Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa
Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the e...
Gespeichert in:
| Veröffentlicht in: | AIDS and behavior 2020-06, Vol.24 (6), p.1585-1591 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1591 |
|---|---|
| container_issue | 6 |
| container_start_page | 1585 |
| container_title | AIDS and behavior |
| container_volume | 24 |
| creator | Rucinski, Katherine B. Schwartz, Sheree R. Powers, Kimberly A. Pence, Brian W. Chi, Benjamin H. Black, Vivian Rees, Helen Pettifor, Audrey E. |
| description | Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18–35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive. |
| doi_str_mv | 10.1007/s10461-019-02564-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6925340</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2245646065</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-b0a142d677352afba9dd5209f797fde66f7076b5c98804134b12baed8407a8173</originalsourceid><addsrcrecordid>eNp9kUtv1DAQxy0Eog_4AhyQJS5cAmPHj_iCtFq1dKWVOPA6IctJnK2rxC52UrTfnmm3lMcBXzyj-c1_PP4T8oLBGwag3xYGQrEKmKmASyWq_SNyzKSuq5pL8RhjMFBppuQROSnlCgCM0uYpOaoZ5w1wcUy-nfs8hzHMe7qJs49zSLFQF3u6HkMMnRvp2mVPVzMWexc7DKcUd_Rrmnyk23ATMPkR5kt6sflCQ6Qf04LJasjY_Iw8GdxY_PP7-5R8Pj_7tL6oth_eb9arbdUJLeaqBccE75XWteRuaJ3pe8nBDNroofdKDRq0amVnmgYEq0XLeOt83wjQrmG6PiXvDrrXSzv5vsM9shvtdQ6Ty3ubXLB_V2K4tLt0Y5XhshaAAq_vBXL6vvgy2ymUzo-jiz4txXIu8IMVKInoq3_Qq7TkiOvdUngUYwYpfqC6nErJfnh4DAN76549uGfRPXvnnt1j08s_13ho-WUXAvUBKFiKO59_z_6P7E8wvaVm</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2244446119</pqid></control><display><type>article</type><title>Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Sociological Abstracts</source><creator>Rucinski, Katherine B. ; Schwartz, Sheree R. ; Powers, Kimberly A. ; Pence, Brian W. ; Chi, Benjamin H. ; Black, Vivian ; Rees, Helen ; Pettifor, Audrey E.</creator><creatorcontrib>Rucinski, Katherine B. ; Schwartz, Sheree R. ; Powers, Kimberly A. ; Pence, Brian W. ; Chi, Benjamin H. ; Black, Vivian ; Rees, Helen ; Pettifor, Audrey E.</creatorcontrib><description>Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18–35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.</description><identifier>ISSN: 1090-7165</identifier><identifier>ISSN: 1573-3254</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-019-02564-y</identifier><identifier>PMID: 31228024</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Antiretroviral Therapy, Highly Active ; Attendance ; Childbirth & labor ; Cohort Studies ; Female ; Fertility ; Fertilization ; Health Psychology ; HIV ; HIV Infections - drug therapy ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Infectious Disease Transmission, Vertical - prevention & control ; Infectious Diseases ; Intention ; Medicine ; Medicine & Public Health ; Original Paper ; Patient Participation ; Pregnancy ; Public Health ; Reproduction ; Risk management ; Risk reduction ; Risk Reduction Behavior ; South Africa ; Treatment outcomes ; Women ; Womens health ; Young Adult</subject><ispartof>AIDS and behavior, 2020-06, Vol.24 (6), p.1585-1591</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-b0a142d677352afba9dd5209f797fde66f7076b5c98804134b12baed8407a8173</citedby><cites>FETCH-LOGICAL-c474t-b0a142d677352afba9dd5209f797fde66f7076b5c98804134b12baed8407a8173</cites><orcidid>0000-0002-9858-5953</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/s10461-019-02564-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-019-02564-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31228024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rucinski, Katherine B.</creatorcontrib><creatorcontrib>Schwartz, Sheree R.</creatorcontrib><creatorcontrib>Powers, Kimberly A.</creatorcontrib><creatorcontrib>Pence, Brian W.</creatorcontrib><creatorcontrib>Chi, Benjamin H.</creatorcontrib><creatorcontrib>Black, Vivian</creatorcontrib><creatorcontrib>Rees, Helen</creatorcontrib><creatorcontrib>Pettifor, Audrey E.</creatorcontrib><title>Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18–35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Attendance</subject><subject>Childbirth & labor</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertilization</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Disease Transmission, Vertical - prevention & control</subject><subject>Infectious Diseases</subject><subject>Intention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Patient Participation</subject><subject>Pregnancy</subject><subject>Public Health</subject><subject>Reproduction</subject><subject>Risk management</subject><subject>Risk reduction</subject><subject>Risk Reduction Behavior</subject><subject>South Africa</subject><subject>Treatment outcomes</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1090-7165</issn><issn>1573-3254</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUtv1DAQxy0Eog_4AhyQJS5cAmPHj_iCtFq1dKWVOPA6IctJnK2rxC52UrTfnmm3lMcBXzyj-c1_PP4T8oLBGwag3xYGQrEKmKmASyWq_SNyzKSuq5pL8RhjMFBppuQROSnlCgCM0uYpOaoZ5w1wcUy-nfs8hzHMe7qJs49zSLFQF3u6HkMMnRvp2mVPVzMWexc7DKcUd_Rrmnyk23ATMPkR5kt6sflCQ6Qf04LJasjY_Iw8GdxY_PP7-5R8Pj_7tL6oth_eb9arbdUJLeaqBccE75XWteRuaJ3pe8nBDNroofdKDRq0amVnmgYEq0XLeOt83wjQrmG6PiXvDrrXSzv5vsM9shvtdQ6Ty3ubXLB_V2K4tLt0Y5XhshaAAq_vBXL6vvgy2ymUzo-jiz4txXIu8IMVKInoq3_Qq7TkiOvdUngUYwYpfqC6nErJfnh4DAN76549uGfRPXvnnt1j08s_13ho-WUXAvUBKFiKO59_z_6P7E8wvaVm</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Rucinski, Katherine B.