineSA","award":["170100064"],"award-info":[{"award-number":["170100064"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Australian HIV notification rates are higher for people born in Northeast Asia, Southeast Asia and sub-Saharan Africa compared to Australian-born people. The Migrant Blood-Borne Virus and Sexual Health Survey represents the first attempt to build the national evidence base regarding HIV knowledge, risk behaviors and testing among migrants in Australia. To inform survey development, preliminary qualitative research was conducted with a convenience sample of n = 23 migrants. A survey was developed with reference to the qualitative data and existing survey instruments. Non-probability sampling of adults born in Northeast Asia, Southeast Asia and sub-Saharan Africa was undertaken (n = 1489), and descriptive and bivariate analyses of data were conducted. Knowledge of pre-exposure prophylaxis was low (15.59%), and condom use at last sexual encounter was reported by 56.63% of respondents engaging in casual sex, and 51.80% of respondents reported multiple sexual partners. Less than one-third (31.33%) of respondents reported testing for any sexually transmitted infection or blood-borne virus in the previous two years and, of these, less than half (45.95%) tested for HIV. Confusion surrounding HIV testing practices was reported. These findings identify policy interventions and service improvements critically needed to reduce widening disparities regarding HIV in Australia.<\/jats:p>","DOI":"10.3390\/ijerph20054347","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T02:28:17Z","timestamp":1677637697000},"page":"4347","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["HIV-Related Knowledge and Practices among Asian and African Migrants Living in Australia: Results from a Cross-Sectional Survey and Qualitative Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4849-4444","authenticated-orcid":false,"given":"Daniel","family":"Vujcich","sequence":"first","affiliation":[{"name":"School of Population Health, Curtin University, Bentley, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Reid","sequence":"additional","affiliation":[{"name":"School of Population Health, Curtin University, Bentley, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4901-0974","authenticated-orcid":false,"given":"Graham","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Social Impact, UNSW, Sydney, NSW 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Durham","sequence":"additional","affiliation":[{"name":"Centre for Healthcare Transformation, Australian Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Guy","sequence":"additional","affiliation":[{"name":"Kirby Institute, UNSW, Sydney, NSW 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Hartley","sequence":"additional","affiliation":[{"name":"Centre for Human Rights Education, Curtin University, Bentley, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0995-5789","authenticated-orcid":false,"given":"Limin","family":"Mao","sequence":"additional","affiliation":[{"name":"Centre for Social Research in Health, UNSW, Sydney, NSW 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0939-9842","authenticated-orcid":false,"given":"Amy B.","family":"Mullens","sequence":"additional","affiliation":[{"name":"School of Psychology & Wellbeing, Centre for Health Research, Institute for Resilient Regions, University of Southern Qld, Ipswich, QLD 4305, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meagan","family":"Roberts","sequence":"additional","affiliation":[{"name":"School of Population Health, Curtin University, Bentley, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8335-3017","authenticated-orcid":false,"given":"Roanna","family":"Lobo","sequence":"additional","affiliation":[{"name":"School of Population Health, Curtin University, Bentley, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e205090","DOI":"10.1002\/jia2.25090","article-title":"A tale of two countries: Progress towards UNAIDS 90-90-90 targets in Botswana and Australia","volume":"21","author":"Marukutira","year":"2018","journal-title":"JIAS"},{"key":"ref_2","unstructured":"King, J., McManus, H., Kwon, A., Gray, R., and McGregor, S. (2022). HIV, Viral Hepatitis and Sexually Transmissible Infections in Australia: Annual Surveillance Report 2022, The Kirby Institute."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Marukutira, T., Gray, R.T., Douglass, C., El-Hayek, C., Moreira, C., Asselin, J., Donovan, B., Vickers, T., Spelman, T., and Crowe, S. (2020). Gaps in the HIV diagnosis and care cascade for migrants in Australia, 2013-2017: A cross-sectional study. PLoS Med., 17.","DOI":"10.1371\/journal.pmed.1003044"},{"key":"ref_4","unstructured":"Commonwealth of Australia (2018). Eighth National HIV Strategy, 2018\u20132022."},{"key":"ref_5","first-page":"49","article-title":"HIV and mobility in Australia: Roadmap for action","volume":"13","author":"Crawford","year":"2015","journal-title":"HIV Aust."},{"key":"ref_6","unstructured":"Asante, A., K\u00f6rner, H., McMahon, T., Sabri, W., and Kippax, S. (2009). Periodic Survey of HIV Knowledge and Use of Health Services among People from Culturally and Linguistically Diverse Backgrounds, 2006\u20132008, National Centre in HIV Social Research."