{"id":"https://openalex.org/W1990387337","doi":"https://doi.org/10.2105/ajph.93.9.1378","title":"SCREENING MAMMOGRAPHY IN ASIAN AMERICAN WOMEN","display_name":"SCREENING MAMMOGRAPHY IN ASIAN AMERICAN WOMEN","publication_year":2003,"publication_date":"2003-09-01","ids":{"openalex":"https://openalex.org/W1990387337","doi":"https://doi.org/10.2105/ajph.93.9.1378","mag":"1990387337","pmid":"https://pubmed.ncbi.nlm.nih.gov/12948942"},"language":"en","primary_location":{"id":"doi:10.2105/ajph.93.9.1378","doi":"https://doi.org/10.2105/ajph.93.9.1378","is_oa":false,"landing_page_url":"https://doi.org/10.2105/ajph.93.9.1378","pdf_url":null,"source":{"id":"https://openalex.org/S168049282","display_name":"American Journal of Public Health","issn_l":"0090-0036","issn":["0090-0036","0271-4353","1541-0048","2330-9687"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a-star","cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-1"],"host_organization":"https://openalex.org/P4310320277","host_organization_name":"American Public Health Association","host_organization_lineage":["https://openalex.org/P4310320277"],"host_organization_lineage_names":["American Public Health Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1447971","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003837462","display_name":"Marilyn Tseng","orcid":"https://orcid.org/0000-0002-9969-9055","observed_orcids":["https://orcid.org/0000-0002-9969-9055"]},"institutions":[{"id":"https://openalex.org/I1289437631","display_name":"Fox Chase Cancer Center","ror":"https://ror.org/0567t7073","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marilyn Tseng","raw_affiliation_strings":["The authors are with the Division of Population Science, Fox Chase Cancer Center, Philadelphia, Pa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The authors are with the Division of Population Science, Fox Chase Cancer Center, Philadelphia, Pa","institution_ids":["https://openalex.org/I1289437631"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086232315","display_name":"Carolyn Y. Fang","orcid":"https://orcid.org/0000-0002-0575-3867","observed_orcids":["https://orcid.org/0000-0002-0575-3867"]},"institutions":[{"id":"https://openalex.org/I1289437631","display_name":"Fox Chase Cancer Center","ror":"https://ror.org/0567t7073","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1289437631","https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carolyn Fang","raw_affiliation_strings":["The authors are with the Division of Population Science, Fox Chase Cancer Center, Philadelphia, Pa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The authors are with the Division of Population Science, Fox Chase Cancer Center, Philadelphia, Pa","institution_ids":["https://openalex.org/I1289437631"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1289437631"],"apc_list":null,"apc_paid":null,"fwci":0.139,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.51477939,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"93","issue":"9","first_page":"1378","last_page":"1378"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9286999702453613,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9286999702453613,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11361","display_name":"Digital Radiography and Breast Imaging","score":0.0689999982714653,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer-screening","display_name":"breast cancer screening","score":0.7789999842643738},{"id":"https://openalex.org/keywords/mammography","display_name":"mammography","score":0.7670000195503235},{"id":"https://openalex.org/keywords/asian-american-women","display_name":"Asian American women","score":0.9900000095367432},{"id":"https://openalex.org/keywords/asian-pacific-islander-women","display_name":"Asian/Pacific Islander women","score":0.7839999794960022},{"id":"https://openalex.org/keywords/screening-guidelines","display_name":"screening guidelines","score":0.6880000233650208},{"id":"https://openalex.org/keywords/false-positive-results","display_name":"false positives","score":0.6740000247955322},{"id":"https://openalex.org/keywords/biopsy-complications","display_name":"biopsy complications","score":0.9300000071525574},{"id":"https://openalex.org/keywords/breast-cancer-mortality","display_name":"breast cancer mortality","score":0.7570000290870667},{"id":"https://openalex.org/keywords/screening-benefits","display_name":"screening