Beverage behaviors and correlates among Head Start preschooler-parent dyads
Objectives To describe beverage behaviors among preschooler-parent dyads and explore correlates with preschooler’s beverage behaviors. Methods This exploratory, cross-sectional study includes a convenience sample of 202 parents of preschoolers surveyed from four Head Start programs in Virginia and O...
Gespeichert in:
Veröffentlicht in: | Maternal and child health journal 2022-11, Vol.26 (11), p.2271-2282 |
---|---|
Hauptverfasser: | , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 2282 |
---|---|
container_issue | 11 |
container_start_page | 2271 |
container_title | Maternal and child health journal |
container_volume | 26 |
creator | Zoellner, Jamie M. Kirkpatrick, Brittany M. Allanson, Dylan A. Mariner, Kayla M. Cuy-Castellanos, Diana Miller, M. Elizabeth Foster, Zachary Martin, Tara |
description | Objectives
To describe beverage behaviors among preschooler-parent dyads and explore correlates with preschooler’s beverage behaviors.
Methods
This exploratory, cross-sectional study includes a convenience sample of 202 parents of preschoolers surveyed from four Head Start programs in Virginia and Ohio. Measurements included parent-child beverage behaviors, parent beverage perceptions, parent beverage rules, home beverage availability, and demographics. Analyses included descriptive statistics, correlations, Kruskal-Wallis test, and Quade’s non-parametric ANCOVA tests.
Results
Mean sugar-sweetened beverage (SSB; i.e., regular soda, sweetened fruit drinks, sports/energy drinks, and coffee/tea with sugar) intake was 1.3 (SD = 1.4) and 2.3 (SD = 2.0) times/day for preschoolers and parents, respectively. When considering
all
sugary drink sources [i.e., summing SSB with flavored milk and 100% fruit juice (FJ)], the mean frequency increased to 3.2 (SD = 2.1) and 3.6 (SD = 2.4) times/day, respectively, for preschoolers and parents. A significant positive correlation was observed between preschooler-parent dyads for SSB (
r
= 0.406,
p
|
doi_str_mv | 10.1007/s10995-022-03493-4 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2716090266</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A723703702</galeid><sourcerecordid>A723703702</sourcerecordid><originalsourceid>FETCH-LOGICAL-c488t-594589c45ccb3bff1b7e27c74f4a9887a8dfea495eaa7125936cc883225a2d043</originalsourceid><addsrcrecordid>eNp9kl9rFDEUxQdRsFa_gE8DgviSNn8nyWMt1UoLPqjP4W7mzuyUbLIm2UK_vVlXqJVFEsi94Xcul8PpureMnjFK9Xlh1FpFKOeECmkFkc-6E6a0IMPAzfNWU8uJNlq97F6Vckdpk1F50t18xHvMMGO_wjXcLymXHuLY-5QzBqjY2k2Kc3-NMPbfKuTabzMWv04pYCZbyBhrPz7AWF53LyYIBd_8eU-7H5-uvl9ek9uvn79cXtwSL42pRFmpjPVSeb8Sq2liK41cey0nCdYYDWacEKRVCKAZV1YM3hsjOFfARyrFaffhMHeb088dluo2S_EYAkRMu-K4ZgO1lA9DQ9_9g96lXY5tu0ZxTS2Tgj1SMwR0S5xSzeD3Q92F5kLTdnmjyBFqxtj8CynitLTvJ_zZEb6dETeLPyp4_5dgjRDquqSwq0uK5SnID6DPqZSMk9vmZQP5wTHq9nlwhzy4lgf3Ow9u75o4iEqD44z50Yr_qH4B8jW0jw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2727091431</pqid></control><display><type>article</type><title>Beverage behaviors and correlates among Head Start preschooler-parent dyads</title><source>SpringerLink Journals - AutoHoldings</source><creator>Zoellner, Jamie M. ; Kirkpatrick, Brittany M. ; Allanson, Dylan A. ; Mariner, Kayla M. ; Cuy-Castellanos, Diana ; Miller, M. Elizabeth ; Foster, Zachary ; Martin, Tara</creator><creatorcontrib>Zoellner, Jamie M. ; Kirkpatrick, Brittany M. ; Allanson, Dylan A. ; Mariner, Kayla M. ; Cuy-Castellanos, Diana ; Miller, M. Elizabeth ; Foster, Zachary ; Martin, Tara</creatorcontrib><description><![CDATA[Objectives
To describe beverage behaviors among preschooler-parent dyads and explore correlates with preschooler’s beverage behaviors.
