{"id":"https://openalex.org/W4409835809","doi":"https://doi.org/10.1155/ijhy/9954099","title":"Analysis of Adherence Status and Influencing Factors Among Middle\u2010Aged and Elderly Hypertension Patients in Rural Areas of Northeast China","display_name":"Analysis of Adherence Status and Influencing Factors Among Middle\u2010Aged and Elderly Hypertension Patients in Rural Areas of Northeast China","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4409835809","doi":"https://doi.org/10.1155/ijhy/9954099","pmid":"https://pubmed.ncbi.nlm.nih.gov/40322455","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12049249"},"language":"en","primary_location":{"id":"doi:10.1155/ijhy/9954099","doi":"https://doi.org/10.1155/ijhy/9954099","is_oa":true,"landing_page_url":"https://doi.org/10.1155/ijhy/9954099","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/ijhy/9954099","source":{"id":"https://openalex.org/S52659601","display_name":"International Journal of Hypertension","issn_l":"2090-0384","issn":["2090-0384","2090-0392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Hypertension","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/ijhy/9954099","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110125568","display_name":"Xinyuan Lu","orcid":"https://orcid.org/0009-0003-4033-526X","observed_orcids":["https://orcid.org/0009-0003-4033-526X"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xinyuan Lu","raw_affiliation_strings":["Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China"],"raw_orcid":"https://orcid.org/0009-0003-4033-526X","affiliations":[{"raw_affiliation_string":"Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China","institution_ids":["https://openalex.org/I24943067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100751215","display_name":"Jiwei Wang","orcid":"https://orcid.org/0000-0003-2530-7204","observed_orcids":["https://orcid.org/0000-0003-2530-7204"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiwei Wang","raw_affiliation_strings":["Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China"],"raw_orcid":"https://orcid.org/0000-0003-2530-7204","affiliations":[{"raw_affiliation_string":"Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China","institution_ids":["https://openalex.org/I24943067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091481237","display_name":"Sikun Chen","orcid":"https://orcid.org/0000-0002-9280-2849","observed_orcids":["https://orcid.org/0000-0002-9280-2849"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Sikun Chen","raw_affiliation_strings":["Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China"],"raw_orcid":"https://orcid.org/0000-0002-9280-2849","affiliations":[{"raw_affiliation_string":"Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China","institution_ids":["https://openalex.org/I24943067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102208336","display_name":"Lin Lv","orcid":"https://orcid.org/0009-0002-9704-5688","observed_orcids":["https://orcid.org/0009-0002-9704-5688"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lin Lv","raw_affiliation_strings":["Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China"],"raw_orcid":"https://orcid.org/0009-0002-9704-5688","affiliations":[{"raw_affiliation_string":"Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China","institution_ids":["https://openalex.org/I24943067"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102031934","display_name":"Jin-ming Yu","orcid":"https://orcid.org/0009-0003-9798-7314","observed_orcids":["https://orcid.org/0009-0003-9798-7314"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jinming Yu","raw_affiliation_strings":["Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China"],"raw_orcid":"https://orcid.org/0009-0003-9798-7314","affiliations":[{"raw_affiliation_string":"Key Laboratory of Public Health Safety Ministry of Education, National Health Commission Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200043, China","institution_ids":["https://openalex.org/I24943067"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5102031934"],"corresponding_institution_ids":["https://openalex.org/I24943067"],"apc_list":{"value":1790,"currency":"USD","value_usd":1790},"apc_paid":{"value":1790,"currency":"USD","value_usd":1790},"fwci":4.0969,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.92037915,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"2025","issue":"1","first_page":"9954099","last_page":"9954099"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/T11620","display_name":"Medication Adherence and Compliance","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.015200000256299973,"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/T11446","display_name":"Mobile Health and mHealth Applications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.9879999756813049},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9800000190734863},{"id":"https://openalex.org/keywords/dietary-adherence","display_name":"dietary