The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana

Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Pr...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Maternal and child health journal 2021-11, Vol.25 (11), p.1697-1706
Hauptverfasser: Kim, Eunsoo Timothy, Ali, Mohammed, Adam, Haliq, Abubakr-Bibilazu, Safiyatu, Gallis, John A., Lillie, Margaret, Hembling, John, McEwan, Elena, Baumgartner, Joy Noel
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1706
container_issue 11
container_start_page 1697
container_title Maternal and child health journal
container_volume 25
creator Kim, Eunsoo Timothy
Ali, Mohammed
Adam, Haliq
Abubakr-Bibilazu, Safiyatu
Gallis, John A.
Lillie, Margaret
Hembling, John
McEwan, Elena
Baumgartner, Joy Noel
description Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days. Results Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health. Conclusions Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.
doi_str_mv 10.1007/s10995-021-03216-1
format Article
fullrecord <record><control><sourceid>gale_webof</sourceid><recordid>TN_cdi_gale_infotracgeneralonefile_A678947451</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A678947451</galeid><sourcerecordid>A678947451</sourcerecordid><originalsourceid>FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</originalsourceid><addsrcrecordid>eNqNkt1qFDEYhgdRbK3egEcBQYQyNZmZ_MzhsrZdoWrBFg9DJvtlN2U22SbZih557hV4e16JmZ1irSwiOcjf83wkH29RPCf4iGDMX0eC25aWuCIlrivCSvKg2CeU1yVjlXiY17itSi443SuexHiFcdZw87jYq5sG05qR_eL7xRLQsTGgU0TeoIlL4FRSPXoD6wAxWu-QcnP0ya_A_fz2I6JzCBrWabjIwkzdWLdA594HNAPVpyXKF-9UguByldujjxBurAZ0mWxvv6qtbB1670NaZhCdLpVTT4tHRvURnt3OB8XlyfHFdFaefTh9O52clboRIpWc1nNOO9OxxrCOG1BMNFhpbfS8YkYzDbzm2HSgBMu7Toi2IhpzxapaANQHxaux7jr46w3EJFc2auh75cBvoqwoqyihrOUZffEXeuU3w8cGShBWU07ZHbVQPUjrjE9B6aGonDAu2oY3lGSq3EEtwEFQvXdgbD6-xx_t4POYw8rqncLLP4TltvPR95uh2_E-WI2gDj7GAEaug12p8EUSLIdoyTFaMkdLbqMlB-lwlD5D503UFpyG32IOFhOUCt7kFR5o8f_01KZtJKZ-41JW61GNGXcLCHc9_8fzfgFc5e-6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2581635756</pqid></control><display><type>article</type><title>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</title><source>Web of Science - Social Sciences Citation Index – 2021&lt;img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /&gt;</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kim, Eunsoo Timothy ; Ali, Mohammed ; Adam, Haliq ; Abubakr-Bibilazu, Safiyatu ; Gallis, John A. ; Lillie, Margaret ; Hembling, John ; McEwan, Elena ; Baumgartner, Joy Noel</creator><creatorcontrib>Kim, Eunsoo Timothy ; Ali, Mohammed ; Adam, Haliq ; Abubakr-Bibilazu, Safiyatu ; Gallis, John A. ; Lillie, Margaret ; Hembling, John ; McEwan, Elena ; Baumgartner, Joy Noel</creatorcontrib><description>Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days. Results Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health. Conclusions Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-021-03216-1</identifier><identifier>PMID: 34405361</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Births ; Child development ; Childrens health ; Depression, Mental ; Gynecology ; Health aspects ; Health attitudes ; Health services ; Health services utilization ; Infant mortality ; Influence ; Life Sciences &amp; Biomedicine ; Maternal &amp; child health ; Maternal and Child Health ; Maternal health services ; Maternal mortality ; Medical care ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Mental health ; Pediatrics ; Perceptions ; Population Economics ; Postpartum period ; Pregnancy ; Prenatal care ; Public Health ; Public, Environmental &amp; Occupational Health ; Science &amp; Technology ; Sociology ; Surveys ; Utilization ; Women ; Womens health</subject><ispartof>Maternal and child health journal, 