{"id":"https://openalex.org/W51745593","doi":"https://doi.org/10.1177/00333549101250s408","title":"Risk Factors for HIV Disease Progression in a Rural Southwest American Indian Population","display_name":"Risk Factors for HIV Disease Progression in a Rural Southwest American Indian Population","publication_year":2010,"publication_date":"2010-07-01","ids":{"openalex":"https://openalex.org/W51745593","doi":"https://doi.org/10.1177/00333549101250s408","mag":"51745593","pmid":"https://pubmed.ncbi.nlm.nih.gov/20626192","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2882974"},"language":"en","primary_location":{"id":"doi:10.1177/00333549101250s408","doi":"https://doi.org/10.1177/00333549101250s408","is_oa":true,"landing_page_url":"https://doi.org/10.1177/00333549101250s408","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/00333549101250S408","source":{"id":"https://openalex.org/S106099243","display_name":"Public Health Reports","issn_l":"0033-3549","issn":["0033-3549","1468-2877"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Reports\u00ae","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/00333549101250S408","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057593046","display_name":"Jonathan V. Iralu","orcid":"https://orcid.org/0000-0003-3295-8769","observed_orcids":["https://orcid.org/0000-0003-3295-8769"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210118010","display_name":"Gallup Indian Medical Center","ror":"https://ror.org/02jbzrw51","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299022934","https://openalex.org/I157850169","https://openalex.org/I4210118010"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jonathan Iralu","raw_affiliation_strings":["Division of Global Health Equity, Brigham Women's Hospital/Harvard Medical School, Boston, MA","Gallup Indian Medical Center, Navajo Area Indian Health Service, Gallup, NM"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Global Health Equity, Brigham Women's Hospital/Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Gallup Indian Medical Center, Navajo Area Indian Health Service, Gallup, NM","institution_ids":["https://openalex.org/I4210118010"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061711051","display_name":"Bonnie Duran","orcid":"https://orcid.org/0000-0001-5886-5232","observed_orcids":["https://orcid.org/0000-0001-5886-5232"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bonnie Duran","raw_affiliation_strings":["Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA","School of Public Health, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"School of Public Health, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044029126","display_name":"Cynthia R. Pearson","orcid":"https://orcid.org/0000-0003-4711-215X","observed_orcids":["https://orcid.org/0000-0003-4711-215X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cynthia R. Pearson","raw_affiliation_strings":["Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034311793","display_name":"Yizhou Jiang","orcid":"https://orcid.org/0000-0002-6537-9766","observed_orcids":["https://orcid.org/0000-0002-6537-9766"]},"institutions":[{"id":"https://openalex.org/I169521973","display_name":"University of New Mexico","ror":"https://ror.org/05fs6jp91","country_code":"US","type":"education","lineage":["https://openalex.org/I169521973"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yizhou Jiang","raw_affiliation_strings":["Department of Mathematics and Statistics, University of New Mexico, Albuquerque, NM"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mathematics and Statistics, University of New Mexico, Albuquerque, NM","institution_ids":["https://openalex.org/I169521973"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kevin Foley","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kevin Foley","raw_affiliation_strings":["Na'nizhoozhi Center, Inc., Gallup, NM"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Na'nizhoozhi Center, Inc., Gallup, NM","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5104349827","display_name":"Melvin Harrison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Melvin Harrison","raw_affiliation_strings":["Navajo AIDS Network, Inc., Chinle, AZ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navajo AIDS