{"id":"https://openalex.org/W4380795104","doi":"https://doi.org/10.1161/circ.146.suppl_1.13611","title":"Abstract 13611: Association of Poor Mental Health With Cardiovascular Disease and Suboptimal Cardiovascular Health Among Young U.S. Adults","display_name":"Abstract 13611: Association of Poor Mental Health With Cardiovascular Disease and Suboptimal Cardiovascular Health Among Young U.S. Adults","publication_year":2022,"publication_date":"2022-11-08","ids":{"openalex":"https://openalex.org/W4380795104","doi":"https://doi.org/10.1161/circ.146.suppl_1.13611"},"language":"en","primary_location":{"id":"doi:10.1161/circ.146.suppl_1.13611","doi":"https://doi.org/10.1161/circ.146.suppl_1.13611","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.146.suppl_1.13611","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050045958","display_name":"Yaa Adoma Kwapong","orcid":"https://orcid.org/0000-0001-8459-291X","observed_orcids":["https://orcid.org/0000-0001-8459-291X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yaa A Kwapong","raw_affiliation_strings":["Johns Hopkins Sch of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Sch of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039383345","display_name":"Ellen Boakye","orcid":"https://orcid.org/0000-0002-7625-9487","observed_orcids":["https://orcid.org/0000-0002-7625-9487"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ellen Boakye","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027233990","display_name":"Safi Ullah Khan","orcid":"https://orcid.org/0000-0003-1559-6911","observed_orcids":["https://orcid.org/0000-0003-1559-6911"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Safi U Khan","raw_affiliation_strings":["Houston Methodist, Houston, TX","Northwestern Univ, Oak Park, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Methodist, Houston, TX","institution_ids":["https://openalex.org/I1295876152"]},{"raw_affiliation_string":"Northwestern Univ, Oak Park, IL","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087014245","display_name":"Sadiya S. Khan","orcid":"https://orcid.org/0000-0003-0643-1859","observed_orcids":["https://orcid.org/0000-0003-0643-1859"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sadiya S Khan","raw_affiliation_strings":["Houston Methodist, Houston, TX","Northwestern Univ, Oak Park, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Methodist, Houston, TX","institution_ids":["https://openalex.org/I1295876152"]},{"raw_affiliation_string":"Northwestern Univ, Oak Park, IL","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014780203","display_name":"Michael C. Honigberg","orcid":"https://orcid.org/0000-0001-8630-5021","observed_orcids":["https://orcid.org/0000-0001-8630-5021"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael C Honigberg","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004340326","display_name":"Allison G. Hays","orcid":"https://orcid.org/0000-0003-2138-1589","observed_orcids":["https://orcid.org/0000-0003-2138-1589"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Allison G Hays","raw_affiliation_strings":["Johns Hopkins, Clarksville, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins, Clarksville, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072663918","display_name":"Khurram Nasir","orcid":"https://orcid.org/0000-0001-5376-2269","observed_orcids":["https://orcid.org/0000-0001-5376-2269","https://orcid.org/0000-0002-2632-1318"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Khurram Nasir","raw_affiliation_strings":["Houston Methodist, Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Methodist, Houston, TX","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087095202","display_name":"Roger Scott Blumenthal","orcid":"https://orcid.org/0000-0003-1910-3168","observed_orcids":["https://orcid.org/0000-0003-1910-3168"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roger S Blumenthal","raw_affiliation_strings":["Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008531984","display_name":"Michael Joseph Blaha","orcid":"https://orcid.org/0000-0001-5138-9683","observed_orcids":["https://orcid.org/0000-0001-5138-9683"]},"institutions":[{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael J Blaha","raw_affiliation_strings":["JOHNS HOPKINS HOSPITAL, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"JOHNS HOPKINS HOSPITAL, Baltimore, MD","institution_ids":["https://openalex.org/I4210150714"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100740425","display_name":"Garima V. Sharma","orcid":"https://orcid.org/0000-0001-7254-2077","observed_orcids":["https://orcid.org/0000-0001-7254-2077","https://orcid.org/0000-0003-1056-3766"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Garima Sharma","raw_affiliation_strings":["Johns Hopkins Hosp, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Hosp, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"146","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11083","display_name":"Cardiac Health and Mental Health","score":0.9028000235557556,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"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/T11083","display_name":"Cardiac Health and Mental Health","score":0.9028000235557556,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T13522","display_name":"Cardiovascular Health and Risk Factors","score":0.0892999991774559,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T10235","display_name":"Health disparities and outcomes","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9890000224113464},{"id":"https://openalex.org/keywords/poor-mental-health","display_name":"poor mental health","score":0.8190000057220459},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.9639999866485596},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.9909999966621399},{"id":"https://openalex.org/keywords/mental-health-days","display_name":"mental health days","score":0.8009999990463257},{"id":"https://openalex.org/keywords/cardiovascular-risk-factors","display_name":"cardiovascular risk