Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study
Various forms of tobacco smoking and nicotine vaping tools are available on the market. This study quantified the prevalence of and identified factors associated with patterns of smoking and nicotine vaping among university students in the United Arab Emirates (UAE). A cross-sectional sample of stud...
Gespeichert in:
Veröffentlicht in: | International journal of environmental research and public health 2021-07, Vol.18 (14), p.7652 |
---|---|
Hauptverfasser: | , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 14 |
container_start_page | 7652 |
container_title | International journal of environmental research and public health |
container_volume | 18 |
creator | Ahmed, Luai A. Verlinden, Marina Alobeidli, Mariam Ali Alahbabi, Reem Hamad AlKatheeri, Radeya Saddik, Basema Oulhaj, Abderrahim Al-Rifai, Rami H. |
description | Various forms of tobacco smoking and nicotine vaping tools are available on the market. This study quantified the prevalence of and identified factors associated with patterns of smoking and nicotine vaping among university students in the United Arab Emirates (UAE). A cross-sectional sample of students enrolled in three public universities was surveyed. Self-reported current smoking and nicotine vaping were recorded. Of 1123 students, 81.7% completed the online survey (mean age, 20.7 ± 3.4 (SD) years; 70.7% females). The prevalence of current smoking was 15.1% while the prevalence of current nicotine vaping was nearly 4.0%. Among current smokers, 54.7% reported conventional smoking only, 15.1% reported nicotine vaping only, and 28.8% were poly-users. Conventional midwakh (47.5%), followed by conventional shisha/waterpipe (36.7%), conventional cigarettes (36.7%), electronic shisha/waterpipe (25.2%), and electronic cigarettes (24.5%), were most commonly reported by students. Students aged 20–25 years (adjusted odds ratios (aOR): 2.08, 95% confidence interval (CI): 1.18–3.67) or >25 years (aOR: 4.24, 95% CI: 1.41–12.80) had higher odds of being current smokers compared to those aged 17–19 years. The male gender was also independently associated with higher odds of being a current smoker (aOR: 5.45, 95% CI: 3.31–8.97) as well as higher odds of smoking cigarettes, shisha, and midwakh, or nicotine vaping compared to being female. Of nicotine vaping users, 36.1% reported using nicotine vaping because they enjoyed the flavor and vaporizing experience and 34.4% used it to help them to quit smoking. A relatively high prevalence of self-reported smoking was reported among university students in the UAE. The findings also suggest that nicotine vaping use is relatively widespread, but still less common than traditional smoking. Vigilant and tailored university-based smoking control and preventive measures are warranted. |
doi_str_mv | 10.3390/ijerph18147652 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8306162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2555109177</sourcerecordid><originalsourceid>FETCH-LOGICAL-c395t-7f6ffb8bae9c8e580544228a9b8aba325e2deafd909e4f5a94f431c28e2e8fd73</originalsourceid><addsrcrecordid>eNpdUUtv1DAQjhCIPuDK2RIXLil-JjYHpNWqtJUqWmlbrpbjjLteEnuxnUp74beT3VaIcpkZzffNN6-q-kDwGWMKf_YbSNs1kYS3jaCvqmPSNLjmDSav_4mPqpOcNxgzyRv1tjpinGFMMDuuft-aUiCFjKJDd7Ez1ka0GuNPHx6QCT367m0sPgD6YbaH3Bhnex_8I6Tsyw6tytRDKBn5gMoa9lCBHi2S6dD56JMpkL-gBVqmmHO9Alt8DGY41O3eVW-cGTK8f_an1f2387vlZX19c3G1XFzXlilR6tY1znWyM6CsBCGx4JxSaVQnTWcYFUB7MK5XWAF3wijuOCOWSqAgXd-y0-rrk-526kbo7TxwMoPeJj-atNPReP0SCX6tH-Kjlgw3pKGzwKdngRR_TZCLHn22MAwmQJyypkIIghVp970-_kfdxCnNKx9YXHAiWjWzzp5Ydn-XBO7vMATr_Wv1y9eyPzbemRA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2554541579</pqid></control><display><type>article</type><title>Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Ahmed, Luai A. ; Verlinden, Marina ; Alobeidli, Mariam Ali ; Alahbabi, Reem Hamad ; AlKatheeri, Radeya ; Saddik, Basema ; Oulhaj, Abderrahim ; Al-Rifai, Rami H.</creator><creatorcontrib>Ahmed, Luai A. ; Verlinden, Marina ; Alobeidli, Mariam Ali ; Alahbabi, Reem Hamad ; AlKatheeri, Radeya ; Saddik, Basema ; Oulhaj, Abderrahim ; Al-Rifai, Rami H.