Network, Inc., Chinle, AZ","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5057593046"],"corresponding_institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984","https://openalex.org/I4210118010"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":1.4461,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.80334017,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"125","issue":"4_suppl","first_page":"43","last_page":"50"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8931000232696533,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8931000232696533,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.08810000121593475,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T11655","display_name":"HIV-related health complications and treatments","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/hiv-disease-progression","display_name":"HIV disease progression","score":1.0},{"id":"https://openalex.org/keywords/native-americans","display_name":"Native Americans","score":0.9610000252723694},{"id":"https://openalex.org/keywords/navajo","display_name":"Navajo","score":0.8379999995231628},{"id":"https://openalex.org/keywords/traditional-healing","display_name":"traditional healing","score":0.7929999828338623},{"id":"https://openalex.org/keywords/alcohol-abuse","display_name":"alcohol abuse","score":0.9290000200271606},{"id":"https://openalex.org/keywords/incarceration","display_name":"incarceration","score":0.9660000205039978},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.890999972820282},{"id":"https://openalex.org/keywords/cd4-count","display_name":"CD4 count","score":0.878000020980835},{"id":"https://openalex.org/keywords/hiv-1-viral-load","display_name":"HIV-1 viral load","score":0.9160000085830688},{"id":"https://openalex.org/keywords/antiretroviral-therapy-adherence","display_name":"antiretroviral therapy adherence","score":0.9210000038146973},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.6880000233650208}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7716047763824463},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.6650649905204773},{"id":"https://openalex.org/C2780931562","wikidata":"https://www.wikidata.org/wiki/Q7331102","display_name":"Alcohol abuse","level":2,"score":0.577096700668335},{"id":"https://openalex.org/C40010229","wikidata":"https://www.wikidata.org/wiki/Q3184856","display_name":"Substance abuse","level":2,"score":0.5554001331329346},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5058329105377197},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.46063458919525146},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3270847201347351},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.31085291504859924},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.310006320476532},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000437","descriptor_name":"Alcoholism","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007198","descriptor_name":"Indians, North American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008519","descriptor_name":"Medicine, Traditional","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011329","descriptor_name":"Prisoners","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015206","descriptor_name":"Southwestern United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018791","descriptor_name":"CD4 Lymphocyte Count","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019562","descriptor_name":"Viral Load","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1177/00333549101250s408","doi":"https://doi.org/10.1177/00333549101250s408","is_oa":true,"landing_page_url":"https://doi.org/10.1177/00333549101250s408","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/00333549101250S408","source":{"id":"https://openalex.org/S106099243","display_name":"Public Health Reports","issn_l":"0033-3549","issn":["0033-3549","1468-2877"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Reports\u00ae","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2882974","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2882974","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":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Rep","raw_type":"Text"},{"id":"pmid:20626192","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20626192","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":"Public health reports (Washington, D.C. : 1974)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1177/00333549101250s408","doi":"https://doi.org/10.1177/00333549101250s408","is_oa":true,"landing_page_url":"https://doi.org/10.1177/00333549101250s408","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/00333549101250S408","source":{"id":"https://openalex.org/S106099243","display_name":"Public Health