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van Sint Fiet A, de la Rie S, van der Aa N, Bloemen E, Wind T. The relevance of social capital and sense of coherence for mental health of refugees. SSM Popul Health 2022; 20:101267. [PMID: 36281249 PMCID: PMC9587331 DOI: 10.1016/j.ssmph.2022.101267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 10/07/2022] [Accepted: 10/10/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Migration puts refugees in a completely new social context when simultaneously some have to deal with previously experienced traumatic events and post-migration stressors. Social capital and sense of coherence could be key resources to improve mental health of refugees. This study aims to examine the interplay between social capital (structural and cognitive), sense of coherence and mental health of refugees in the Netherlands. Objective The present study was conducted to i) examine if social capital (structural and cognitive) and mental health are related in a population of Dutch refugees, and ii) test if sense of coherence has a moderating and/or a mediating effect on this relation. Method Data were collected through questionnaires (n = 154) in a cross-sectional survey at different locations throughout the Netherlands. The data were analysed with multiple regression analyses and nonparametric bootstrapping using SPSS. Results Social capital (structural and cognitive) was positively related to mental health. In addition a positive relation between sense of coherence and mental health of refugees was found. The relationship between cognitive social capital and mental health was completely mediated by sense of coherence. No moderation effect of sense of coherence on the relation between social capital and mental health was found. Conclusions The current study contributed to understanding the social mechanism that determines refugee mental health: participating in social groups (structural social capital) and having supportive and trusting relationships (cognitive social capital), whilst experiencing life as comprehensible, manageable, and meaningful (sense of coherence) are positively related to better mental health of refugees. Findings indicate that preventive interventions aiming to enhance refugees' mental health may be more effective when targeting and promoting both social capital and sense of coherence, from a relatively early stage after arrival in the Netherlands. Structural and cognitive social capital are positively related to mental health of refugees. A positive relation is found between sense of coherence and mental health of refugees. Sense of coherence mediates this relation between cognitive social capital and mental health. Including resiliency factors and strengthening social mechanisms may create more effective mental health interventions.
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Affiliation(s)
- Antoine van Sint Fiet
- ARQ National Psychotrauma Center, Nienoord 5, 1112 XE, Diemen, the Netherlands
- Corresponding author. Arq Centrum ’45, Nienoord 5, 1112 XE Diemen, the Netherlands.
| | - Simone de la Rie
- ARQ National Psychotrauma Center, Nienoord 5, 1112 XE, Diemen, the Netherlands
| | - Niels van der Aa
- ARQ National Psychotrauma Center, Nienoord 5, 1112 XE, Diemen, the Netherlands
| | - Evert Bloemen
- Pharos, Dutch Centre of Expertise on Health Disparities, Arthur van Schendelstraat 600, 3511 MJ, Utrecht, the Netherlands
| | - Tim Wind
- ARQ National Psychotrauma Center, Nienoord 5, 1112 XE, Diemen, the Netherlands
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Heydari F, Nikfarid L, Oujian P, Nasiri M, Motefakker S. Predictors of Perceived Family Sense of Coherence in Parents of Children with Cancer. Indian J Palliat Care 2022; 28:28-36. [PMID: 35673383 PMCID: PMC9165460 DOI: 10.25259/ijpc_107_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 01/09/2022] [Indexed: 12/01/2022] Open
Abstract
Objectives: Despite improvement in childhood cancer survival in recent decades, it is still an extremely challenging health condition for parents. The impacts of childhood cancer on the family as a whole are recently interested by researchers. Family coherence is one of these concepts and health-care providers need to understand the perception of parents of family coherence. This study aimed to assess the correlation between perceived family sense of coherence (SOC) in parents of children with cancer; with socio-demographic, psycho-emotional and family-related variables. Materials and Methods: This cross-sectional correlational study recruited 125 parents of children with cancer attending hospitals in Tehran in 2020, selected by convenience sampling method. The correlation between family SOC and demographic variables, chronic sorrow, coping behaviours, family functioning and social support was investigated using regression analysis. Results: The mean score perceived sense of family coherence in parents of children with cancer was higher in fathers (Beta = 0.17, P = 0.02), urban residents (beta = –0.2, P = 0.01) and homeowners (beta = –0.27, P = 0.001). The sense of family coherence had positive correlations with income grade (beta = 0.27, P = 0.006), coping behaviours (beta = 1.28, P = 0.002), social support (beta = 0.67, P = 0.001), negative correlations with the disturbance in family problem-solving (beta = –0.28, P = 0.006) and chronic sorrow (beta=-0.39, P = 0.001). Conclusion: The present study expanded the concept of family SOC in nursing knowledge and attracted the attention of the providers of family-centred care to the parents of children with cancer and their concerns, which directly and indirectly affect the entire family’s health.