benefits","score":0.31700000166893005},{"id":"https://openalex.org/keywords/targeted-screening","display_name":"targeted screening","score":0.718999981880188},{"id":"https://openalex.org/keywords/screening-test-sensitivity-and-specificity","display_name":"screening sensitivity and specificity","score":0.4399999976158142},{"id":"https://openalex.org/keywords/cost-effectiveness-of-screening","display_name":"cost-effectiveness of screening","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.7162224650382996},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5824683308601379},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.44692912697792053},{"id":"https://openalex.org/C2994436140","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Mammography screening","level":5,"score":0.4148308038711548},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3590410351753235},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.33435529470443726},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.1356692910194397},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13421550393104553},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.07999512553215027},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0743398368358612}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001213","descriptor_name":"Asian","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D001213","descriptor_name":"Asian","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D001213","descriptor_name":"Asian","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006723","descriptor_name":"Hong Kong","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006723","descriptor_name":"Hong Kong","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006723","descriptor_name":"Hong Kong","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.2105/ajph.93.9.1378","doi":"https://doi.org/10.2105/ajph.93.9.1378","is_oa":false,"landing_page_url":"https://doi.org/10.2105/ajph.93.9.1378","pdf_url":null,"source":{"id":"https://openalex.org/S168049282","display_name":"American Journal of Public Health","issn_l":"0090-0036","issn":["0090-0036","0271-4353","1541-0048","2330-9687"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a-star","cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-1"],"host_organization":"https://openalex.org/P4310320277","host_organization_name":"American Public Health Association","host_organization_lineage":["https://openalex.org/P4310320277"],"host_organization_lineage_names":["American Public Health Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Public Health","raw_type":"journal-article"},{"id":"pmid:12948942","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12948942","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of public health","raw_type":"Letter"},{"id":"pmh:oai:pubmedcentral.nih.gov:1447971","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1447971","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Am J Public Health","raw_type":"Text"},{"id":"pmh:oai:hub.hku.hk:10722/49376","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10722/49376","pdf_url":null,"source":{"id":"https://openalex.org/S4377196271","display_name":"The HKU Scholars Hub (University of Hong Kong)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I889458895","host_organization_name":"University of Hong Kong","host_organization_lineage":["https://openalex.org/I889458895"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1447971","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1447971","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Am J Public Health","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.8600000143051147,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W2076644195","https://openalex.org/W2110411609","https://openalex.org/W2111447964"],"related_works":["https://openalex.org/W2410332468","https://openalex.org/W2025948621","https://openalex.org/W4302763194","https://openalex.org/W3123882489","https://openalex.org/W1999303537","https://openalex.org/W658877851","https://openalex.org/W1984382920","https://openalex.org/W2093759824","https://openalex.org/W1944105386","https://openalex.org/W2141853568"],"abstract_inverted_index":{"A":[0],"recent":[1],"article":[2],"by":[3,69,393],"Leung":[4,70],"et":[5,71],"al.,1":[6],"concluding":[7],"that":[8,233,256,307,331],"annual,":[9],"population-based":[10],"screening":[11,25,76,188,206,448],"mammograms":[12],"are":[13,259,269,274,286,339],"not":[14],"justified":[15,195],"in":