{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T17:17:28Z","timestamp":1779383848189,"version":"3.53.1"},"reference-count":69,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Asthma is a chronic respiratory disease with uneven prevalence across population groups. This study investigated the associations between socioeconomic status, health behaviours, and environmental exposures and asthma prevalence across European countries. We conducted a cross-sectional analysis using data from the European Health Interview Survey (EHIS) covering wave III (2019). The sample included 223,453 adults aged 20 or older from 26 European countries. Asthma prevalence was self-reported. Socioeconomic variables included education and employment status, while behavioural factors included smoking and overweight status. Environmental exposures encompassed urbanisation and air pollution. Multilevel logistic regression models examined associations between asthma prevalence and its socioeconomic, behavioural, and environmental factors. Asthma prevalence was higher among individuals with lower educational attainment (OR = 1.30; 95% CI: 1.20\u20131.40), those who were unable to work due to long-standing health problems (OR = 2.27; 95% CI: 2.04\u20132.52), and retired individuals (1.44; 95% CI: 1.31\u20131.57). Individuals with pre-obesity and obesity had increased odds of asthma (OR = 1.13; 95%CI: 1.07\u20131.19, and OR = 1.76; 95%CI: 1.66\u20131.86, respectively). Urbanisation (OR = 1.13; 95%CI: 1.07\u20131.19) and exposure to air pollution (CO2 and PM2.5) were both significantly associated with higher asthma prevalence. Six countries exhibited a significant deviation from the average asthma prevalence. Inequalities in asthma prevalence in Europe were linked to socioeconomic disadvantage, unhealthy behaviours, and adverse environmental conditions. Some variability in asthma prevalence was independent of individual characteristics. These findings highlight the need for integrated public health policies that address the structural, behavioural, and environmental determinants of respiratory health.<\/jats:p>","DOI":"10.3390\/ijerph23050667","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:46:18Z","timestamp":1779381978000},"page":"667","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic, Behavioural, and Environmental Determinants of Asthma Inequalities in Europe: A Cross-Sectional Study Using EHIS Data"],"prefix":"10.3390","volume":"23","author":[{"given":"Anastase","family":"Tchicaya","sequence":"first","affiliation":[{"name":"Luxembourg Institute of Socio-Economic Research\u2014LISER, 4366 Esch-sur-Alzette, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Lorentz","sequence":"additional","affiliation":[{"name":"Luxembourg Institute of Socio-Economic Research\u2014LISER, 4366 Esch-sur-Alzette, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laureen","family":"Vanni","sequence":"additional","affiliation":[{"name":"Luxembourg Institute of Socio-Economic Research\u2014LISER, 4366 Esch-sur-Alzette, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"ref_1","unstructured":"Global Initiative for Asthma (GINA) (2026, April 25). Global Strategy for Asthma Management and Prevention. Available online: www.ginasthma.org."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102531","DOI":"10.1016\/j.pmedr.2023.102531","article-title":"Global burden of asthma in young adults in 204 countries and territories, 1990-2019: Systematic analysis of the Global burden of disease study 2019","volume":"37","author":"Yang","year":"2024","journal-title":"Prev. Med. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Listyoko, A., Okazaki, R., Harada, T., Inui, G., and Yamasaki, A. (2024). Exploring the association between asthma and chronic comorbidities: Impact on clinical outcomes. Front. Med., 11.","DOI":"10.3389\/fmed.2024.1305638"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/gean.12380","article-title":"Spatial patterns in the association between the prevalence of asthma and determinants of health","volume":"56","author":"Rodrigues","year":"2024","journal-title":"Geogr. Anal."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Dharmage, S.C., Perret, J.L., and Custovic, A. (2019). Epidemiology of asthma in children and adults. Front. Pediatr., 7.","DOI":"10.3389\/fped.2019.00246"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"(2022). The Global Asthma Network. The Global Asthma Report 2022. Int. J. Tuberc. Lung Dis., 26, 1\u2013104.","DOI":"10.5588\/ijtld.22.1010"},{"key":"ref_7","unstructured":"American Lung Association (2025, May 02). Current Asthma Demographics. Available online: https:\/\/www.lung.org\/research\/trends-in-lung-disease\/asthma-trends-brief\/current-demographics."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1007\/s10661-019-7417-0","article-title":"Geostatistical predictive modeling for asthma and chronic obstructive pulmonary disease using socioeconomic and environmental determinants","volume":"191","author":"Kumarihamy","year":"2019","journal-title":"Environ. Monit. Assess."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1183\/09031936.06.00108105","article-title":"Socio-economic status is related to incidence of asthma and respiratory symptoms in adults","volume":"28","author":"Hedlund","year":"2006","journal-title":"Eur. Respir. J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/j.1752-699X.2009.00164.x","article-title":"Incidence and prevalence of adult asthma is associated with low socio-economic status","volume":"4","author":"Ekerljung","year":"2010","journal-title":"Clin. Respir. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.jaci.2017.01.036","article-title":"Urban residence, neighborhood poverty, race\/ethnicity, and asthma morbidity among children on Medicaid","volume":"140","author":"Keet","year":"2017","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/1465-9921-10-125","article-title":"Individual-level socioeconomic status is associated with worse asthma morbidity in patients with asthma","volume":"10","author":"Bacon","year":"2009","journal-title":"Respir. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1183\/09031936.00114514","article-title":"A systematic review of socioeconomic position in relation to asthma and allergic diseases","volume":"46","author":"Uphoff","year":"2015","journal-title":"Eur. Respir. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1183\/09031936.00070309","article-title":"The social determinants of asthma","volume":"35","author":"Cruz","year":"2010","journal-title":"Eur. Respir. Soc."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/MCP.0000000000000535","article-title":"Occupational asthma: Clinical phenotypes, biomarkers, and management","volume":"25","author":"Quirce","year":"2019","journal-title":"Curr. Opin. Pulm. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jaci.2004.04.042","article-title":"Worldwide severity and control of asthma in children and adults: The global asthma insights and reality surveys","volume":"114","author":"Rabe","year":"2004","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1183\/09031936.00096111","article-title":"Guidelines for the management of work-related asthma","volume":"39","author":"Baur","year":"2012","journal-title":"Eur. Respir. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2783","DOI":"10.1016\/j.jaip.2022.04.034","article-title":"Cigarette smoking and asthma","volume":"10","author":"Thomson","year":"2022","journal-title":"J. Allergy Clin. Immunol. Pract."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2","DOI":"10.5334\/aogh.2412","article-title":"The global impact of asthma in adult populations","volume":"85","author":"Enilari","year":"2019","journal-title":"Ann. Glob. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1186\/s12931-024-02930-y","article-title":"Longitudinal association of exclusive and dual use of cigarettes and cigars with asthma exacerbation among US adults: A cohort study","volume":"25","author":"Patel","year":"2024","journal-title":"Respir. Res."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Bellou, V., Gogali, A., and Kostikas, K. (2022). Asthma and tobacco smoking. J. Pers. Med., 12.","DOI":"10.3390\/jpm12081231"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.resinv.2018.07.003","article-title":"Obesity-associated severe asthma in an adult Japanese population","volume":"56","author":"To","year":"2018","journal-title":"Respir. Investig."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1016\/j.clnu.2016.06.023","article-title":"Obesity increases the prevalence and the incidence of asthma and worsens asthma severity","volume":"36","author":"Barros","year":"2017","journal-title":"Clin. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"103163","DOI":"10.1016\/j.eclinm.2025.103163","article-title":"Association between BMI and asthma in adults over 45 years of age: Analysis of Global Burden of Disease 2021, China Health and Retirement Longitudinal Study, and National Health and Nutrition Examination Survey data","volume":"82","author":"Kong","year":"2025","journal-title":"eClinicalMedicine"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"4845","DOI":"10.3390\/ijerph110504845","article-title":"A GIS approach for assessing the association between air pollution and asthma in New York State, USA","volume":"11","author":"Gorai","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1016\/S0140-6736(14)60617-6","article-title":"Outdoor air pollution and asthma","volume":"383","author":"Guarnieri","year":"2014","journal-title":"Lancet"},{"key":"ref_27","unstructured":"World Health Organization (2023). Climate Change and Health, WHO. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/climate-change-and-health."},{"key":"ref_28","unstructured":"World Health Organization (2023). Climate Change and Noncommunicable Diseases: Connections, WHO. Available online: https:\/\/www.who.int\/news\/item\/02-11-2023-climate-change-and-noncommunicable-diseases-connections."},{"key":"ref_29","unstructured":"UNESCO (1997). International Standard Classification of Education (ISCED), UNESCO."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1289\/ehp.1408206","article-title":"Ambient Air Pollution and Adult Asthma Incidence in Six European Cohorts (ESCAPE)","volume":"123","author":"Jacquemin","year":"2015","journal-title":"Environ. Health Perspect."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"E1065","DOI":"10.1016\/S2542-5196(24)00279-1","article-title":"Ambient air pollution exposure and adult asthma incidence: A systematic review and meta-analysis","volume":"8","author":"Lee","year":"2024","journal-title":"Lancet Planet. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.anai.2024.01.017","article-title":"Effect of air pollution on asthma","volume":"132","author":"Zhou","year":"2024","journal-title":"Ann. Allergy Asthma Immunol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1064464","DOI":"10.1016\/j.envint.2021.106464","article-title":"Long-term exposure to ambient air pollution and road traffic noise and asthma incidence in adults: The Danish nurse cohort","volume":"152","author":"Liu","year":"2021","journal-title":"Environ. Int."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e47403","DOI":"10.2196\/47403","article-title":"Joint effects of long-term exposure to ambient fine particulate matter and ozone on asthmatic symptoms: Prospective Cohort Study","volume":"9","author":"Xu","year":"2023","journal-title":"JMIR Public Health Surveill."},{"key":"ref_35","unstructured":"(2023, November 06). Ourworldindata. Available online: https:\/\/ourworldindata.org\/sdgs\/industry-innovation-infrastructure#:~:text=CO2%20emissions%20per%20unit,emitted%20per%20dollar%20of%20GDP."},{"key":"ref_36","unstructured":"World Health Organization (2006). WHO Air Quality Guidelines for Particulate Matter, Ozone, Nitrogen Dioxide and Sulfur Dioxide: Global Update 2005: Summary of Risk Assessment, World Health Organization."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"97025","DOI":"10.1289\/EHP1353","article-title":"Residential Air Pollution and Associations with Wheeze and Shortness of Breath in Adults: A Combined Analysis of Cross-Sectional Data from Two Large European Cohorts","volume":"125","author":"Doiron","year":"2017","journal-title":"Environ. Health Perspect."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"100729","DOI":"10.1016\/j.lanepe.2023.100729","article-title":"2023 Impact of long-term exposure to ambient ozone on lung function over a course of 20 years (The ECRHS study): A prospective cohort study in adults","volume":"34","author":"Zhao","year":"2023","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"118962","DOI":"10.1016\/j.envres.2024.118962","article-title":"Long-term exposure to ambient ozone and adult-onset asthma: A prospective cohort study","volume":"252","author":"Zhang","year":"2024","journal-title":"Environ. Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"94263","DOI":"10.1525\/collabra.94263","article-title":"Approaches for quantifying the ICC in multilevel logistic models: A didactic demonstration","volume":"10","author":"Devine","year":"2024","journal-title":"Collabra Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1136\/jech.2004.029454","article-title":"A brief conceptual tutorial of multilevel analysis in social epidemiology: Using measures of clustering in multilevel logistic regression to investigate contextual phenomena","volume":"60","author":"Merlo","year":"2006","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_42","unstructured":"NIH Collaboratory (2020). Intraclass Correlation Coefficient Cheat Sheet."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.rmed.2018.04.006","article-title":"Asthma and its comorbidities in middle-aged and older adults; the Rotterdam study","volume":"139","author":"Lahousse","year":"2018","journal-title":"Respir. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1016\/j.jaci.2011.06.048","article-title":"Asthma in the elderly: Current understanding and future research needs\u2014A report of a National Institute on Aging workshop","volume":"128","author":"Hanania","year":"2011","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"387","DOI":"10.4168\/aair.2018.10.4.387","article-title":"High prevalence of asthma in Elderly women: Findings from a Korean national health database and adult asthma cohort","volume":"10","author":"Park","year":"2018","journal-title":"Allergy Asthma Immunol. Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.2147\/JAA.S418145","article-title":"Global burden of asthma, and its impact on specific subgroups: Nasal polyps, allergic rhinitis, severe asthma, eosinophilic asthma","volume":"16","author":"Rabe","year":"2023","journal-title":"J. Asthma Allergy"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1136\/thoraxjnl-2011-201249","article-title":"Gender differences in prevalence, diagnosis and incidence of allergic and non-allergic asthma: A population-based cohort","volume":"67","author":"Leynaert","year":"2012","journal-title":"Thorax"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e12389","DOI":"10.1002\/clt2.12389","article-title":"Level of education, but not occupation, is differentially associated with asthma phenotypes in adults","volume":"14","author":"Bashir","year":"2024","journal-title":"Clin. Transl. Allergy"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.rmed.2004.02.008","article-title":"The effect of educational level on the incidence of asthma and respiratory symptoms","volume":"98","author":"Eagan","year":"2004","journal-title":"Respir. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.rmed.2019.01.004","article-title":"Asthma diagnosed in late adulthood is linked to work disability and poor employment status","volume":"147","author":"Taponen","year":"2019","journal-title":"Respir. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"106403","DOI":"10.1016\/j.rmed.2021.106403","article-title":"Occupation, socioeconomic status and chronic obstructive respiratory diseases\u2014The EpiLung study in Finland, Estonia and Sweden","volume":"191","author":"Jalasto","year":"2022","journal-title":"Respir. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/S0033-3549(04)50006-7","article-title":"Asthma and smoking status in a population-based study of California adults","volume":"116","author":"Eisner","year":"2001","journal-title":"Public Health Rep."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1164\/ajrccm.165.11.165112","article-title":"Smoking and adult asthma. A healthy smoker effect?","volume":"165","author":"Eisner","year":"2002","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1159\/000330900","article-title":"The Impact of Cigarette Smoking on Asthma: A Population-Based International Cohort Study","volume":"158","author":"Cerveri","year":"2012","journal-title":"Int. Arch. Allergy Immunol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1183\/09031936.04.00116903","article-title":"Smoking and asthma in adults","volume":"24","author":"Piipari","year":"2004","journal-title":"Eur. Respir. J."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1159\/000502154","article-title":"Influence of obesity on work ability, respiratory symptoms, and lung function in adults with asthma","volume":"98","author":"Klepaker","year":"2019","journal-title":"Respiration"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1164\/rccm.200611-1717OC","article-title":"Overweight, obesity, and incident asthma: A meta-analysis of prospective epidemiologic studies","volume":"175","author":"Beuther","year":"2007","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"7745","DOI":"10.1038\/s41598-023-31373-6","article-title":"The association between body mass index, abdominal fatness, and weight change and the risk of adult asthma: A systematic review and meta-analysis of cohort studies","volume":"13","author":"Parasuaraman","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.alit.2018.10.003","article-title":"Obesity, but not metabolic syndrome, as a risk factor for late-onset asthma in Japanese women","volume":"68","author":"Tomita","year":"2019","journal-title":"Allergol. Int."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/all.13242","article-title":"Estimating the causal effect of body mass index on hay fever, asthma and lung function using Mendelian randomization","volume":"73","author":"Skaaby","year":"2017","journal-title":"Allergy"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Park, S., Jung, S.-Y., and Kwon, J.-W. (2019). Sex differences in the association between asthma incidence and modifiable risk factors in Korean middle-aged and older adults: NHIS-HEALS 10-year cohort. BMC Pulm. Med., 19.","DOI":"10.1186\/s12890-019-1023-3"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s40248-015-0036-x","article-title":"Effects on asthma and respiratory allergy of climate change and air pollution","volume":"10","author":"Vitale","year":"2015","journal-title":"Multidiscip. Respir. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"104583","DOI":"10.1016\/j.cities.2023.104583","article-title":"The effects of urban areas, neighborhood and housing on urban health: A systematic review and meta-analysis on asthma","volume":"143","author":"Kaya","year":"2023","journal-title":"Cities"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"20522","DOI":"10.1038\/s41598-022-25028-1","article-title":"Influence of the environment on the characteristics of asthma","volume":"12","author":"Ojanguren","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"14790","DOI":"10.1038\/s41598-019-51307-5","article-title":"The effects of fine and coarse particulate matter on lung function among the elderly","volume":"9","author":"Chen","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1186\/s12931-023-02475-6","article-title":"Global, regional, and national burden of asthma and its attributable risk factors from 1990 tp 2019: A systematic analysis for the global burden of disease study 2019","volume":"24","author":"Wang","year":"2023","journal-title":"Respir. Res."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"100917","DOI":"10.1016\/j.waojou.2024.100917","article-title":"Potential asthma risk factors do not account for global asthma symptom prevalence patterns and time trends in children and adolescents","volume":"17","author":"Rutter","year":"2024","journal-title":"World Allergy Organ. J."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1146\/annurev.pu.16.050195.000425","article-title":"Ecologic studies in epidemiology: Concepts, principles, and methods","volume":"16","author":"Morgenstern","year":"1995","journal-title":"Annu. Rev. Public Health"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.15585\/mmwr.mm6547a1","article-title":"Asthma among employed adults, by industry and occupation\u201421 States, 2013","volume":"65","author":"Dodd","year":"2016","journal-title":"Morb. Mortal. Wkly. Rep."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/5\/667\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:49:47Z","timestamp":1779382187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/5\/667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":69,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["ijerph23050667"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23050667","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]}}}