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Affiliation(s)
- Fatemeh Heydari
- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
| | - Lida Nikfarid
- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
| | - Parastoo Oujian
- Department of Psychiatric and Management Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
| | - Maliheh Nasiri
- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
| | - Sanaz Motefakker
- Department of Psychiatric and Management Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
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Hsu TL, Deng F, Cheng S. An examination of parents' perceptions of developmental disability, social support, and health outcomes among Chinese American parents of children with developmental disabilities. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2021; 69:663-674. [PMID: 37547551 PMCID: PMC10402836 DOI: 10.1080/20473869.2021.1994819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 10/12/2021] [Accepted: 10/12/2021] [Indexed: 08/08/2023]
Abstract
Asian immigrant parents raising children with developmental disabilities experience frustration, stress, social isolation, and poor health outcomes. Based on data collected from 55 Chinese American parents of children with developmental disabilities, this study examined the relationships between individual characteristics, parents' perceptions of developmental disability, social support, severity of disability, and parents' self-reported physical health and depressive symptoms. The findings showed that Chinese American parents exhibited different pathways for better health outcomes. Overall social support, specific support from family and friends/co-workers, and community involvement were significant correlates of maternal self-reported physical health and depressive symptoms. Fear of stigmatization was significantly and positively associated with maternal depressive symptoms. Similarly, education and employment status correlated with paternal self-reported physical health and depressive symptoms. The ages of parents and their children were found to be negatively correlated with paternal depressive symptoms. The child's disability severity level was not associated with parents' self-reported physical health and depressive symptoms. The findings also confirmed that parents' self-reported physical health status was significantly and negatively associated with their own depressive symptoms. Chinese American mothers experienced poor physical health and greater depressive symptoms compared to Chinese American fathers. The study's clinical implications and limitations are discussed.
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Affiliation(s)
- Tze-Li Hsu
- Department of Sociology, Sam Houston State University, Huntsville, TX, USA
| | - Furjen Deng
- Department of Sociology, Sam Houston State University, Huntsville, TX, USA
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Kyeremateng JDA, Edusei A, Dogbe JA, Opoku MP, Nketsia W, Hammond C, Afriyie SA. Experiences of primary caregivers of children with cerebral palsy across the trajectory of diagnoses in Ghana. Afr J Disabil 2019; 8:577. [PMID: 31616620 PMCID: PMC6779979 DOI: 10.4102/ajod.v8i0.577] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Accepted: 06/21/2019] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Cerebral palsy (CP) is a non-progressive disorder of posture or movement caused by a lesion to the developing brain that results in functional limitations. The diagnosis of CP can vary from one child to another, causing family stress because of vague and unknown outcomes of the disorder. Although there are negative attitudes in Ghanaian societies towards primary caregivers and children with disabilities, fewer attempts have been made to understand their experiences. OBJECTIVES The main aim of this study was to explore the experiences of primary caregivers across the trajectory of the diagnosis (before, during and after) of CP in the setting of a tertiary hospital. METHOD Using Social Capital Theory as framework, 40 primary caregivers of children with CP, who were receiving treatment at a major referral hospital in Ghana, were interviewed about their experiences before, during and after diagnosis. RESULTS The results that emerged from the thematic analysis were discussed as follows: experiences before diagnosis, experiences during the diagnosis and experiences after the diagnosis. Particularly, participants discussed their inability to access essential services such as education for their children with CP. CONCLUSION In light of systemic challenges faced by participants and their children with CP, the need for health policymakers to prioritise the public education about CP, promoting the well-being of caregivers and other implications of the study have been discussed.