2021-11, Vol.25 (11), p.1697-1706</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000685587400001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</citedby><cites>FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-021-03216-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-021-03216-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,39262,41493,42562,51324</link.rule.ids></links><search><creatorcontrib>Kim, Eunsoo Timothy</creatorcontrib><creatorcontrib>Ali, Mohammed</creatorcontrib><creatorcontrib>Adam, Haliq</creatorcontrib><creatorcontrib>Abubakr-Bibilazu, Safiyatu</creatorcontrib><creatorcontrib>Gallis, John A.</creatorcontrib><creatorcontrib>Lillie, Margaret</creatorcontrib><creatorcontrib>Hembling, John</creatorcontrib><creatorcontrib>McEwan, Elena</creatorcontrib><creatorcontrib>Baumgartner, Joy Noel</creatorcontrib><title>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>MATERN CHILD HLTH J</addtitle><description>Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days. Results Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health. Conclusions Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</description><subject>Births</subject><subject>Child development</subject><subject>Childrens health</subject><subject>Depression, Mental</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health attitudes</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Infant mortality</subject><subject>Influence</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Maternal &amp; child health</subject><subject>Maternal and Child Health</subject><subject>Maternal health services</subject><subject>Maternal mortality</subject><subject>Medical care</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Pediatrics</subject><subject>Perceptions</subject><subject>Population Economics</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Public Health</subject><subject>Public, Environmental &amp; Occupational Health</subject><subject>Science &amp; Technology</subject><subject>Sociology</subject><subject>Surveys</subject><subject>Utilization</subject><subject>Women</subject><subject>Womens health</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkt1qFDEYhgdRbK3egEcBQYQyNZmZ_MzhsrZdoWrBFg9DJvtlN2U22SbZih557hV4e16JmZ1irSwiOcjf83wkH29RPCf4iGDMX0eC25aWuCIlrivCSvKg2CeU1yVjlXiY17itSi443SuexHiFcdZw87jYq5sG05qR_eL7xRLQsTGgU0TeoIlL4FRSPXoD6wAxWu-QcnP0ya_A_fz2I6JzCBrWabjIwkzdWLdA594HNAPVpyXKF-9UguByldujjxBurAZ0mWxvv6qtbB1670NaZhCdLpVTT4tHRvURnt3OB8XlyfHFdFaefTh9O52clboRIpWc1nNOO9OxxrCOG1BMNFhpbfS8YkYzDbzm2HSgBMu7Toi2IhpzxapaANQHxaux7jr46w3EJFc2auh75cBvoqwoqyihrOUZffEXeuU3w8cGShBWU07ZHbVQPUjrjE9B6aGonDAu2oY3lGSq3EEtwEFQvXdgbD6-xx_t4POYw8rqncLLP4TltvPR95uh2_E-WI2gDj7GAEaug12p8EUSLIdoyTFaMkdLbqMlB-lwlD5D503UFpyG32IOFhOUCt7kFR5o8f_01KZtJKZ-41JW61GNGXcLCHc9_8fzfgFc5e-6</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Kim, Eunsoo Timothy</creator><creator>Ali, Mohammed</creator><creator>Adam, Haliq</creator><creator>Abubakr-Bibilazu, Safiyatu</creator><creator>Gallis, John A.</creator><creator>Lillie, Margaret</creator><creator>Hembling, John</creator><creator>McEwan, Elena</creator><creator>Baumgartner, Joy Noel</creator><general>Springer US</general><general>Springer Nature</general><general>Springer</general><general>Springer Nature B.V</general><scope>17B</scope><scope>BLEPL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20211101</creationdate><title>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</title><author>Kim, Eunsoo Timothy ; Ali, Mohammed ; Adam, Haliq ; Abubakr-Bibilazu, Safiyatu ; Gallis, John A. ; Lillie, Margaret ; Hembling, John ; McEwan, Elena ; Baumgartner, Joy Noel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Births</topic><topic>Child