{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:25:52Z","timestamp":1772252752696,"version":"3.50.1"},"reference-count":54,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Heart, Lung, and Blood Institute","award":["UG3\/UH3HL152373"],"award-info":[{"award-number":["UG3\/UH3HL152373"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>During the COVID-19 pandemic, hypertensive patients had increased infection and healthcare disruption in many low- and middle-income countries (LMICs) with limited vaccine access. The objective of this report is to describe COVID-19 experiences and vaccination uptake among hypertensive patients in Colombia and Jamaica. A cross-sectional study of patients with hypertension was conducted in primary care clinics in both countries between 2021 and 2022. Trained interviewers used a telephone-administered questionnaire to assess COVID-19 experiences (infection, vaccination, and healthcare access). A total of 576 patients (68.5% female, mean age: 67.5 years) participated. Health service disruption affecting access to care was low (&lt;10%). Compared to Jamaica, more participants from Colombia reported testing positive for COVID-19, having family members or friends testing positive, losing family members or friends due to COVID-19, and being vaccinated. In logistic regression models, adjusted for age, sex, education, and rural\/urban clinic status, fear of COVID-19 (OR 2.7, 95% CI: 1.2\u20136.1) and residence in Colombia (OR 5.9, 95% CI: 2.4\u201314.6) were associated with higher vaccination uptake. Disparities in access to COVID-19 testing and diagnosis may have influenced these country differences including fear of COVID-19 and vaccine uptake. Other factors need to be better understood to prepare for future pandemic responses.<\/jats:p>","DOI":"10.3390\/ijerph21101356","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T08:09:08Z","timestamp":1728979748000},"page":"1356","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Differences in COVID-19 Vaccination and Experiences among Patients with Hypertension in Colombia and Jamaica during the COVID-19 Pandemic"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5968-1179","authenticated-orcid":false,"given":"Jacqueline P.","family":"Duncan","sequence":"first","affiliation":[{"name":"Department of Community Health and Psychiatry, The University of the West Indies, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9199-4538","authenticated-orcid":false,"given":"Siyi","family":"Geng","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carene","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2393-1452","authenticated-orcid":false,"given":"Trevor S.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine T.","family":"Mills","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8865-0929","authenticated-orcid":false,"given":"Jose Patricio","family":"Lopez-Lopez","sequence":"additional","affiliation":[{"name":"Masira Research Institute, Universidad de Santander (UDES), Bucaramanga 680003, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"He","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7062-3225","authenticated-orcid":false,"given":"Paola","family":"Lanza","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4266-1830","authenticated-orcid":false,"given":"Allison N.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makeda J.","family":"Williams","sequence":"additional","affiliation":[{"name":"Center for Translation Research and Implementation Science, National Heart, Lung and Blood Institute (NHLBI), NIH, Bethesda, MD 20892, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Tonwe","sequence":"additional","affiliation":[{"name":"Center for Translation Research and Implementation Science, National Heart, Lung and Blood Institute (NHLBI), NIH, Bethesda, MD 20892, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8780-8904","authenticated-orcid":false,"given":"Mabel","family":"Reyes","sequence":"additional","affiliation":[{"name":"Masira Research Institute, Universidad de Santander (UDES), Bucaramanga 680003, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4843-197X","authenticated-orcid":false,"given":"Alfonso","family":"Campo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Faculty of Medicine and Health Science, Universidad de Santander (UDES), Valledupar 200001, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricio","family":"Lopez-Jaramillo","sequence":"additional","affiliation":[{"name":"Masira Research Institute, Universidad de Santander (UDES), Bucaramanga 680003, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marshall K.","family":"Tulloch-Reid","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e311","DOI":"10.1016\/S2468-2667(23)00046-4","article-title":"Effectiveness assessment of non-pharmaceutical interventions: Lessons learned from the COVID-19 pandemic","volume":"8","author":"Meng","year":"2023","journal-title":"Lancet Public Health"},{"key":"ref_2","unstructured":"COVID-19 Excess Mortality Collaborators (2022). Estimating excess mortality due to the COVID-19 pandemic: A systematic analysis of COVID-19-related mortality, 2020\u201321. Lancet, 399, 1513\u20131536."