},{"key":"ref_7","unstructured":"McGregor, S., Mlambo, E., Gunaratnam, P., Wilson, D., and Guy, R. (2017). HIV Knowledge, Risk Behavior and Testing: A Community Survey in People from Culturally and Linguistically Diverse (CALD) Backgrounds in NSW, Australia, The Kirby Institute."},{"key":"ref_8","unstructured":"Dean, J. (2014). Sexual Health Knowlege, Attitudes and Beliefs of Queensland Sudanese Communities. [Ph.D. Thesis, Griffith University: Brisbane]."},{"key":"ref_9","unstructured":"Mao, L., Broady, T., Newman, C., Treloar, C., and Holt, M. (2022, December 16). Annual Report of Trends in Behaviour 2022: HIV\/STIs and Sexual Health in Australia. Available online: http:\/\/doi.org\/10.26190\/1fhh-ab12."},{"key":"ref_10","first-page":"274","article-title":"HIV knowledge and use of services among people from South-East Asia and sub-Saharan Africa living in Western Australia","volume":"29","author":"Gray","year":"2018","journal-title":"HJPA"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1071\/SH07077","article-title":"HIV\/AIDS knowledge and attitudes among West African immigrant women in Western Australia","volume":"5","author":"Drummond","year":"2008","journal-title":"Sex. Health"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Corbin, J., and Strauss, A. (2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, Sage. [3rd ed.].","DOI":"10.4135\/9781452230153"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1111\/1475-6773.12275","article-title":"Using grounded theory method to capture and analyze health care experiences","volume":"50","author":"Foley","year":"2015","journal-title":"Health Serv. Res."},{"key":"ref_14","unstructured":"QSR International Pty Ltd (2018). NVivo 12, QSR International Pty Ltd."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e049010","DOI":"10.1136\/bmjopen-2021-049010","article-title":"Are sexual health survey items understood as intended by African and Asian migrants to Australia? Methods, results and recommendations for qualitative pretesting","volume":"11","author":"Vujcich","year":"2021","journal-title":"BMJ Open"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Vujcich, D., Roberts, M., Gu, Z., Kao, S.-C., Lobo, R., Mao, L., Oudih, E., Phoo, N., Wong, H., and Reid, A. (2021). Translating best practice into real practice from a project to translate and English sexual health survey into four Asian languages. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0261074"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Vujcich, D., Wangda, S., Roberts, M., Lobo, R., Maycock, B., Thanthirige, C., and Reid, A. (2020). Modes of administering sexual health and blood-borne virus surveys in migrant populations: A scoping review. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0236821"},{"key":"ref_18","unstructured":"(2019). Qualtrics, Qualtrics."},{"key":"ref_19","unstructured":"Dodds, C., Hickson, F., Weatherburn, P., Reid, D., Hammond, G., Jessup, K., and Adegbite, G. (2008). BASS Line 2007 Survey: Assessing the Sexual HIV Prevention Needs of African People in England, Sigma Research."},{"key":"ref_20","unstructured":"Kempf-Leonard, K. (2005). Encyclopedia of Social Measurement, Elsevier."},{"key":"ref_21","unstructured":"Koschollek, C., Kuehne, A., Amoah, S., Batemona-Abeke, H., Bursi, T.D., Mayamba, P., M\u2019bayo, R., Mputu Tshibadi, C., Parris, G., and Thorlie, A. (2019). From peer to peer: Reaching migrants from sub-Saharan Africa with research on sexual health utilizing community-based participatory health research. Surv. Methods."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Vujcich, D., Brown, G., Durham, J., Gu, Z., Hartley, L., Lobo, R., Mao, L., Moro, P., Pillay, V., and Mullens, A.B. (2022). Strategies for recruiting migrants to participate in a sexual health survey: Methods, results, and lessons. IJERPH, 19.","DOI":"10.3390\/ijerph191912213"},{"key":"ref_23","unstructured":"StataCorp (2019). Stata Statistical Software: Release 16, StataCorp LLC."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e486","DOI":"10.1016\/S2352-3018(21)00074-6","article-title":"Long term-protection from HIV infection with oral HIV pre-exposure prophylaxis in gay and bisexual men: Findings from the expanded and extended EPIC-NSW prospective implementation study","volume":"8","author":"Grulich","year":"2021","journal-title":"Lancet HIV"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Gunaratnam, P., Heywood, A.E., McGregor, S., Jamil, M.S., McManus, H., Mao, L., Lobo, R., Brown, G., Hellard, M., and Marukutira, T. (2019). HIV diagnoses in migrant populations in Australia\u2014A changing epidemiology. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0212268"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"673959","DOI":"10.3389\/fpubh.2021.673959","article-title":"Knowledge and use of PEP and PrEP among key populations tested in community centers in Portugal","volume":"9","author":"Meireles","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1093\/eurpub\/ckac130.173","article-title":"Knowledge of HIV prevention biomedical tools among African immigrants in France: The Makasi project: Karna Coulibaly","volume":"32","author":"Coulibaly","year":"2022","journal-title":"Eur. J. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1089\/apc.2021.0156","article-title":"Exploring Awareness, Perceptions, and Willingness to Use HIV Pre-Exposure Prophylaxis: A Qualitative Study of Ghanaian Immigrants in the United States","volume":"36","author":"Orom","year":"2022","journal-title":"AIDS Patient Care STDs"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1007\/s10903-019-00873-x","article-title":"Sexual health, HIV care and Pre-exposure Prophylaxis in the African immigrant population: A Needs assessment","volume":"22","author":"Okoro","year":"2020","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s12939-018-0772-6","article-title":"Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia","volume":"17","author":"Mullens","year":"2018","journal-title":"Int. J. Equity Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1071\/SH20175","article-title":"Barriers and facilitators to pre-exposure prophylaxis among African migrants in high income countries: A systematic review","volume":"18","author":"Mwaturura","year":"2021","journal-title":"Sex. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1071\/SH14102","article-title":"Safer sex and condom use: Findings from the Second Australian Study of Health and Relationships","volume":"11","author":"Badcock","year":"2014","journal-title":"Sex. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1080\/07399332.2010.529215","article-title":"Using peer education to increase sexual health knowledge among West African refugees in Western Australia","volume":"32","author":"Drummond","year":"2011","journal-title":"Health Care Women Int."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1136\/sti.2008.032094","article-title":"Migrants travelling to their country of origin: A bridge population for HIV transmission?","volume":"84","author":"Kramer","year":"2008","journal-title":"Sex. Transm. Infect."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/S1473-3099(12)70291-8","article-title":"Travel associated sexually transmitted infections: An observational cross-sectional study of the GeoSentinel surveillance database","volume":"13","author":"Matteelli","year":"2013","journal-title":"Lancet Infect. Dis."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/jtm.12084","article-title":"The effect if pre-travel advice on sexual risk behavior abroad: A systematic review","volume":"21","author":"Croughs","year":"2014","journal-title":"J. Travel Med."},{"key":"ref_37","unstructured":"Commonwealth of Australia (2020). National HIV Testing Policy 2020."},{"key":"ref_38","unstructured":"Grulich, A., Bavinton, B., Stoov\u00e9, M., Wright, E., and Treloar, C. (2021). Agenda 2025: Ending HIV Transmission in Australia\u2014Technical Paper on Science, Trends and Targets."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2844","DOI":"10.1007\/s10461-017-1833-3","article-title":"Interventions for increasing HIV testing uptake in migrants: A systematic review of evidence","volume":"21","author":"Aung","year":"2017","journal-title":"AIDS Behav."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Gray, C., Lobo, R., Narciso, L., Oudih, E., Gunaratnam, P., Thorpe, R., and Crawford, G. (2019). Why I can\u2019t, won\u2019t or don\u2019t test for HIV: Insights from Australian migrants born in Sub-Saharan Africa, Southeast Asia and Northeast Asia. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16061034"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s10903-014-9986-x","article-title":"Increasing HIV testing among African immigrants in Ireland: Challenges and opportunities","volume":"17","author":"Adedimeji","year":"2015","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.eimc.2015.08.008","article-title":"Implementing and expanding HIV testing in immigrant populations in Europe: Comparing guideline\u2019s recommendations and expert\u2019s opinion","volume":"35","author":"Monge","year":"2017","journal-title":"Enferm. Infecc. Microbiol. Clin."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"100315","DOI":"10.1016\/j.eclinm.2020.100315","article-title":"Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide program","volume":"21","author":"Eborall","year":"2020","journal-title":"EClinicalMedicine"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/j.1748-0361.2005.tb00062.x","article-title":"Predictors of HIV testing and intention to test among Hispanic farmworkers in South Florida","volume":"21","author":"Collazo","year":"2005","journal-title":"J. Rural. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1521\/aeap.2009.21.6.582","article-title":"\u201cIt\u2019s better not to know\u201d: Perceived barriers to HIV voluntary counseling and testing among Sub-Saharan African migrants in Belgium","volume":"21","author":"Manirankunda","year":"2009","journal-title":"AIDS Educ. Prev."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Navaza, B., Abarca, B., Bisoffi, F., Pool, R., and Roura, M. (2016). Provider-initiated HIV testing for migrants in Spain: A qualitative study with health care workers and foreign-born sexual minorities. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0150223"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1136\/sti.2008.033233","article-title":"Feasibility and acceptability of offering rapid HIV tests to patients registering with primary care in London (UK): A pilot study","volume":"85","author":"Prost","year":"2009","journal-title":"Sex. Transm. Infect."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1080\/09540121.2020.1822502","article-title":"Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: A systematic review","volume":"33","author":"Kaladharan","year":"2021","journal-title":"AIDS Care"},{"key":"ref_49","unstructured":"(2022, December 16). Your Cultural Lens, Available online: https:\/\/ycl.health.wa.gov.au\/."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1521\/aeap.2014.26.1.81","article-title":"HIV testing in primary care: Feasibility and acceptability of provider initiated HIV testing and counseling for Sub-Saharan African migrants","volume":"26","author":"Loos","year":"2014","journal-title":"AIDS Educ. Prev."},{"key":"ref_51","first-page":"27","article-title":"Perceptions of HIV risk and protection among people from CALD backgrounds in Sydney: Findings from the CALD periodic survey and the late diagnosis study","volume":"9","author":"Asante","year":"2010","journal-title":"HIV Aust."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Agu, J., Lobo, R., Crawford, G., and Chigwada, B. (2016). Migrant sexual health help-seeking and experiences of stigmatization and discrimination in Perth, Western Australia: Exploring barriers and enablers. IJERPH, 13.","DOI":"10.3390\/ijerph13050485"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1007\/s10461-015-1095-x","article-title":"Barriers and facilitators to HIV testing in migrants in high-income countries: A systematic review","volume":"19","author":"Blondell","year":"2015","journal-title":"AIDS Behav."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/1557988312463600","article-title":"Listening to immigrant Latino men in rural Oregon: Exploring connections between culture and sexual and reproductive health services","volume":"7","author":"Harvey","year":"2012","journal-title":"Am. J. Men\u2019s Health"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Davidson, N., Hammarberg, K., Romero, L., and Fisher, J. (2022). Access to preventative sexual and reproductive health care for women from refugee-like backgrounds: A systematic review. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-12576-4"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"839479","DOI":"10.3389\/fmed.2022.839479","article-title":"Preferences for HIV testing services and HIV self-testing distribution among migrant gay, bisexual, and other men who have sex with men in Australia","volume":"9","author":"Zhang","year":"2022","journal-title":"Front. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.2196\/publichealth.5519","article-title":"Acceptability of a community-based outreach HIV-testing intervention using oral fluid collection devices and web-Based HIV test result collection among Sub-Saharan African migrants: A mixed-method study","volume":"2","author":"Loos","year":"2016","journal-title":"JMIR Public Health Surveill."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s10900-019-00699-6","article-title":"Effectiveness of Interventions for Hepatitis B and C: A Systematic Review of Vaccination, Screening, Health Promotion and Linkage to Care Within Higher Income Countries","volume":"45","author":"Ortiz","year":"2020","journal-title":"J. Community Health"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1071\/SH21044","article-title":"Sexual and reproductive health knowledge, attitudes and behaviours of chinese international students studying abroad (in Australia, the UK and the US): A scoping review","volume":"18","author":"Mundie","year":"2021","journal-title":"Sex. Health"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1136\/sti.77.2.84","article-title":"Measuring sexual behavior: Methodological challenges in survey research","volume":"77","author":"Fenton","year":"2001","journal-title":"Sex. Transm. Infect."},{"key":"ref_61","unstructured":"United Nations (2009). Transforming Our World: The 2030 Agenda for Sustainable Development, UN Publishing."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"2606","DOI":"10.1016\/S0140-6736(18)32114-7","article-title":"The UCL-Lancet Commission on Migration and Health: The health of a world on the move","volume":"392","author":"Abubakar","year":"2018","journal-title":"Lancet"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/4347\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:44:23Z","timestamp":1760121863000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/4347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,28]]},"references-count":62,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20054347"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20054347","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,28]]}}}