Methods
This exploratory, cross-sectional study includes a convenience sample of 202 parents of preschoolers surveyed from four Head Start programs in Virginia and Ohio. Measurements included parent-child beverage behaviors, parent beverage perceptions, parent beverage rules, home beverage availability, and demographics. Analyses included descriptive statistics, correlations, Kruskal-Wallis test, and Quade’s non-parametric ANCOVA tests.
Results
Mean sugar-sweetened beverage (SSB; i.e., regular soda, sweetened fruit drinks, sports/energy drinks, and coffee/tea with sugar) intake was 1.3 (SD = 1.4) and 2.3 (SD = 2.0) times/day for preschoolers and parents, respectively. When considering
all
sugary drink sources [i.e., summing SSB with flavored milk and 100% fruit juice (FJ)], the mean frequency increased to 3.2 (SD = 2.1) and 3.6 (SD = 2.4) times/day, respectively, for preschoolers and parents. A significant positive correlation was observed between preschooler-parent dyads for SSB (
r
= 0.406,
p
< 0.001) and for
all
sugary drinks (
r
= 0.572,
p
< 0.001). Parents who were younger, single, less educated, and with lower income had preschoolers with significantly higher SSB and
all
sugary drink intake (all p < 0.05). Significant correlates with preschoolers’ beverage behaviors also included parent perceived behavioral control (SSB:
p
= 0.003, 100% FJ:
p
= 0.008, water:
p
< 0.0001), parenting practices (SSB:
p
= 0.022), and home availability (SSB:
p
= 0.011, 100% FJ:
p
< 0.001, water:
p
< 0.001).
Conclusions
This study highlights excessive SSB and
all
sugary drink consumption among Head Start preschooler-parent dyads. Also, intervention targets to improve preschooler’s beverage behaviors are identified, including efforts to improve parent’s beverage behaviors, perceived behavioral control, parenting practices, and the home environment.]]></description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-022-03493-4</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Behavior ; Beliefs, opinions and attitudes ; Beverages ; Cardiovascular disease ; Children & youth ; Childrens health ; Chronic illnesses ; Consumption data ; Cross-sectional studies ; Energy drinks ; Food and nutrition ; Fruits ; Gynecology ; Head Start project ; Health aspects ; Home environment ; Maternal & child health ; Maternal and Child Health ; Medicine ; Medicine & Public Health ; Milk ; Minority & ethnic groups ; Nutrition ; Obesity ; Parents ; Parents & parenting ; Pediatrics ; Population Economics ; Preschool children ; Preschool education ; Public Health ; Sociology ; Sugar</subject><ispartof>Maternal and child health journal, 2022-11, Vol.26 (11), p.2271-2282</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>COPYRIGHT 2022 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-594589c45ccb3bff1b7e27c74f4a9887a8dfea495eaa7125936cc883225a2d043</citedby><cites>FETCH-LOGICAL-c488t-594589c45ccb3bff1b7e27c74f4a9887a8dfea495eaa7125936cc883225a2d043</cites><orcidid>0000-0001-5445-5594</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-022-03493-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-022-03493-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Zoellner, Jamie M.</creatorcontrib><creatorcontrib>Kirkpatrick, Brittany M.</creatorcontrib><creatorcontrib>Allanson, Dylan A.</creatorcontrib><creatorcontrib>Mariner, Kayla M.</creatorcontrib><creatorcontrib>Cuy-Castellanos, Diana</creatorcontrib><creatorcontrib>Miller, M. Elizabeth</creatorcontrib><creatorcontrib>Foster, Zachary</creatorcontrib><creatorcontrib>Martin, Tara</creatorcontrib><title>Beverage behaviors and correlates among Head Start preschooler-parent dyads</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><description><![CDATA[Objectives
To describe beverage behaviors among preschooler-parent dyads and explore correlates with preschooler’s beverage behaviors.
Methods
This exploratory, cross-sectional study includes a convenience sample of 202 parents of preschoolers surveyed from four Head Start programs in Virginia and Ohio. Measurements included parent-child beverage behaviors, parent beverage perceptions, parent beverage rules, home beverage availability, and demographics. Analyses included descriptive statistics, correlations, Kruskal-Wallis test, and Quade’s non-parametric ANCOVA tests.