</creator><creator>Schwartz, Sheree R.</creator><creator>Powers, Kimberly A.</creator><creator>Pence, Brian W.</creator><creator>Chi, Benjamin H.</creator><creator>Black, Vivian</creator><creator>Rees, Helen</creator><creator>Pettifor, Audrey E.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9858-5953</orcidid></search><sort><creationdate>20200601</creationdate><title>Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa</title><author>Rucinski, Katherine B. ; Schwartz, Sheree R. ; Powers, Kimberly A. ; Pence, Brian W. ; Chi, Benjamin H. ; Black, Vivian ; Rees, Helen ; Pettifor, Audrey E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-b0a142d677352afba9dd5209f797fde66f7076b5c98804134b12baed8407a8173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral drugs</topic><topic>Antiretroviral therapy</topic><topic>Antiretroviral Therapy, Highly Active</topic><topic>Attendance</topic><topic>Childbirth & labor</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertilization</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - psychology</topic><topic>HIV Infections - transmission</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Disease Transmission, Vertical - prevention & control</topic><topic>Infectious Diseases</topic><topic>Intention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Patient Participation</topic><topic>Pregnancy</topic><topic>Public Health</topic><topic>Reproduction</topic><topic>Risk management</topic><topic>Risk reduction</topic><topic>Risk Reduction Behavior</topic><topic>South Africa</topic><topic>Treatment outcomes</topic><topic>Women</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rucinski, Katherine B.</creatorcontrib><creatorcontrib>Schwartz, Sheree R.</creatorcontrib><creatorcontrib>Powers, Kimberly A.</creatorcontrib><creatorcontrib>Pence, Brian W.</creatorcontrib><creatorcontrib>Chi, Benjamin H.</creatorcontrib><creatorcontrib>Black, Vivian</creatorcontrib><creatorcontrib>Rees, Helen</creatorcontrib><creatorcontrib>Pettifor, Audrey E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice 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>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rucinski, Katherine B.</au><au>Schwartz, Sheree R.</au><au>Powers, Kimberly A.</au><au>Pence, Brian W.</au><au>Chi, Benjamin H.</au><au>Black, Vivian</au><au>Rees, Helen</au><au>Pettifor, Audrey E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>24</volume><issue>6</issue><spage>1585</spage><epage>1591</epage><pages>1585-1591</pages><issn>1090-7165</issn><issn>1573-3254</issn><eissn>1573-3254</eissn><abstract>Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18–35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31228024</pmid><doi>10.1007/s10461-019-02564-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9858-5953</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-7165 |
| ispartof | AIDS and behavior, 2020-06, Vol.24 (6), p.1585-1591 |
| issn | 1090-7165 1573-3254 1573-3254 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6925340 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Sociological Abstracts |
| subjects | Adolescent Adult Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Antiretroviral Therapy, Highly Active Attendance Childbirth & labor Cohort Studies Female Fertility Fertilization Health Psychology HIV HIV Infections - drug therapy HIV Infections - prevention & control HIV Infections - psychology HIV Infections - transmission Human immunodeficiency virus Humans Infectious Disease Transmission, Vertical - prevention & control Infectious Diseases Intention Medicine Medicine & Public Health Original Paper Patient Participation Pregnancy Public Health Reproduction Risk management Risk reduction Risk Reduction Behavior South Africa Treatment outcomes Women Womens health Young Adult |
| title | Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T17%3A53%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Fertility%20Intentions%20and%20Clinical%20Care%20Attendance%20Among%20Women%20Living%20with%20HIV%20in%20South%20Africa&rft.jtitle=AIDS%20and%20behavior&rft.au=Rucinski,%20Katherine%20B.&rft.date=2020-06-01&rft.volume=24&rft.issue=6&rft.spage=1585&rft.epage=1591&rft.pages=1585-1591&rft.issn=1090-7165&rft.eissn=1573-3254&rft_id=info:doi/10.1007/s10461-019-02564-y&rft_dat=%3Cproquest_pubme%3E2245646065%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2244446119&rft_id=info:pmid/31228024&rfr_iscdi=true |