adherence","score":0.9879999756813049},{"id":"https://openalex.org/keywords/lifestyle-adherence","display_name":"lifestyle adherence","score":0.5609999895095825},{"id":"https://openalex.org/keywords/middle-aged-and-elderly-patients","display_name":"middle-aged and elderly patients","score":0.8349999785423279},{"id":"https://openalex.org/keywords/rural-population","display_name":"rural population","score":0.8550000190734863},{"id":"https://openalex.org/keywords/ethnic-disparities","display_name":"ethnic disparities","score":0.8700000047683716},{"id":"https://openalex.org/keywords/han-chinese","display_name":"Han Chinese","score":0.9200000166893005},{"id":"https://openalex.org/keywords/marital-status","display_name":"marital status","score":0.8130000233650208},{"id":"https://openalex.org/keywords/hypertension-knowledge","display_name":"hypertension knowledge","score":0.7910000085830688},{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.7639999985694885},{"id":"https://openalex.org/keywords/sodium-reduction","display_name":"sodium reduction","score":0.7860000133514404},{"id":"https://openalex.org/keywords/family-based-support","display_name":"family-based support","score":0.7020000219345093},{"id":"https://openalex.org/keywords/cardiovascular-risk","display_name":"cardiovascular risk","score":0.7580000162124634},{"id":"https://openalex.org/keywords/northeast-china","display_name":"Northeast China","score":0.8399999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9283913373947144},{"id":"https://openalex.org/C191935318","wikidata":"https://www.wikidata.org/wiki/Q148","display_name":"China","level":2,"score":0.7741391658782959},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5303630828857422},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.44841140508651733},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.35588309168815613},{"id":"https://openalex.org/C556039675","wikidata":"https://www.wikidata.org/wiki/Q771035","display_name":"Traditional medicine","level":1,"score":0.35207539796829224},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0548461377620697},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.04548180103302002},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1155/ijhy/9954099","doi":"https://doi.org/10.1155/ijhy/9954099","is_oa":true,"landing_page_url":"https://doi.org/10.1155/ijhy/9954099","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/ijhy/9954099","source":{"id":"https://openalex.org/S52659601","display_name":"International Journal of Hypertension","issn_l":"2090-0384","issn":["2090-0384","2090-0392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Hypertension","raw_type":"journal-article"},{"id":"pmid:40322455","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40322455","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":"International journal of hypertension","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12049249","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12049249/","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Hypertens","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:228f694d379a42c99e0595d931ce874f","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/228f694d379a42c99e0595d931ce874f","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":"International Journal of Hypertension, Vol 2025 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1155/ijhy/9954099","doi":"https://doi.org/10.1155/ijhy/9954099","is_oa":true,"landing_page_url":"https://doi.org/10.1155/ijhy/9954099","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/ijhy/9954099","source":{"id":"https://openalex.org/S52659601","display_name":"International Journal of Hypertension","issn_l":"2090-0384","issn":["2090-0384","2090-0392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Hypertension","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.5}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G3447969515","display_name":null,"funder_award_id":"2018YFC1311600","funder_id":"https://openalex.org/F4320335777","funder_display_name":"National Key Research and Development Program of China"}],"funders":[{"id":"https://openalex.org/F4320324301","display_name":"China Medical University","ror":"https://ror.org/032d4f246"},{"id":"https://openalex.org/F4320335777","display_name":"National Key Research and Development Program of