Results
Mean sugar-sweetened beverage (SSB; i.e., regular soda, sweetened fruit drinks, sports/energy drinks, and coffee/tea with sugar) intake was 1.3 (SD = 1.4) and 2.3 (SD = 2.0) times/day for preschoolers and parents, respectively. When considering
all
sugary drink sources [i.e., summing SSB with flavored milk and 100% fruit juice (FJ)], the mean frequency increased to 3.2 (SD = 2.1) and 3.6 (SD = 2.4) times/day, respectively, for preschoolers and parents. A significant positive correlation was observed between preschooler-parent dyads for SSB (
r
= 0.406,
p
< 0.001) and for
all
sugary drinks (
r
= 0.572,
p
< 0.001). Parents who were younger, single, less educated, and with lower income had preschoolers with significantly higher SSB and
all
sugary drink intake (all p < 0.05). Significant correlates with preschoolers’ beverage behaviors also included parent perceived behavioral control (SSB:
p
= 0.003, 100% FJ:
p
= 0.008, water:
p
< 0.0001), parenting practices (SSB:
p
= 0.022), and home availability (SSB:
p
= 0.011, 100% FJ:
p
< 0.001, water:
p
< 0.001).
Conclusions
This study highlights excessive SSB and
all
sugary drink consumption among Head Start preschooler-parent dyads. Also, intervention targets to improve preschooler’s beverage behaviors are identified, including efforts to improve parent’s beverage behaviors, perceived behavioral control, parenting practices, and the home environment.]]></description><subject>Behavior</subject><subject>Beliefs, opinions and attitudes</subject><subject>Beverages</subject><subject>Cardiovascular disease</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Chronic illnesses</subject><subject>Consumption data</subject><subject>Cross-sectional studies</subject><subject>Energy drinks</subject><subject>Food and nutrition</subject><subject>Fruits</subject><subject>Gynecology</subject><subject>Head Start project</subject><subject>Health aspects</subject><subject>Home environment</subject><subject>Maternal & child health</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Milk</subject><subject>Minority & ethnic groups</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Population Economics</subject><subject>Preschool children</subject><subject>Preschool education</subject><subject>Public Health</subject><subject>Sociology</subject><subject>Sugar</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kl9rFDEUxQdRsFa_gE8DgviSNn8nyWMt1UoLPqjP4W7mzuyUbLIm2UK_vVlXqJVFEsi94Xcul8PpureMnjFK9Xlh1FpFKOeECmkFkc-6E6a0IMPAzfNWU8uJNlq97F6Vckdpk1F50t18xHvMMGO_wjXcLymXHuLY-5QzBqjY2k2Kc3-NMPbfKuTabzMWv04pYCZbyBhrPz7AWF53LyYIBd_8eU-7H5-uvl9ek9uvn79cXtwSL42pRFmpjPVSeb8Sq2liK41cey0nCdYYDWacEKRVCKAZV1YM3hsjOFfARyrFaffhMHeb088dluo2S_EYAkRMu-K4ZgO1lA9DQ9_9g96lXY5tu0ZxTS2Tgj1SMwR0S5xSzeD3Q92F5kLTdnmjyBFqxtj8CynitLTvJ_zZEb6dETeLPyp4_5dgjRDquqSwq0uK5SnID6DPqZSMk9vmZQP5wTHq9nlwhzy4lgf3Ow9u75o4iEqD44z50Yr_qH4B8jW0jw</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Zoellner, Jamie M.</creator><creator>Kirkpatrick, Brittany M.</creator><creator>Allanson, Dylan A.</creator><creator>Mariner, Kayla M.</creator><creator>Cuy-Castellanos, Diana</creator><creator>Miller, M. Elizabeth</creator><creator>Foster, Zachary</creator><creator>Martin, Tara</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><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>AEUYN</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><orcidid>https://orcid.org/0000-0001-5445-5594</orcidid></search><sort><creationdate>20221101</creationdate><title>Beverage behaviors and correlates among Head Start preschooler-parent dyads</title><author>Zoellner, Jamie M. ; Kirkpatrick, Brittany M. ; Allanson, Dylan A. ; Mariner, Kayla M. ; Cuy-Castellanos, Diana ; Miller, M. Elizabeth ; Foster, Zachary ; Martin, Tara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-594589c45ccb3bff1b7e27c74f4a9887a8dfea495eaa7125936cc883225a2d043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Behavior</topic><topic>Beliefs, opinions and attitudes</topic><topic>Beverages</topic><topic>Cardiovascular disease</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Chronic illnesses</topic><topic>Consumption data</topic><topic>Cross-sectional studies</topic><topic>Energy drinks</topic><topic>Food and nutrition</topic><topic>Fruits</topic><topic>Gynecology</topic><topic>Head Start project</topic><topic>Health aspects</topic><topic>Home environment</topic><topic>Maternal & child health</topic><topic>Maternal and Child Health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Milk</topic><topic>Minority & ethnic groups</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Population Economics</topic><topic>Preschool children</topic><topic>Preschool education</topic><topic>Public Health</topic><topic>Sociology</topic><topic>Sugar</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zoellner, Jamie M.</creatorcontrib><creatorcontrib>Kirkpatrick, Brittany M.</creatorcontrib><creatorcontrib>Allanson, Dylan A.</creatorcontrib><creatorcontrib>Mariner, Kayla M.</creatorcontrib><creatorcontrib>Cuy-Castellanos, Diana</creatorcontrib><creatorcontrib>Miller, M. Elizabeth</creatorcontrib><creatorcontrib>Foster, Zachary</creatorcontrib><creatorcontrib>Martin, Tara</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & 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 One Sustainability</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 & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & 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>Zoellner, Jamie M.</au><au>Kirkpatrick, Brittany M.</au><au>Allanson, Dylan A.</au><au>Mariner, Kayla M.</au><au>Cuy-Castellanos, Diana</au><au>Miller, M. Elizabeth</au><au>Foster, Zachary</au><au>Martin, Tara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Beverage behaviors and correlates among Head Start preschooler-parent dyads</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><date>2022-11-01</date><risdate>2022</risdate><volume>26</volume><issue>11</issue><spage>2271</spage><epage>2282</epage><pages>2271-2282</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract><![CDATA[Objectives
To describe beverage behaviors among preschooler-parent dyads and explore correlates with preschooler’s beverage behaviors.