</creatorcontrib><description>Various forms of tobacco smoking and nicotine vaping tools are available on the market. This study quantified the prevalence of and identified factors associated with patterns of smoking and nicotine vaping among university students in the United Arab Emirates (UAE). A cross-sectional sample of students enrolled in three public universities was surveyed. Self-reported current smoking and nicotine vaping were recorded. Of 1123 students, 81.7% completed the online survey (mean age, 20.7 ± 3.4 (SD) years; 70.7% females). The prevalence of current smoking was 15.1% while the prevalence of current nicotine vaping was nearly 4.0%. Among current smokers, 54.7% reported conventional smoking only, 15.1% reported nicotine vaping only, and 28.8% were poly-users. Conventional midwakh (47.5%), followed by conventional shisha/waterpipe (36.7%), conventional cigarettes (36.7%), electronic shisha/waterpipe (25.2%), and electronic cigarettes (24.5%), were most commonly reported by students. Students aged 20–25 years (adjusted odds ratios (aOR): 2.08, 95% confidence interval (CI): 1.18–3.67) or >25 years (aOR: 4.24, 95% CI: 1.41–12.80) had higher odds of being current smokers compared to those aged 17–19 years. The male gender was also independently associated with higher odds of being a current smoker (aOR: 5.45, 95% CI: 3.31–8.97) as well as higher odds of smoking cigarettes, shisha, and midwakh, or nicotine vaping compared to being female. Of nicotine vaping users, 36.1% reported using nicotine vaping because they enjoyed the flavor and vaporizing experience and 34.4% used it to help them to quit smoking. A relatively high prevalence of self-reported smoking was reported among university students in the UAE. The findings also suggest that nicotine vaping use is relatively widespread, but still less common than traditional smoking. Vigilant and tailored university-based smoking control and preventive measures are warranted.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18147652</identifier><identifier>PMID: 34300103</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Age ; Cigarettes ; Confidence intervals ; Cross-sectional studies ; Electronic cigarettes ; Family income ; Flavor ; GDP ; Gross Domestic Product ; Nicotine ; Participation ; Questionnaires ; Smoking ; Smoking cessation ; Sociodemographics ; Students ; Tobacco ; Tobacco smoking ; University students ; Vaping ; Water pipes</subject><ispartof>International journal of environmental research and public health, 2021-07, Vol.18 (14), p.7652</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-7f6ffb8bae9c8e580544228a9b8aba325e2deafd909e4f5a94f431c28e2e8fd73</citedby><cites>FETCH-LOGICAL-c395t-7f6ffb8bae9c8e580544228a9b8aba325e2deafd909e4f5a94f431c28e2e8fd73</cites><orcidid>0000-0001-6102-0353 ; 0000-0001-5292-8212 ; 0000-0002-4682-5927 ; 0000-0001-6554-3637</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8306162/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8306162/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Ahmed, Luai A.</creatorcontrib><creatorcontrib>Verlinden, Marina</creatorcontrib><creatorcontrib>Alobeidli, Mariam Ali</creatorcontrib><creatorcontrib>Alahbabi, Reem Hamad</creatorcontrib><creatorcontrib>AlKatheeri, Radeya</creatorcontrib><creatorcontrib>Saddik, Basema</creatorcontrib><creatorcontrib>Oulhaj, Abderrahim</creatorcontrib><creatorcontrib>Al-Rifai, Rami H.</creatorcontrib><title>Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study</title><title>International journal of environmental research and public health</title><description>Various forms of tobacco smoking and nicotine vaping tools are available on the market. This study quantified the prevalence of and identified factors associated with patterns of smoking and nicotine vaping among university students in the United Arab Emirates (UAE). A cross-sectional sample of students enrolled in three public universities was surveyed. Self-reported current smoking and nicotine vaping were recorded. Of 1123 students, 81.7% completed the online survey (mean age, 20.7 ± 3.4 (SD) years; 70.7% females). The prevalence of current smoking was 15.1% while the prevalence of current nicotine vaping was nearly 4.0%. Among current smokers, 54.7% reported conventional smoking only, 15.1% reported nicotine vaping only, and 28.8% were poly-users. Conventional midwakh (47.5%), followed by conventional shisha/waterpipe (36.7%), conventional cigarettes (36.7%), electronic shisha/waterpipe (25.2%), and electronic cigarettes (24.5%), were most commonly reported by students. Students aged 20–25 years (adjusted odds ratios (aOR): 2.08, 95% confidence interval (CI): 1.18–3.67) or >25 years (aOR: 4.24, 95% CI: 1.41–12.80) had higher odds of being current smokers compared to those aged 17–19 years. The male gender was also independently associated with higher odds of being a current smoker (aOR: 5.45, 95% CI: 3.31–8.97) as well as higher odds of smoking cigarettes, shisha, and midwakh, or nicotine vaping compared to being female. Of nicotine vaping users, 36.1% reported using nicotine vaping because they enjoyed the flavor and vaporizing experience and 34.4% used it to help them to quit smoking. A relatively high prevalence of self-reported smoking was reported among university students in the UAE. The findings also suggest that nicotine vaping use is relatively widespread, but still less common than traditional smoking. Vigilant and tailored university-based smoking control and preventive measures are warranted.</description><subject>Age</subject><subject>Cigarettes</subject><subject>Confidence intervals</subject><subject>Cross-sectional studies</subject><subject>Electronic cigarettes</subject><subject>Family income</subject><subject>Flavor</subject><subject>GDP</subject><subject>Gross Domestic Product</subject><subject>Nicotine</subject><subject>Participation</subject><subject>Questionnaires</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Sociodemographics</subject><subject>Students</subject><subject>Tobacco</subject><subject>Tobacco smoking</subject><subject>University students</subject><subject>Vaping</subject><subject>Water pipes</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdUUtv1DAQjhCIPuDK2RIXLil-JjYHpNWqtJUqWmlbrpbjjLteEnuxnUp74beT3VaIcpkZzffNN6-q-kDwGWMKf_YbSNs1kYS3jaCvqmPSNLjmDSav_4mPqpOcNxgzyRv1tjpinGFMMDuuft-aUiCFjKJDd7Ez1ka0GuNPHx6QCT367m0sPgD6YbaH3Bhnex_8I6Tsyw6tytRDKBn5gMoa9lCBHi2S6dD56JMpkL-gBVqmmHO9Alt8DGY41O3eVW-cGTK8f_an1f2387vlZX19c3G1XFzXlilR6tY1znWyM6CsBCGx4JxSaVQnTWcYFUB7MK5XWAF3wijuOCOWSqAgXd-y0-rrk-526kbo7TxwMoPeJj-atNPReP0SCX6tH-Kjlgw3pKGzwKdngRR_TZCLHn22MAwmQJyypkIIghVp970-_kfdxCnNKx9YXHAiWjWzzp5Ydn-XBO7vMATr_Wv1y9eyPzbemRA</recordid><startdate>20210719</startdate><enddate>20210719</enddate><creator>Ahmed, Luai A.</creator><creator>Verlinden, Marina</creator><creator>Alobeidli, Mariam Ali</creator><creator>Alahbabi, Reem Hamad</creator><creator>AlKatheeri, Radeya</creator><creator>Saddik, Basema</creator><creator>Oulhaj, Abderrahim</creator><creator>Al-Rifai, Rami H.</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</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>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6102-0353</orcidid><orcidid>https://orcid.org/0000-0001-5292-8212</orcidid><orcidid>https://orcid.org/0000-0002-4682-5927</orcidid><orcidid>https://orcid.org/0000-0001-6554-3637</orcidid></search><sort><creationdate>20210719</creationdate><title>Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study</title><author>Ahmed, Luai A. ; Verlinden, Marina ; Alobeidli, Mariam Ali ; Alahbabi, Reem Hamad ; AlKatheeri, Radeya ; Saddik, Basema ; Oulhaj, Abderrahim ; Al-Rifai, Rami H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-7f6ffb8bae9c8e580544228a9b8aba325e2deafd909e4f5a94f431c28e2e8fd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Cigarettes</topic><topic>Confidence intervals</topic><topic>Cross-sectional studies</topic><topic>Electronic cigarettes</topic><topic>Family income</topic><topic>Flavor</topic><topic>GDP</topic><topic>Gross Domestic Product</topic><topic>Nicotine</topic><topic>Participation</topic><topic>Questionnaires</topic><topic>Smoking</topic><topic>Smoking cessation</topic><topic>Sociodemographics</topic><topic>Students</topic><topic>Tobacco</topic><topic>Tobacco smoking</topic><topic>University students</topic><topic>Vaping</topic><topic>Water pipes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Luai A.</creatorcontrib><creatorcontrib>Verlinden, Marina</creatorcontrib><creatorcontrib>Alobeidli, Mariam Ali</creatorcontrib><creatorcontrib>Alahbabi, Reem Hamad</creatorcontrib><creatorcontrib>AlKatheeri, Radeya</creatorcontrib><creatorcontrib>Saddik, Basema</creatorcontrib><creatorcontrib>Oulhaj, Abderrahim</creatorcontrib><creatorcontrib>Al-Rifai, Rami H.