China","ror":null}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409835809.pdf","grobid_xml":"https://content.openalex.org/works/W4409835809.grobid-xml"},"referenced_works_count":58,"referenced_works":["https://openalex.org/W1972445488","https://openalex.org/W1986590126","https://openalex.org/W1997584320","https://openalex.org/W1998256048","https://openalex.org/W2036691513","https://openalex.org/W2045329581","https://openalex.org/W2051258423","https://openalex.org/W2067252057","https://openalex.org/W2067531441","https://openalex.org/W2068419938","https://openalex.org/W2088683780","https://openalex.org/W2127056538","https://openalex.org/W2137248440","https://openalex.org/W2225437883","https://openalex.org/W2280559914","https://openalex.org/W2280870562","https://openalex.org/W2313826938","https://openalex.org/W2339800103","https://openalex.org/W2582461952","https://openalex.org/W2734407397","https://openalex.org/W2783464200","https://openalex.org/W2809571012","https://openalex.org/W2888926850","https://openalex.org/W2891857668","https://openalex.org/W2898829718","https://openalex.org/W2914732531","https://openalex.org/W2938888975","https://openalex.org/W2943413777","https://openalex.org/W2952150009","https://openalex.org/W3011493119","https://openalex.org/W3015909106","https://openalex.org/W3019131542","https://openalex.org/W3035639781","https://openalex.org/W3048384077","https://openalex.org/W3086607403","https://openalex.org/W3092235669","https://openalex.org/W3092861045","https://openalex.org/W3119703793","https://openalex.org/W3120394432","https://openalex.org/W3149149738","https://openalex.org/W3162235779","https://openalex.org/W3164908038","https://openalex.org/W3193823764","https://openalex.org/W3196905521","https://openalex.org/W3215830635","https://openalex.org/W4200524346","https://openalex.org/W4206108271","https://openalex.org/W4223553952","https://openalex.org/W4283516436","https://openalex.org/W4283693843","https://openalex.org/W4291021395","https://openalex.org/W4294238273","https://openalex.org/W4294376339","https://openalex.org/W4310398276","https://openalex.org/W4381333405","https://openalex.org/W4383481429","https://openalex.org/W4386285001","https://openalex.org/W4408957372"],"related_works":["https://openalex.org/W4289637449","https://openalex.org/W2280559914","https://openalex.org/W4291893372","https://openalex.org/W7154982845","https://openalex.org/W2100033583","https://openalex.org/W4390128704","https://openalex.org/W2077450449","https://openalex.org/W7119503535","https://openalex.org/W4411939883","https://openalex.org/W4378574218"],"abstract_inverted_index":{"Hypertension":[0],"remains":[1],"a":[2],"major":[3],"public":[4],"health":[5,194],"challenge":[6],"globally,":[7],"with":[8,48,81,112,126],"suboptimal":[9],"adherence":[10,23,91,102,118,130,151,165],"to":[11,213],"treatment":[12],"and":[13,26,28,50,64,87,100,106,149,182,193],"lifestyle":[14],"modifications":[15],"exacerbating":[16],"cardiovascular":[17,215],"risks.":[18],"This":[19,200],"study":[20,40,201],"evaluates":[21],"multidimensional":[22],"(medication,":[24],"diet,":[25],"behavior)":[27],"its":[29],"determinants":[30],"among":[31,172],"hypertensive":[32,174],"patients":[33,175],"in":[34,66,217],"rural":[35,55,173],"Northeast":[36,69],"China.":[37],"A":[38],"cross\u2010sectional":[39],"enrolled":[41],"6352":[42],"adults":[43],"aged":[44],"\u2265":[45],"40":[46],"years":[47],"diagnosed":[49],"poorly":[51],"controlled":[52],"hypertension":[53,159,210],"from":[54],"villages":[56],"across":[57],"five":[58],"cities":[59],"(Benxi,":[60],"Chaoyang,":[61],"Dandong,":[62],"Donggang,":[63],"Fuxin)":[65],"Liaoning":[67],"Province,":[68],"China,":[70],"using":[71],"multistage":[72],"cluster":[73],"sampling.":[74],"Adherence":[75,171],"was":[76,92],"assessed":[77],"via":[78],"standardized":[79],"questionnaires,":[80],"logistic":[82],"regression":[83],"analyzing":[84],"sociodemographic,":[85],"clinical,":[86],"behavioral":[88,101,150,183],"predictors.":[89],"Medication":[90],"reported":[93],"by":[94,179],"73.7%":[95],"of":[96,205],"participants,":[97],"while":[98],"dietary":[99,129,142,188],"rates":[103],"were":[104],"10.5%":[105],"29.3%,":[107],"respectively.":[108],"Ethnic":[109],"disparities":[110],"emerged,":[111],"Han":[113],"Chinese":[114],"exhibiting":[115],"lower":[116],"medication":[117],"(aOR":[119,131,143,152],"=":[120,132,144,153],"0.485,":[121],"95%":[122,134,146,155],"CI:":[123,135,147,156],"0.377\u20130.624).":[124],"Cohabiting":[125],"children":[127],"enhanced":[128],"2.184,":[133],"1.854\u20132.573),":[136],"whereas":[137],"widowed":[138],"status":[139],"reduced":[140],"both":[141],"0.698,":[145],"0.528\u20130.924)":[148],"0.726,":[154],"0.595\u20130.887).":[157],"Higher":[158],"knowledge":[160],"scores":[161],"positively":[162],"influenced":[163],"all":[164],"domains":[166],"(":[167],"p":[168],"<":[169],"0.05).":[170],"is":[176],"multidimensional,":[177],"shaped":[178],"cultural,":[180],"socioeconomic,":[181],"factors.":[184],"Targeted":[185],"interventions":[186],"addressing":[187],"sodium":[189],"reduction,":[190],"family\u2010based":[191],"support,":[192],"literacy":[195],"improvement":[196],"are":[197],"urgently":[198],"needed.":[199],"underscores":[202],"the":[203],"importance":[204],"integrating":[206],"region\u2010specific":[207],"strategies":[208],"into":[209],"management":[211],"programs":[212],"mitigate":[214],"morbidity":[216],"high\u2010risk":[218],"populations.":[219]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-04-26T00:00:00"}