Methods
This exploratory, cross-sectional study includes a convenience sample of 202 parents of preschoolers surveyed from four Head Start programs in Virginia and Ohio. Measurements included parent-child beverage behaviors, parent beverage perceptions, parent beverage rules, home beverage availability, and demographics. Analyses included descriptive statistics, correlations, Kruskal-Wallis test, and Quade’s non-parametric ANCOVA tests.
Results
Mean sugar-sweetened beverage (SSB; i.e., regular soda, sweetened fruit drinks, sports/energy drinks, and coffee/tea with sugar) intake was 1.3 (SD = 1.4) and 2.3 (SD = 2.0) times/day for preschoolers and parents, respectively. When considering
all
sugary drink sources [i.e., summing SSB with flavored milk and 100% fruit juice (FJ)], the mean frequency increased to 3.2 (SD = 2.1) and 3.6 (SD = 2.4) times/day, respectively, for preschoolers and parents. A significant positive correlation was observed between preschooler-parent dyads for SSB (
r
= 0.406,
p
< 0.001) and for
all
sugary drinks (
r
= 0.572,
p
< 0.001). Parents who were younger, single, less educated, and with lower income had preschoolers with significantly higher SSB and
all
sugary drink intake (all p < 0.05). Significant correlates with preschoolers’ beverage behaviors also included parent perceived behavioral control (SSB:
p
= 0.003, 100% FJ:
p
= 0.008, water:
p
< 0.0001), parenting practices (SSB:
p
= 0.022), and home availability (SSB:
p
= 0.011, 100% FJ:
p
< 0.001, water:
p
< 0.001).
Conclusions
This study highlights excessive SSB and
all
sugary drink consumption among Head Start preschooler-parent dyads. Also, intervention targets to improve preschooler’s beverage behaviors are identified, including efforts to improve parent’s beverage behaviors, perceived behavioral control, parenting practices, and the home environment.]]></abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10995-022-03493-4</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-5445-5594</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1092-7875 |
ispartof | Maternal and child health journal, 2022-11, Vol.26 (11), p.2271-2282 |
issn | 1092-7875 1573-6628 |
language | eng |
recordid | cdi_proquest_miscellaneous_2716090266 |
source | SpringerLink Journals - AutoHoldings |
subjects | Behavior Beliefs, opinions and attitudes Beverages Cardiovascular disease Children & youth Childrens health Chronic illnesses Consumption data Cross-sectional studies Energy drinks Food and nutrition Fruits Gynecology Head Start project Health aspects Home environment Maternal & child health Maternal and Child Health Medicine Medicine & Public Health Milk Minority & ethnic groups Nutrition Obesity Parents Parents & parenting Pediatrics Population Economics Preschool children Preschool education Public Health Sociology Sugar |
title | Beverage behaviors and correlates among Head Start preschooler-parent dyads |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T17%3A55%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Beverage%20behaviors%20and%20correlates%20among%20Head%20Start%20preschooler-parent%20dyads&rft.jtitle=Maternal%20and%20child%20health%20journal&rft.au=Zoellner,%20Jamie%20M.&rft.date=2022-11-01&rft.volume=26&rft.issue=11&rft.spage=2271&rft.epage=2282&rft.pages=2271-2282&rft.issn=1092-7875&rft.eissn=1573-6628&rft_id=info:doi/10.1007/s10995-022-03493-4&rft_dat=%3Cgale_proqu%3EA723703702%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2727091431&rft_id=info:pmid/&rft_galeid=A723703702&rfr_iscdi=true |