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Pujolar, G., Oliver-Angl\u00e8s, A., Vargas, I., and V\u00e1zquez, M.-L. (2022). Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031749"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e863","DOI":"10.1016\/S2214-109X(20)30239-4","article-title":"Avoiding indirect effects of COVID-19 on maternal and child health","volume":"8","author":"Menendez","year":"2020","journal-title":"Lancet Glob. Health"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Nour, T.Y., and Altinta\u015f, K.H. (2023). Effect of the COVID-19 pandemic on obesity and it is risk factors: A systematic review. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-15833-2"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s40885-022-00219-0","article-title":"Adherence to antihypertensive treatment during the COVID-19 pandemic: Findings from a cross-sectional study","volume":"28","author":"Coelho","year":"2022","journal-title":"Clin. Hypertens."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1093\/ajh\/hpab046","article-title":"Medication Adherence: Expanding the Conceptual Framework","volume":"34","author":"Craig","year":"2021","journal-title":"Am. J. Hypertens."},{"key":"ref_8","first-page":"71","article-title":"Quality of life and treatment adherence in hypertensive patients: Systematic review with meta-analysis","volume":"50","author":"Borges","year":"2016","journal-title":"Rev. Saude Publica"},{"key":"ref_9","unstructured":"(2024, August 12). Ministry of Health and Wellness (MOHW) COVID-19 at a Glance, Available online: https:\/\/www.moh.gov.jm\/wp-content\/uploads\/2022\/05\/MOH_CovidataGlance.pdf."},{"key":"ref_10","unstructured":"The Ministry of Health and Social Protection (2024, August 12). Colombia Confirms Its First Case of COVID-19, Available online: https:\/\/www.minsalud.gov.co\/English\/Paginas\/Colombia-Confirms-Its-First-Case-of-COVID-19.aspx."},{"key":"ref_11","unstructured":"Mathieu, E., Ritchie, H., Rod\u00e9s-Guirao, L., Appel, C., Giattino, C., Hasell, J., Macdonald, B., Dattani, S., Beltekian, D., and Ortiz-Ospina, E. (2024, August 20). Coronavirus Pandemic (COVID-19). Available online: https:\/\/ourworldindata.org\/coronavirus."},{"key":"ref_12","unstructured":"United Nations (2024, August 14). World Population Prospects. [Original Data]. Available online: https:\/\/ourworldindata.org\/grapher\/population-unwpp."},{"key":"ref_13","unstructured":"MOHW and UWI (2018). Jamaica Health & Lifestyle Survey 111: Preliminary Finidings, MOHW and UWI."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"115","DOI":"10.25100\/cm.v50i2.4124","article-title":"Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey","volume":"50","author":"Barrera","year":"2019","journal-title":"Colombia Medica"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e84","DOI":"10.1016\/j.jinf.2020.03.059","article-title":"Arterial hypertension and risk of death in patients with COVID-19 infection: Systematic review and meta-analysis","volume":"81","author":"Zuin","year":"2020","journal-title":"J. Infect."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Dessie, Z.G., and Zewotir, T. (2021). Mortality-related risk factors of COVID-19: A systematic review and meta-analysis of 42 studies and 423,117 patients. BMC Infect. Dis., 21.","DOI":"10.1186\/s12879-021-06536-3"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Moradpour, J., Shajarizadeh, A., Carter, J., Chit, A., and Grootendorst, P. (2023). The impact of national income and vaccine hesitancy on country-level COVID-19 vaccine uptake. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0293184"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Nehal, K.R., Steendam, L.M., Campos Ponce, M., van der Hoeven, M., and Smit, G.S.A. (2021). Worldwide Vaccination Willingness for COVID-19: A Systematic Review and Meta-Analysis. Vaccines, 9.","DOI":"10.3390\/vaccines9101071"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.bbi.2021.03.008","article-title":"Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study","volume":"94","author":"Robertson","year":"2021","journal-title":"Brain Behav. Immun."},{"key":"ref_20","unstructured":"NCSS, LLC (2024). PASS 2024 Power Analysis and Sample Size Software, NCSS, LLC. Available online: https:\/\/www.ncss.com\/software\/pass."