development</topic><topic>Childrens health</topic><topic>Depression, Mental</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Health attitudes</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Infant mortality</topic><topic>Influence</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Maternal &amp; child health</topic><topic>Maternal and Child Health</topic><topic>Maternal health services</topic><topic>Maternal mortality</topic><topic>Medical care</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Pediatrics</topic><topic>Perceptions</topic><topic>Population Economics</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Public Health</topic><topic>Public, Environmental &amp; Occupational Health</topic><topic>Science &amp; Technology</topic><topic>Sociology</topic><topic>Surveys</topic><topic>Utilization</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Eunsoo Timothy</creatorcontrib><creatorcontrib>Ali, Mohammed</creatorcontrib><creatorcontrib>Adam, Haliq</creatorcontrib><creatorcontrib>Abubakr-Bibilazu, Safiyatu</creatorcontrib><creatorcontrib>Gallis, John A.</creatorcontrib><creatorcontrib>Lillie, Margaret</creatorcontrib><creatorcontrib>Hembling, John</creatorcontrib><creatorcontrib>McEwan, Elena</creatorcontrib><creatorcontrib>Baumgartner, Joy Noel</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI &amp; AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Eunsoo Timothy</au><au>Ali, Mohammed</au><au>Adam, Haliq</au><au>Abubakr-Bibilazu, Safiyatu</au><au>Gallis, John A.</au><au>Lillie, Margaret</au><au>Hembling, John</au><au>McEwan, Elena</au><au>Baumgartner, Joy Noel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><stitle>MATERN CHILD HLTH J</stitle><date>2021-11-01</date><risdate>2021</risdate><volume>25</volume><issue>11</issue><spage>1697</spage><epage>1706</epage><pages>1697-1706</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days. Results Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health. Conclusions Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34405361</pmid><doi>10.1007/s10995-021-03216-1</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1092-7875
ispartof Maternal and child health journal, 2021-11, Vol.25 (11), p.1697-1706
issn 1092-7875
1573-6628
language eng
recordid cdi_gale_infotracgeneralonefile_A678947451
source Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; SpringerLink Journals - AutoHoldings
subjects Births
Child development
Childrens health
Depression, Mental
Gynecology
Health aspects
Health attitudes
Health services
Health services utilization
Infant mortality
Influence
Life Sciences & Biomedicine
Maternal & child health
Maternal and Child Health
Maternal health services
Maternal mortality
Medical care
Medicine
Medicine & Public Health
Mental depression
Mental health
Pediatrics
Perceptions
Population Economics
Postpartum period
Pregnancy
Prenatal care
Public Health
Public, Environmental & Occupational Health
Science & Technology
Sociology
Surveys
Utilization
Women
Womens health
title The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T17%3A45%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Effects%20of%20Antenatal%20Depression%20and%20Women%E2%80%99s%20Perception%20of%20Having%20Poor%20Health%20on%20Maternal%20Health%20Service%20Utilization%20in%20Northern%20Ghana&rft.jtitle=Maternal%20and%20child%20health%20journal&rft.au=Kim,%20Eunsoo%20Timothy&rft.date=2021-11-01&rft.volume=25&rft.issue=11&rft.spage=1697&rft.epage=1706&rft.pages=1697-1706&rft.issn=1092-7875&rft.eissn=1573-6628&rft_id=info:doi/10.1007/s10995-021-03216-1&rft_dat=%3Cgale_webof%3EA678947451%3C/gale_webof%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2581635756&rft_id=info:pmid/34405361&rft_galeid=A678947451&rfr_iscdi=true