{"id":"https://openalex.org/W4406133331","doi":"https://doi.org/10.3389/frdem.2024.1494719","title":"Dementia incidence among a cohort of lebanese older adults: first incidence estimates from the Middle East and North Africa region","display_name":"Dementia incidence among a cohort of lebanese older adults: first incidence estimates from the Middle East and North Africa region","publication_year":2025,"publication_date":"2025-01-07","ids":{"openalex":"https://openalex.org/W4406133331","doi":"https://doi.org/10.3389/frdem.2024.1494719","pmid":"https://pubmed.ncbi.nlm.nih.gov/39840324","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11745875"},"language":"en","primary_location":{"id":"doi:10.3389/frdem.2024.1494719","doi":"https://doi.org/10.3389/frdem.2024.1494719","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frdem.2024.1494719","pdf_url":"https://www.frontiersin.org/journals/dementia/articles/10.3389/frdem.2024.1494719/pdf","source":{"id":"https://openalex.org/S4387283260","display_name":"Frontiers in Dementia","issn_l":"2813-3919","issn":["2813-3919"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Dementia","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/dementia/articles/10.3389/frdem.2024.1494719/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007413550","display_name":"Monique Chaaya","orcid":"https://orcid.org/0000-0002-2695-8079","observed_orcids":["https://orcid.org/0000-0002-2695-8079"]},"institutions":[{"id":"https://openalex.org/I98635879","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21","country_code":"LB","type":"education","lineage":["https://openalex.org/I98635879"]}],"countries":["LB"],"is_corresponding":false,"raw_author_name":"Monique Chaaya","raw_affiliation_strings":["Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon","institution_ids":["https://openalex.org/I98635879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016584885","display_name":"Sarah Assaad","orcid":"https://orcid.org/0000-0002-8104-1546","observed_orcids":["https://orcid.org/0000-0002-8104-1546"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sarah Assaad","raw_affiliation_strings":["Research Department of Epidemiology and Public Health, University College London, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research Department of Epidemiology and Public Health, University College London, London, United Kingdom","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020658151","display_name":"Hala Darwish","orcid":"https://orcid.org/0000-0001-5744-6466","observed_orcids":["https://orcid.org/0000-0001-5744-6466"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hala Darwish","raw_affiliation_strings":["Department of Neurology, University of Michigan School of Nursing, Ann Arbor, MI, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, University of Michigan School of Nursing, Ann Arbor, MI, United States","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039548299","display_name":"Marc Haber","orcid":"https://orcid.org/0000-0002-2257-0923","observed_orcids":["https://orcid.org/0000-0002-2257-0923"]},"institutions":[{"id":"https://openalex.org/I98635879","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21","country_code":"LB","type":"education","lineage":["https://openalex.org/I98635879"]}],"countries":["LB"],"is_corresponding":false,"raw_author_name":"Marc Haber","raw_affiliation_strings":["Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon","institution_ids":["https://openalex.org/I98635879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100829258","display_name":"Rosemary Khoury","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98635879","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21","country_code":"LB","type":"education","lineage":["https://openalex.org/I98635879"]}],"countries":["LB"],"is_corresponding":false,"raw_author_name":"Rosemary Khoury","raw_affiliation_strings":["Division of Neurosurgery, American University of Beirut, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neurosurgery, American University of Beirut, Beirut, Lebanon","institution_ids":["https://openalex.org/I98635879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065065831","display_name":"Dahlia Saab","orcid":"https://orcid.org/0000-0002-7966-0401","observed_orcids":["https://orcid.org/0000-0002-7966-0401"]},"institutions":[{"id":"https://openalex.org/I98635879","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21","country_code":"LB","type":"education","lineage":["https://openalex.org/I98635879"]}],"countries":["LB"],"is_corresponding":false,"raw_author_name":"Dahlia Saab","raw_affiliation_strings":["Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon","institution_ids":["https://openalex.org/I98635879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053893515","display_name":"Khalil El