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E","article-title":"Two-sided confidence intervals for the single proportion: Comparison of seven methods","volume":"17","author":"Newcombe","year":"1998","journal-title":"Stat. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Fleiss, J., Levin, B., and Paik, M. (2003). Statistical Methods for Rates and Proportions, John Wiley & Sons. [3rd ed.].","DOI":"10.1002\/0471445428"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2052","DOI":"10.1001\/jama.2020.6775","article-title":"Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area","volume":"323","author":"Richardson","year":"2020","journal-title":"JAMA"},{"key":"ref_24","unstructured":"Pan American Health Organization (2024, January 12). Colombia Receives the First Vaccines to Arrive in the Americas through the COVAX Facility. Available online: https:\/\/www.paho.org\/es\/noticias\/1-3-2021-colombia-recibe-primeras-vacunas-que-llegan-americas-traves-mecanismo-covax."},{"key":"ref_25","unstructured":"(2024, May 16). Mexico Begins Covid Vaccine Rollout\u2014The New York Times. Available online: https:\/\/www.nytimes.com\/2020\/12\/24\/world\/americas\/mexico-coronavirus-vaccine.html."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102369","DOI":"10.1016\/j.tmaid.2022.102369","article-title":"Acceptance towards COVID-19 vaccination in Latin America and the Caribbean: A systematic review and meta-analysis","volume":"49","year":"2022","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_27","unstructured":"(2023, October 13). Reuters Latest Updates: COVID-19 Vaccination Charts, Maps and Eligibility by Country. Available online: https:\/\/www.reuters.com\/graphics\/world-coronavirus-tracker-and-maps\/vaccination-rollout-and-access\/."},{"key":"ref_28","unstructured":"Statista (2023, October 13). COVID-19 Vaccine: Immunization Colombia 2023|Statista. Available online: https:\/\/www.statista.com\/statistics\/1288083\/population-vaccinated-against-covid-19-colombia\/."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2253599","DOI":"10.1080\/21645515.2023.2253599","article-title":"Factors associated with COVID-19 vaccination coverage in hypertensive patients with Omicron infection in Shanghai, China","volume":"19","author":"Zhu","year":"2023","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2197839","DOI":"10.1080\/21645515.2023.2197839","article-title":"The factors correlated with COVID-19 vaccination coverage in Chinese hypertensive patients managed by community general practitioner","volume":"19","author":"Liu","year":"2023","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2285913","DOI":"10.1080\/21645515.2023.2285913","article-title":"COVID-19 vaccination coverage in hypertensive patients with Omicron infection: Comments on factors","volume":"19","author":"Daungsupawong","year":"2023","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Patwary, M.M., Alam, M.A., Bardhan, M., Disha, A.S., Haque, M.Z., Billah, S.M., Kabir, M.P., Browning, M.H.E.M., Rahman, M.M., and Parsa, A.D. (2022). COVID-19 Vaccine Acceptance among Low- and Lower-Middle-Income Countries: A Rapid Systematic Review and Meta-Analysis. Vaccines, 10.","DOI":"10.3390\/vaccines10030427"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"102574","DOI":"10.1016\/j.janxdis.2022.102574","article-title":"Fear of COVID-19 predicts vaccination willingness 14 months later","volume":"88","author":"Mertens","year":"2022","journal-title":"J. Anxiety Disord."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Chutiyami, M., Salihu, D., Bello, U.M., Winser, S.J., Gambo, A.A., Sabo, H., Kolo, A.M., Jalo, H.A., Muhammad, A.S., and Mahmud, F.A. (2022). Are Fear of COVID-19 and Vaccine Hesitancy Associated with COVID-19 Vaccine Uptake? A Population-Based Online Survey in Nigeria. Vaccines, 10.","DOI":"10.3390\/vaccines10081271"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.puhe.2023.01.031","article-title":"COVID-19 vaccine hesitancy in a developing country: Prevalence, explanatory factors and implications for the future","volume":"217","year":"2023","journal-title":"Public Health"},{"key":"ref_36","unstructured":"CARPHA (2024, August 12). COVID-19 Vaccine Acceptance among Active Social Media Users in the Caribbean. Available online: https:\/\/www.carpha.org\/Portals\/0\/Publications\/Summary Results of COVID-19 Vaccine Acceptance Survey.pdf."