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Affiliation(s)
- Joana D A Kyeremateng
- Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Anthony Edusei
- Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Joslin A Dogbe
- Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Child Health, Kwame Nkrumah University of Science and Technology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Maxwell P Opoku
- Faculty of Education, University of Tasmania, Hobart, Australia
| | - William Nketsia
- School of Education, Western Sydney University, Sydney, Australia
| | - Charles Hammond
- Department of Child Health, Kwame Nkrumah University of Science and Technology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Sally A Afriyie
- Faculty of Education, University of Tasmania, Hobart, Australia
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Kimura M, Yamazaki Y. Having another child without intellectual disabilities: Comparing mothers of a single child with disability and mothers of multiple children with and without disability. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2019; 23:216-232. [PMID: 29284333 PMCID: PMC6537032 DOI: 10.1177/1744629517749129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/13/2017] [Indexed: 06/07/2023]
Abstract
To investigate how having a child without a disability is related to maternal mental health and its predictors, we compared mothers of a single child with intellectual disabilities (single-child group, n = 117) and mothers of children with and without intellectual disabilities (multiple-children group, n = 457), in Japan. Compared to the multiple-children group, the single-child group had lower hope and social capital and poorer mental health; furthermore, 42.5% of them had decided not to have another child, despite desiring one. Hope was the strongest predictor of mental health in both groups but was more positively related to mental health in the multiple-children group. The fear of the possibility of the next child having a disability and receiving inadequate support were the obstacles for mothers who had decided not to have another child. Thus, greater support and more opportunities for obtaining adequate information about the implications of having another child may be needed.
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Affiliation(s)
- Miyako Kimura
- Miyako Kimura, Department of Preventive Medicine, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki-shi, Kanagawa 216-8511, Japan.
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McLeod JD, DiSabatino L. Structured Variation in Parental Beliefs about Autism. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2019; 60:36-54. [PMID: 30614277 DOI: 10.1177/0022146518820581] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
We used data from the 2011 Survey of Pathways to Diagnosis and Services (N = 1,420) to evaluate a conceptual model linking social background (race-ethnicity, socioeconomic status [SES]) to parental distress through children's clinical profiles and parental beliefs about the nature and causes of their child's autism. Children's clinical profiles varied by social background; white children and children of more highly educated and affluent parents were less likely to experience comorbid conditions and were more likely to be diagnosed with Asperger's. Parental beliefs also varied such that parents of racial-ethnic minority children and parents of lower SES perceived their child's condition as more uncertain and were less likely to attribute it to genetic causes. Parents of Hispanic children and with lower incomes were more likely to be upset by the child's condition. Although parental beliefs had independent associations with distress, children's clinical profiles contributed more to explaining variation in distress.
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Dogbe JA, Kyeremateng JDA, Opoku MP, Nketsia W, Hammond C. 'There is family tension, but they understand…': familial and sibling relationships following the diagnosis of cerebral palsy in children in Ghana. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2019; 68:35-46. [PMID: 35173962 PMCID: PMC8843311 DOI: 10.1080/20473869.2019.1573572] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 01/18/2019] [Accepted: 01/18/2019] [Indexed: 06/14/2023]
Abstract
UNLABELLED The challenges faced by parents raising children with cerebral palsy (CP) have been well explored in the literature. However, little attention has been paid to the experiences of parents raising children with CP in low-income countries, such as Ghana. OBJECTIVE Therefore, the objective of this study was to explore parents' experiences of raising children with CP, specifically focusing on the relationships between spouses and between children with CP and their typically developing siblings. METHOD Qualitative semi-structured interviews were conducted with 40 parents, who were purposively selected from the largest tertiary hospital in Ghana. RESULTS The results revealed that typically developing children accept their siblings with CP as their equals and even take up domestic responsibilities to lessen the burden on their parents. However, the parents reported experiencing marital and extended family conflict, financial burden and negative attitudes from spouses, resulting in family tensions. CONCLUSION The implications of these findings for policy-making have also been discussed.