Asmar","orcid":"https://orcid.org/0000-0002-6030-8088","observed_orcids":["https://orcid.org/0000-0002-6030-8088"]},"institutions":[{"id":"https://openalex.org/I98635879","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21","country_code":"LB","type":"education","lineage":["https://openalex.org/I98635879"]}],"countries":["LB"],"is_corresponding":true,"raw_author_name":"Khalil El Asmar","raw_affiliation_strings":["Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon","institution_ids":["https://openalex.org/I98635879"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069886325","display_name":"Ramzi R. Hajjar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104580","display_name":"American University of Beirut Medical Center","ror":"https://ror.org/00wmm6v75","country_code":"LB","type":"healthcare","lineage":["https://openalex.org/I4210104580"]}],"countries":["LB"],"is_corresponding":false,"raw_author_name":"Ramzi Hajjar","raw_affiliation_strings":["Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon","institution_ids":["https://openalex.org/I4210104580"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5053893515"],"corresponding_institution_ids":["https://openalex.org/I98635879"],"apc_list":{"value":1950,"currency":"CHF","value_usd":2353},"apc_paid":{"value":1950,"currency":"CHF","value_usd":2353},"fwci":2.6783,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.88257156,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":97},"biblio":{"volume":"3","issue":null,"first_page":"1494719","last_page":"1494719"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"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/T10009","display_name":"Dementia and Cognitive Impairment Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"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/T12811","display_name":"Aging, Health, and Disability","score":0.0,"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"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dementia-incidence","display_name":"dementia incidence","score":0.9789999723434448},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9290000200271606},{"id":"https://openalex.org/keywords/lebanon","display_name":"Lebanon","score":0.8289999961853027},{"id":"https://openalex.org/keywords/age-standardized-incidence-rate","display_name":"age-standardized incidence rate","score":0.7630000114440918},{"id":"https://openalex.org/keywords/sex-differences-in-dementia","display_name":"sex differences in dementia","score":0.8309999704360962},{"id":"https://openalex.org/keywords/beirut","display_name":"Beirut","score":0.5109999775886536},{"id":"https://openalex.org/keywords/mount-lebanon","display_name":"Mount Lebanon","score":0.9929999709129333}],"concepts":[{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.8291761875152588},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.7873061895370483},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.6575824618339539},{"id":"https://openalex.org/C3651065","wikidata":"https://www.wikidata.org/wiki/Q7204","display_name":"Middle East","level":2,"score":0.5812464356422424},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.5236237645149231},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.4612051844596863},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.45361047983169556},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4049017131328583},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.07682353258132935},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.075346440076828},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.06198731064796448},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.044753044843673706},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/frdem.2024.1494719","doi":"https://doi.org/10.3389/frdem.2024.1494719","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frdem.2024.1494719","pdf_url":"https://www.frontiersin.org/journals/dementia/articles/10.3389/frdem.2024.1494719/pdf","source":{"id":"https://openalex.org/S4387283260","display_name":"Frontiers in Dementia","issn_l":"2813-3919","issn":["2813-3919"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Dementia","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11745875","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11745875","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11745875/pdf/frdem-03-1494719.pdf","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Dement","raw_type":"Text"},{"id":"pmid:39840324","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39840324","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":"Frontiers in dementia","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:dd027e5d5e9c438f8a450fca1e0e0466","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/dd027e5d5e9c438f8a450fca1e0e0466","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Dementia, Vol 3 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/frdem.2024.1494719","doi":"https://doi.org/10.3389/frdem.2024.1494719","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frdem.2024.1494719","pdf_url":"https://www.frontiersin.org/journals/dementia/articles/10.3389/frdem.2024.1494719/pdf","source":{"id":"https://openalex.org/S4387283260","display_name":"Frontiers