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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 Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Luai A.</au><au>Verlinden, Marina</au><au>Alobeidli, Mariam Ali</au><au>Alahbabi, Reem Hamad</au><au>AlKatheeri, Radeya</au><au>Saddik, Basema</au><au>Oulhaj, Abderrahim</au><au>Al-Rifai, Rami H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study</atitle><jtitle>International journal of environmental research and public health</jtitle><date>2021-07-19</date><risdate>2021</risdate><volume>18</volume><issue>14</issue><spage>7652</spage><pages>7652-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Various forms of tobacco smoking and nicotine vaping tools are available on the market. This study quantified the prevalence of and identified factors associated with patterns of smoking and nicotine vaping among university students in the United Arab Emirates (UAE). A cross-sectional sample of students enrolled in three public universities was surveyed. Self-reported current smoking and nicotine vaping were recorded. Of 1123 students, 81.7% completed the online survey (mean age, 20.7 ± 3.4 (SD) years; 70.7% females). The prevalence of current smoking was 15.1% while the prevalence of current nicotine vaping was nearly 4.0%. Among current smokers, 54.7% reported conventional smoking only, 15.1% reported nicotine vaping only, and 28.8% were poly-users. Conventional midwakh (47.5%), followed by conventional shisha/waterpipe (36.7%), conventional cigarettes (36.7%), electronic shisha/waterpipe (25.2%), and electronic cigarettes (24.5%), were most commonly reported by students. Students aged 20–25 years (adjusted odds ratios (aOR): 2.08, 95% confidence interval (CI): 1.18–3.67) or >25 years (aOR: 4.24, 95% CI: 1.41–12.80) had higher odds of being current smokers compared to those aged 17–19 years. The male gender was also independently associated with higher odds of being a current smoker (aOR: 5.45, 95% CI: 3.31–8.97) as well as higher odds of smoking cigarettes, shisha, and midwakh, or nicotine vaping compared to being female. Of nicotine vaping users, 36.1% reported using nicotine vaping because they enjoyed the flavor and vaporizing experience and 34.4% used it to help them to quit smoking. A relatively high prevalence of self-reported smoking was reported among university students in the UAE. The findings also suggest that nicotine vaping use is relatively widespread, but still less common than traditional smoking. Vigilant and tailored university-based smoking control and preventive measures are warranted.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34300103</pmid><doi>10.3390/ijerph18147652</doi><orcidid>https://orcid.org/0000-0001-6102-0353</orcidid><orcidid>https://orcid.org/0000-0001-5292-8212</orcidid><orcidid>https://orcid.org/0000-0002-4682-5927</orcidid><orcidid>https://orcid.org/0000-0001-6554-3637</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2021-07, Vol.18 (14), p.7652 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8306162 |
source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Age Cigarettes Confidence intervals Cross-sectional studies Electronic cigarettes Family income Flavor GDP Gross Domestic Product Nicotine Participation Questionnaires Smoking Smoking cessation Sociodemographics Students Tobacco Tobacco smoking University students Vaping Water pipes |
title | Patterns of Tobacco Smoking and Nicotine Vaping among University Students in the United Arab Emirates: A Cross-Sectional Study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T04%3A20%3A30IST&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=Patterns%20of%20Tobacco%20Smoking%20and%20Nicotine%20Vaping%20among%20University%20Students%20in%20the%20United%20Arab%20Emirates:%20A%20Cross-Sectional%20Study&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Ahmed,%20Luai%20A.&rft.date=2021-07-19&rft.volume=18&rft.issue=14&rft.spage=7652&rft.pages=7652-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph18147652&rft_dat=%3Cproquest_pubme%3E2555109177%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=2554541579&rft_id=info:pmid/34300103&rfr_iscdi=true |