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Affiliation(s)
- Joslin Alexei Dogbe
- Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Child Health, Kwame Nkrumah University of Science and Technology/Komfo Anokye Teaching Hospital Kumasi, Kumasi, Ghana
| | - Joana D. A. Kyeremateng
- Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - William Nketsia
- School of Education, Western Sydney University, Sydney, NSW, Australia
| | - Charles Hammond
- Department of Child Health, Kwame Nkrumah University of Science and Technology/Komfo Anokye Teaching Hospital Kumasi, Kumasi, Ghana
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Kimura M. Social determinants of self-rated health among Japanese mothers of children with disabilities. Prev Med Rep 2018; 10:129-135. [PMID: 29755931 PMCID: PMC5945918 DOI: 10.1016/j.pmedr.2018.02.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Revised: 02/17/2018] [Accepted: 02/26/2018] [Indexed: 12/03/2022] Open
Abstract
Caregivers of children with disability are more likely to be affected by social determinants that lead to poor health. Additionally, a previous study revealed that although mothers of a single child with disability wanted to have another child, various obstacles including social, cultural, economic, and biological factors existed and some had to give up on having another child. Since the mental health and well-being of these mothers were poorer than those of mothers with multiple children with and without disabilities, such family composition may also affect maternal health. This study aimed to investigate and compare the social determinants of self-rated health of mothers only having children with disabilities and those having multiple children with and without disabilities. Through parents' associations of children with disabilities throughout Japan, 2311 self-administrated questionnaires were distributed to mothers of such children from January to March 2016. Out of the 1133 responses (return rate 49%), 1012 (43.8%) mothers of children with disabilities under 20 years of age were used for this study. Logistic regression showed that poor financial situation was most strongly related to poor self-rated health among all mothers. Other factors related to poor self-rated health were a lack of existence of child without disability, social isolation, low health consciousness, child's sex (girl), and severity of disability (mild/moderate). However, these relationships differ based on the existence of a child without disability. Investigating how socioeconomic and cultural conditions relate to family composition including child birth, and how they determine health is needed in the future. Social determinants of health of mothers of children with disabilities were found. Poor financial status was strongly associated with mothers' self-rated health. Social isolation and health consciousness had significant associations with health. Having multiple children with and without disability influenced mothers' health. Social capital was not related to mothers' self-rated health.
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Affiliation(s)
- Miyako Kimura
- St. Marianna University, 2-16-1, Sugao, Miyamae-ku, Kawasaki-shi, Kanagawa, Japan
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Omiya T, Yamazaki Y. Positive change and sense of coherence in Japanese mothers of children with congenital appearance malformation. Health Psychol Open 2018; 4:2055102917729540. [PMID: 29379618 PMCID: PMC5779930 DOI: 10.1177/2055102917729540] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of this study was to clarify the factors related to perceived positive change and sense of coherence in mothers (n = 293) of children with cleft lip and palate. The strongest negative correlation with sense of coherence was stigmatizing words from others; there were positive correlations with social capital and perceived positive change. Multiple regression showed that to be aware of positive changes, mothers share their feelings with mothers in the same position, are rooted in a safe community and do not feel isolated in parenting. People who have experienced adversity may have the opportunity to enhance sense of coherence by obtaining perceived positive change.
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Yoshida K, Orita M, Goto A, Kumagai A, Yasui K, Ohtsuru A, Hayashida N, Kudo T, Yamashita S, Takamura N. Radiation-related anxiety among public health nurses in the Fukushima Prefecture after the accident at the Fukushima Daiichi Nuclear Power Station: a cross-sectional study. BMJ Open 2016; 6:e013564. [PMID: 27798037 PMCID: PMC5093677 DOI: 10.1136/bmjopen-2016-013564] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE In Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS). METHODS We conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (-) group with the anxiety-positive (+) group. RESULTS Of the PHNs, 269 (62.6%) were classified in the anxiety (-) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (-) group and anxiety (+) group (p=0.47). CONCLUSIONS Our study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities.
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Affiliation(s)
- Koji Yoshida
- Department of Health Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
- Education Center for Disaster Medicine, Fukushima Medical University, Fukushima, Japan
| | - Makiko Orita
- Department of Global Health, Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
| | - Aya Goto
- Center for Integrated Science and Humanities, Fukushima Medical University, Fukushima, Japan
| | - Atsushi Kumagai
- Education Center for Disaster Medicine, Fukushima Medical University, Fukushima, Japan
| | - Kiyotaka Yasui
- Education Center for Disaster Medicine, Fukushima Medical University, Fukushima, Japan
| | - Akira Ohtsuru
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Japan
| | - Naomi Hayashida
- Division of Promotion of Collaborative Research on Radiation and Environment Health Effects, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
| | - Takashi Kudo
- Department of Radioisotope Medicine, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
| | - Shunichi Yamashita
- Department of Radiation Medical Sciences, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
| | - Noboru Takamura
- Department of Global Health, Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
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