in Dementia","issn_l":"2813-3919","issn":["2813-3919"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Dementia","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G3738446549","display_name":"Prevalence of Dementia in Lebanon: A Nationwide Community-Based Cohort Study","funder_award_id":"1r21ag039333-01","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G5477001717","display_name":null,"funder_award_id":"1R21AG039333-01","funder_id":"https://openalex.org/F4320337356","funder_display_name":"Fogarty International Center"},{"id":"https://openalex.org/G7436239736","display_name":null,"funder_award_id":"R21 AG039333","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320309999","display_name":"American University of Beirut","ror":"https://ror.org/04pznsd21"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337356","display_name":"Fogarty International Center","ror":"https://ror.org/02xey9a22"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4406133331.pdf","grobid_xml":"https://content.openalex.org/works/W4406133331.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1971083033","https://openalex.org/W1974779482","https://openalex.org/W2116201829","https://openalex.org/W2133190709","https://openalex.org/W2160819746","https://openalex.org/W2170694593","https://openalex.org/W2265553328","https://openalex.org/W2296318883","https://openalex.org/W2341343123","https://openalex.org/W2621086387","https://openalex.org/W2741213675","https://openalex.org/W2773359426","https://openalex.org/W2790322706","https://openalex.org/W2883094777","https://openalex.org/W2892069238","https://openalex.org/W2913554719","https://openalex.org/W2913988157","https://openalex.org/W2916715725","https://openalex.org/W2982707085","https://openalex.org/W3047919306","https://openalex.org/W3082444018","https://openalex.org/W3135020332","https://openalex.org/W3154141890","https://openalex.org/W3155198387","https://openalex.org/W4200329992","https://openalex.org/W4214894708","https://openalex.org/W4317436887","https://openalex.org/W4318706059","https://openalex.org/W4384126654","https://openalex.org/W4399388511","https://openalex.org/W6694036912"],"related_works":["https://openalex.org/W2895939451","https://openalex.org/W2117958328","https://openalex.org/W4390192590","https://openalex.org/W2621086387","https://openalex.org/W2790322706","https://openalex.org/W2110315160","https://openalex.org/W7221521834","https://openalex.org/W1553719396","https://openalex.org/W4408062950","https://openalex.org/W7160444362"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"provide":[2],"the":[3,51,69,72,113,161,186],"first":[4],"estimates":[5],"of":[6,21,44,50,89,95,182,189],"dementia":[7,96],"incidence":[8,81,105,123,169],"rates":[9,82],"among":[10,99,147],"elderly":[11,23],"in":[12,18,155],"Lebanon.":[13],"Methods:":[14],"The":[15,46,103,122,180],"cohort":[16,194],"established":[17],"2013":[19],"consisted":[20],"470":[22],"from":[24,129],"Beirut":[25,164],"and":[26,79,112,153,175],"Mount":[27,156],"Lebanon,":[28,157],"who":[29],"consented":[30],"to":[31,68,136,160,173,198],"be":[32],"followed-up.":[33],"In":[34],"2017,":[35],"we":[36],"reached":[37],"341":[38],"participants/informants,":[39],"achieving":[40],"a":[41],"response":[42],"rate":[43,106,116,124,144,170],"72.6%.":[45],"validated":[47,183],"Arabic":[48],"version":[49],"10/66":[52],"Dementia":[53,168],"Research":[54],"Group":[55],"diagnostic":[56],"tool":[57],"was":[58,66,107,117,145,171],"administered":[59],"through":[60],"face-to-face":[61],"interviews.":[62],"Direct":[63],"age":[64,114],"standardization":[65],"applied":[67],"data":[70],"using":[71],"Western":[73],"European":[74,174],"population":[75],"distribution.":[76],"Age-,":[77],"sex-":[78],"location-specific":[80],"were":[83,97],"estimated.":[84],"Results:":[85],"After":[86],"3.5":[87],"years":[88,135],"follow":[90],"up,":[91],"19":[92],"new":[93],"cases":[94],"identified":[98],"229":[100],"surviving":[101],"participants.":[102],"crude":[104],"16.8":[108],"per":[109,119],"1,000":[110,120],"p-y,":[111],"standardized":[115],"20.5":[118],"p-y.":[121],"increased":[125,185],"with":[126],"age,":[127],"going":[128],"6.5":[130],"for":[131,138],"those":[132,139],"aged":[133,140],"65-74":[134],"54.0":[137],"85-89":[141],"years.":[142],"Incidence":[143],"higher":[146,154],"females":[148],"than":[149],"males":[150],"(20.7":[151],"vs.12.0),":[152],"as":[158],"compared":[159],"capital":[162],"city":[163],"(19.5":[165],"vs.14.9).":[166],"Conclusion:":[167],"close":[172],"North":[176],"American":[177],"countries'":[178],"estimates.":[179],"use":[181],"tools":[184],"internal":[187],"validity":[188],"our":[190],"results.":[191,201],"A":[192],"large":[193],"study":[195],"is":[196],"warranted":[197],"confirm":[199],"these":[200]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2025-01-08T00:00:00"}