factors","score":0.8849999904632568},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.43700000643730164},{"id":"https://openalex.org/keywords/hypercholesterolemia","display_name":"hypercholesterolemia","score":0.9629999995231628},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.5529999732971191},{"id":"https://openalex.org/keywords/smoking","display_name":"smoking","score":0.871999979019165},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.8230000138282776},{"id":"https://openalex.org/keywords/physical-inactivity","display_name":"physical inactivity","score":0.9879999756813049},{"id":"https://openalex.org/keywords/fruit-and-vegetable-intake","display_name":"fruit and vegetable intake","score":0.9610000252723694},{"id":"https://openalex.org/keywords/brfss","display_name":"Behavioral Risk Factor Surveillance System","score":0.7770000100135803},{"id":"https://openalex.org/keywords/sociodemographic-factors","display_name":"sociodemographic factors","score":0.6769999861717224},{"id":"https://openalex.org/keywords/cardiovascular-disease-prevalence","display_name":"cardiovascular disease prevalence","score":0.3089999854564667}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9441266655921936},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7252358794212341},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6462665796279907},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.6114374399185181},{"id":"https://openalex.org/C2777126965","wikidata":"https://www.wikidata.org/wiki/Q4880710","display_name":"Behavioral Risk Factor Surveillance System","level":3,"score":0.5840330123901367},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.569581925868988},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.5067225098609924},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5000128746032715},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.49515023827552795},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4771308898925781},{"id":"https://openalex.org/C2778425758","wikidata":"https://www.wikidata.org/wiki/Q180762","display_name":"Angina","level":3,"score":0.4683351516723633},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4620911478996277},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4523218870162964},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.4367259740829468},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3494200110435486},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3397657871246338},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27389615774154663},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.19646313786506653},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.1721113622188568},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.14967310428619385},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.08553442358970642},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.146.suppl_1.13611","doi":"https://doi.org/10.1161/circ.146.suppl_1.13611","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.146.suppl_1.13611","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4317779009","https://openalex.org/W2804528455","https://openalex.org/W2110671661","https://openalex.org/W4312195670","https://openalex.org/W7213223944","https://openalex.org/W3163167855","https://openalex.org/W4312094258","https://openalex.org/W2027724130","https://openalex.org/W3215802071","https://openalex.org/W3214914547"],"abstract_inverted_index":{"Introduction:":[0],"Depression":[1,261],"is":[2],"a":[3,51,183,248],"non-traditional":[4],"risk":[5,99,136,225,285],"factor":[6],"for":[7,131,138,221],"cardiovascular":[8,25],"disease":[9],"(CVD).":[10],"Data":[11],"on":[12],"the":[13,44,81,119,196],"association":[14,120,185],"of":[15,55,121,144,186,198,233],"depression":[16,62,122,152,166,229],"and":[17,23,63,85,94,108,111,123,127,151,205,212,223,255,262,271,286],"poor":[18,64,77,263],"mental":[19,65,78,264,279],"health":[20,26,66,79,265,280],"with":[21,125,165,188,191,193,202,228,243,247,268],"CVD":[22,89,126,135,145,158,199,270,284],"suboptimal":[24,95,128,234,272],"(CVH)":[27],"among":[28,162],"young":[29,39,163,275,290],"adults":[30,40,164],"are":[31,266],"limited.":[32],"Methods:":[33],"We":[34],"utilized":[35],"data":[36],"from":[37,43],"593,616":[38],"(18-44":[41],"years)":[42],"2017-2020":[45],"Behavioral":[46],"Risk":[47],"Factor":[48],"Surveillance":[49],"System,":[50],"nationally":[52],"representative":[53],"survey":[54],"non-institutionalized":[56],"US":[57,276],"adults.":[58,277,291],"Exposures":[59],"were":[60,87,208],"self-reported":[61,88],"days":[67,76],"(PMHD,":[68],"categorized":[69],"as":[70],"0":[71,194],"days,":[72,74],"1-13":[73,203],"14-30":[75,206],"in":[80,200,274,289],"past":[82],"30":[83],"days),":[84],"outcomes":[86],"(MI,":[90],"angina,":[91],"or":[92],"stroke)":[93],"CVH":[96,129,235,256,273,288],"(\u2265":[97],"2":[98],"factors:":[100],"hypertension,":[101],"hypercholesterolemia,":[102],"overweight/obesity,":[103],"current":[104],"smoker,":[105],"diabetes,":[106],"inactivity,":[107],"inadequate":[109],"fruit":[110],"vegetable":[112],"intake).":[113],"Using":[114],"logistic":[115],"regression,":[116],"we":[117],"investigated":[118],"PMHD":[124,187,204,254],"adjusted":[130,171],"sociodemographic":[132,222],"factors":[133,137],"(and":[134],"CVD).":[139],"Results:":[140],"The":[141],"weighted":[142],"prevalence":[143],"was":[146,153,159,182],"2.5%":[147],"(95%":[148,155,210,214],"CI":[149,156],"2.4%-2.6%),":[150],"19.6%":[154],"19.4%-19.8%).":[157],"more":[160],"common":[161],"than":[167],"those":[168,201,244],"without":[169,245],"(fully":[170],"odds":[172,197,232],"ratio":[173],"[aOR]:":[174],"2.28,":[175],"95%":[176,238],"CI:":[177,215,239],"2.10-2.48,":[178],"Fig.":[179],"1A).":[180],"There":[181],"graded":[184,250],"CVD.":[189],"Compared":[190],"individuals":[192],"PMHD,":[195],"PHMD":[207],"1.49":[209],"CI:1.36-1.64)":[211],"2.26":[213],"2.06-2.48)(Fig.":[216],"1B),":[217],"respectively":[218],"after":[219],"adjusting":[220],"CV":[224],"factors.":[226],"Individuals":[227],"had":[230],"higher":[231],"(aOR:":[236],"1.77,":[237],"1.67-1.88)(Fig":[240],"1C)":[241],"compared":[242],"depression,":[246],"similar":[249],"relationship":[251],"observed":[252],"between":[253],"(":[257],"Fig":[258],"1D).":[259],"Conclusion:":[260],"associated":[267],"premature":[269],"Prioritizing":[278],"may":[281],"help":[282],"reduce":[283],"improve":[287]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2023-06-16T00:00:00"}