[16,29,62,181,209,211,278,290,327,334,357],"Hong":[17,63],"Kong,":[18],"would":[19,115,148,153],"seem":[20],"to":[21,60,123,155,161,253,276,281,354,368,378,390,444,446,454],"have":[22,235],"implications":[23,379],"for":[24,42,111,141,190,264,300,380,397,431],"of":[26,78,96,118,128,199,221,245,323,345,363,407,419,429,435],"Asian":[27,182,191,257,279,291,332,337,382],"women":[28,36,98,108,130,137,152,184,258,333,384],"Western":[30,282,335],"countries.":[31],"In":[32],"US":[33],"Asian/Pacific":[34],"Islander":[35],"aged":[37],"50":[38],"years":[39,160],"or":[40,216],"older,":[41],"example,":[43],"1996":[44],"breast":[45,145,164,177,265,328],"cancer":[46,146,165,178,225,272,329],"incidence":[47],"and":[48,53,83,89,284,336,341,350,371,457],"mortality":[49,169,179],"rates":[50,61,273],"were":[51,138],"126.4":[52],"32.7":[54],"per":[55,80],"100":[56,81,106,135],"000,":[57],"respectively,2":[58],"similar":[59],"Kong.":[64],"Following":[65],"the":[66,168,175,197,203,212,219,243,301,324,346,420,436],"calculations":[67],"described":[68],"al.,":[72],"we":[73,114],"calculated":[74],"a":[75,102,254,298,313,320,342,360,386,398,416,426],"prevalence":[77],"149.8":[79],"000":[82,107,136],"assumed":[84],"95%":[85],"sensitivity,":[86],"99.1%":[87],"specificity,":[88],"an":[90],"8%":[91],"complication":[92],"rate":[93,180],"among":[94],"18.6%":[95],"healthy":[97],"receiving":[99],"biopsies":[100],"after":[101],"false-positive":[103],"result.":[104],"Among":[105],"screened":[109,139,157],"annually":[110,140],"10":[112,119,142,159],"years,":[113,143],"expect":[116],"8987":[117],"410":[120],"positive":[121],"results":[122],"be":[124,149,156,172,194,452],"false,":[125],"with":[126,288],"134":[127],"these":[129,200,364],"suffering":[131],"biopsy":[132],"complications.":[133],"If":[134],"65":[144],"deaths":[147],"prevented;":[150],"1529":[151],"need":[154],"over":[158],"prevent":[162],"1":[163],"death":[166,226],"(although":[167],"benefit":[170,391],"might":[171,193,251,450],"underestimated":[173],"if":[174],"lower":[176,262,311,424],"American":[183,383],"reflects":[185],"earlier":[186],"detection).\r\n\r\nRelaxing":[187],"guidelines":[189,207,395,430,449],"Americans":[192],"on":[196,242,412,441],"basis":[198,244],"calculations.":[201],"On":[202],"other":[204],"hand,":[205],"already":[208],"place":[210],"United":[213],"States,":[214],"controversial":[215],"not,":[217],"raise":[218],"standard":[220,447],"our":[222,405],"expectation:":[223],"any":[224],"resulting":[227],"from":[228],"late":[229],"detection":[230],"is":[231,296,317,319,438],"one":[232],"should":[234],"been":[236],"prevented.":[237],"Moreover,":[238],"assigning":[239],"low-risk":[240,409],"status":[241,410],"ethnicity":[246],"raises":[247],"another":[248],"concern\u2014that":[249],"it":[250],"contribute":[252,367],"belief":[255],"inherently":[260],"at":[261],"risk":[263,330],"cancer,":[266],"when":[267],"they":[268,285],"not.":[270],"Breast":[271],"known":[275],"rise":[277],"migrants":[280],"countries,3":[283],"rising":[287],"\u201cWesternization\u201d":[289],"countries":[292,338],"as":[293,385,402,404],"well.4,5":[294],"Ethnicity":[295],"merely":[297],"surrogate":[299],"suspected":[302],"but":[303],"largely":[304],"unidentified":[305],"factors":[306,352,421],"actually":[308],"do":[309],"confer":[310],"risk.\r\n\r\nFrom":[312],"research":[314],"perspective,":[315],"what":[316],"needed":[318],"better":[321,343],"characterization":[322],"rapid":[325],"transition":[326],"undergoing":[340],"understanding":[344,362,418],"social,":[347],"economic,":[348],"cultural,":[349],"biological":[351],"contributing":[353],"this":[355,433],"increase":[356],"risk.":[358],"Ideally,":[359],"clearer":[361],"issues":[365],"will":[366],"preventive":[369],"strategies":[370],"efforts":[372],"toward":[373],"more":[374],"targeted":[375],"screening.\r\n\r\nWith":[376],"respect":[377],"screening,":[381],"group":[387],"clearly":[388],"stand":[389],"less":[392],"following":[394],"designed":[396],"higher-risk":[399],"population.":[400],"But":[401],"long":[403],"conception":[406],"their":[408,413,423,458],"rests":[411],"ethnicity,":[414],"without":[415],"clear":[417],"underlying":[422],"risk,":[425],"wholesale":[427],"relaxation":[428],"only":[432],"subset":[434],"population":[437],"problematic.":[439],"Decisions":[440],"how":[442],"strictly":[443],"adhere":[445],"best":[451],"left":[453],"individual":[455],"physicians":[456],"patients.":[459]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