Reports","issn_l":"0033-3549","issn":["0033-3549","1468-2877"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Reports\u00ae","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5676000118255615,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G798389714","display_name":null,"funder_award_id":"5H97HA00254-01-00","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W51745593.pdf"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W42060373","https://openalex.org/W593247954","https://openalex.org/W1564173202","https://openalex.org/W1960186297","https://openalex.org/W2008263033","https://openalex.org/W2009819382","https://openalex.org/W2019607636","https://openalex.org/W2020419383","https://openalex.org/W2027084484","https://openalex.org/W2029648951","https://openalex.org/W2048194263","https://openalex.org/W2048576006","https://openalex.org/W2071177128","https://openalex.org/W2071971809","https://openalex.org/W2092870678","https://openalex.org/W2095706156","https://openalex.org/W2097201629","https://openalex.org/W2116233670","https://openalex.org/W2148144832","https://openalex.org/W2170138433","https://openalex.org/W2187666247","https://openalex.org/W2315806476","https://openalex.org/W2405207482","https://openalex.org/W2734386536","https://openalex.org/W2794916396","https://openalex.org/W2916717560","https://openalex.org/W2999299507","https://openalex.org/W4256344534","https://openalex.org/W4298335149","https://openalex.org/W4299952949"],"related_works":["https://openalex.org/W1876647467","https://openalex.org/W182126825","https://openalex.org/W1998113060","https://openalex.org/W1985449809","https://openalex.org/W1425586256","https://openalex.org/W2416623154","https://openalex.org/W2035292650","https://openalex.org/W2002441048","https://openalex.org/W2055070958","https://openalex.org/W2956087642"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Risk":[1],"factors":[2,24,75,250],"for":[3],"human":[4],"immunodeficiency":[5],"virus":[6],"(HIV)":[7],"disease":[8,32,218],"progression":[9,33],"among":[10,235],"American":[11],"Indians":[12],"(AIs)":[13],"have":[14],"been":[15,113],"poorly":[16],"characterized.":[17],"We":[18,61,168],"assessed":[19,92],"the":[20,77,95,99,139,181],"impact":[21],"of":[22,27,58,120,155,203],"socioeconomic":[23,53,248],"and":[25,56,66,80,98,133,161,174,177,201,220,246,251,257],"use":[26,57,202,230],"traditional":[28,59,135,204,231,259],"healing":[29],"on":[30,242],"HIV":[31,217,233],"in":[34,138],"a":[35,87,117],"rural":[36,237],"AI":[37,238],"community.":[38],"METHODS:":[39],"From":[40],"January":[41],"2004":[42],"through":[43],"December":[44],"2006,":[45],"we":[46,72,91],"interviewed":[47],"36":[48],"HIV-positive":[49],"AIs":[50],"regarding":[51],"their":[52],"status,":[54],"incarceration,":[55],"healing.":[60],"also":[62],"collected":[63],"chart-abstracted":[64],"adherence":[65],"substance-abuse":[67],"data.":[68],"Through":[69],"bivariate":[70],"analysis,":[71],"compared":[73],"these":[74],"with":[76,129,147,186,195,222],"CD4-cell":[78],"counts":[79,225],"log":[81],"HIV-1":[82],"viral":[83],"loads":[84],"(VLs).":[85],"Using":[86],"simple":[88],"regression":[89],"model,":[90],"interactions":[93],"between":[94,172,254],"significant":[96],"associations":[97],"outcome.":[100],"RESULTS:":[101],"Participant":[102],"characteristics":[103],"included":[104],"being":[105,108,124,127],"male":[106],"(58.3%),":[107],"transgender":[109],"(13.9%),":[110],"having":[111,116],"ever":[112],"incarcerated":[114],"(63.9%),":[115],"household":[118,153],"income":[119,154],"<":[121,151,156,159,166,199,207],"$1,000/month":[122,157],"(41.7%),":[123],"unemployed":[125],"(61.1%),":[126],"diagnosed":[128],"alcohol":[130,163,175,178,244],"abuse":[131,164,179,211,245],"(50.0%),":[132],"using":[134],"medicine":[136,205],"(27.8%)":[137],"last":[140],"12":[141],"months.":[142],"Higher":[143],"VLs":[144],"were":[145,226],"associated":[146,185,194],"recent":[148,196],"incarceration":[149,173,197],"(p":[150,158,165,198,206],"0.05),":[152,160],"provider-assessed":[162],"0.05).":[167,208],"found":[169],"an":[170,213],"interaction":[171],"abuse,":[176],"was":[180,193],"factor":[182],"more":[183,227],"strongly":[184],"higher":[187],"VLs.":[188],"A":[189],"lower":[190,223],"CD4":[191,224],"count":[192],"0.05)":[200],"CONCLUSIONS:":[209],"Alcohol":[210],"is":[212],"important":[214],"contributor":[215],"to":[216,229],"progression,":[219],"participants":[221],"likely":[228],"medicine.":[232],"care":[234],"this":[236],"population":[239],"should":[240],"focus":[241],"addressing":[243],"other":[247],"risk":[249],"promote":[252],"collaboration":[253],"Western":[255],"medical":[256],"Navajo":[258],"practitioners.":[260]},"counts_by_year":[{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}