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"3413","DOI":"10.1016\/j.vaccine.2022.04.030","article-title":"Overcoming COVID-19 vaccine hesitancy among ethnic minorities: A systematic review of UK studies","volume":"40","author":"Hussain","year":"2022","journal-title":"Vaccine"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Fajar, J.K., Sallam, M., Soegiarto, G., Sugiri, Y.J., Anshory, M., Wulandari, L., Kosasih, S.A.P., Ilmawan, M., Kusnaeni, K., and Fikri, M. (2022). Global Prevalence and Potential Influencing Factors of COVID-19 Vaccination Hesitancy: A Meta-Analysis. Vaccines, 10.","DOI":"10.3390\/vaccines10081356"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e33923","DOI":"10.1097\/MD.0000000000033923","article-title":"The acceptance and hesitancy of COVID-19 vaccination among chronic obstructive pulmonary disease (COPD) patients","volume":"102","author":"Wang","year":"2023","journal-title":"Medicine"},{"key":"ref_40","first-page":"897","article-title":"Patient Perspectives on the COVID-19 Vaccine: A Pilot Survey Study of Patients in Endocrinology Clinics","volume":"28","author":"Mikkilineni","year":"2022","journal-title":"Endocr. Pract. Off. J. Am. Coll. Endocrinol. Am. Assoc. Clin. Endocrinol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e064096","DOI":"10.1136\/bmjopen-2022-064096","article-title":"COVID-19 vaccine acceptance and hesitancy among the general population of Pakistan: A population-based survey","volume":"12","author":"Soomar","year":"2022","journal-title":"BMJ Open"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/j.ajic.2021.04.079","article-title":"Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey","volume":"49","author":"Dzieciolowska","year":"2021","journal-title":"Am. J. Infect. Control"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3563","DOI":"10.1038\/s41467-023-39322-7","article-title":"Attributed causes of excess mortality during the COVID-19 pandemic in a south Indian city","volume":"14","author":"Lewnard","year":"2023","journal-title":"Nat. Commun."},{"key":"ref_44","unstructured":"(2023, October 13). Colombia Now Has Antigen Testing, Available online: https:\/\/www.minsalud.gov.co\/English\/Paginas\/Colombia-Now-Has-Antigen-Testing.aspx."},{"key":"ref_45","unstructured":"Ministry of Health & Wellness (Jamaica) (2023, October 13). Jamaica to Offer Antigen Testing for COVID-19\u2014Ministry of Health & Wellness, Jamaica, Available online: https:\/\/www.moh.gov.jm\/jamaica-to-offer-antigen-testing-for-covid-19\/."},{"key":"ref_46","unstructured":"PAHO\/WHO (2024, August 27). COVID-19 Situation Reports\u2014Jamaica\u2014PAHO\/WHO | Pan American Health Organization [Internet]. Available online: https:\/\/www.paho.org\/en\/covid-19-situation-reports-jamaica."},{"key":"ref_47","unstructured":"(2023, October 13). United Nations Population Fund World Population Dashboard -Colombia|United Nations Population Fund. Available online: https:\/\/www.unfpa.org\/data\/world-population\/CO."},{"key":"ref_48","unstructured":"Johns Hopkins University & Medicine (2023, October 13). Colombia\u2014COVID-19 Overview\u2014Johns Hopkins. Available online: https:\/\/coronavirus.jhu.edu\/region\/colombia."},{"key":"ref_49","unstructured":"Johns Hopkins University & Medicine (2023, October 13). Jamaica\u2014COVID-19 Overview\u2014Johns Hopkins. Available online: https:\/\/coronavirus.jhu.edu\/region\/jamaica."},{"key":"ref_50","unstructured":"WHO (2023, October 13). Noncommunicable Diseases: Mortality. Available online: https:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/topic-details\/GHO\/ncd-mortality."},{"key":"ref_51","unstructured":"World Health Organization (2023, October 13). COVID-19 Significantly Impacts Health Services for Noncommunicable Diseases. Available online: https:\/\/www.who.int\/news\/item\/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Ochi, S., Hodgson, S., Landeg, O., Mayner, L., and Murray, V. (2014). Disaster-driven evacuation and medication loss: A systematic literature review. PLoS Curr., 6.","DOI":"10.1371\/currents.dis.fa417630b566a0c7dfdbf945910edd96"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S2213-2600(20)30105-3","article-title":"Prevalence and attributable health burden of chronic respiratory diseases, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017","volume":"8","author":"Soriano","year":"2020","journal-title":"Lancet Respir. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.ahj.2021.11.017","article-title":"Trends of blood pressure control in the U.S. during the COVID-19 pandemic","volume":"247","author":"Shah","year":"2022","journal-title":"Am. Heart J."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1356\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:13:22Z","timestamp":1760112802000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":54,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["ijerph21101356"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21101356","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2024.03.25.24304855","asserted-by":"object"}]},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,15]]}}}