Loading…

Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study

With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. This paper aims to describe the methods and sample for...

Full description

Saved in:
Bibliographic Details
Published in:JMIR research protocols 2021-09, Vol.10 (9), p.e25750-e25750
Main Authors: Egan, James E, Haberlen, Sabina A, Meanley, Steven, Ware, Deanna, Brown, Andre L, Siconolfi, Daniel, Brennan-Ing, Mark, Stall, Ron, Plankey, Michael W, Friedman, M Reuel
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13
cites cdi_FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13
container_end_page e25750
container_issue 9
container_start_page e25750
container_title JMIR research protocols
container_volume 10
creator Egan, James E
Haberlen, Sabina A
Meanley, Steven
Ware, Deanna
Brown, Andre L
Siconolfi, Daniel
Brennan-Ing, Mark
Stall, Ron
Plankey, Michael W
Friedman, M Reuel
description With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. This paper aims to describe the methods and sample for the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men study. This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. RR1-10.2196/25750.
doi_str_mv 10.2196/25750
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_12abcbf814304cc4a9cc2901ec9638f3</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_12abcbf814304cc4a9cc2901ec9638f3</doaj_id><sourcerecordid>2577903507</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13</originalsourceid><addsrcrecordid>eNpdkltr2zAUgM3YWEuXvzAEY7CXbLpZlz0MQuiWQksLXemjkOXj2MGROkkOy7-fnbSlnR4kcc7Hdw7SKYoZwV8p0eIbLWWJ3xSnRFM9x5Krty_uJ8UspQ0el5JSU_G-OGG8LDnB-LRId76GmLL1defX6MbmDNEnFBq0Atvndo8W6ymz2IZxvwKP7tuAVnYH6Bb-ovsut1P0O7qJIQcXetSEiKxH11WCuLO5C972aBnaEDO6zUO9_1C8a2yfYPZ4nhV3P89_L1fzy-tfF8vF5dxxKvIcKNaCaK5LVbtakRI7VkoJVIKQqhZaY4t1w6AhtHIcV8pSW0stKgeCVISdFRdHbx3sxjzEbmvj3gTbmUMgxLWxMXeuB0OorVzVKMIZ5s5xq52jGhNwWjDVsNH14-h6GKot1A58jrZ_JX2d8V1r1mFnFNdKaTwKvjwKYvgzQMpm2yUHfW89hCGZ6QsVEwJPtT79h27CEMdXPFBylJVYjtTnI-ViSClC89wMwWaaioNyKvzxZefP1NMMsH-EnrBp</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2577903507</pqid></control><display><type>article</type><title>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><creator>Egan, James E ; Haberlen, Sabina A ; Meanley, Steven ; Ware, Deanna ; Brown, Andre L ; Siconolfi, Daniel ; Brennan-Ing, Mark ; Stall, Ron ; Plankey, Michael W ; Friedman, M Reuel</creator><creatorcontrib>Egan, James E ; Haberlen, Sabina A ; Meanley, Steven ; Ware, Deanna ; Brown, Andre L ; Siconolfi, Daniel ; Brennan-Ing, Mark ; Stall, Ron ; Plankey, Michael W ; Friedman, M Reuel</creatorcontrib><description>With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. This paper aims to describe the methods and sample for the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men study. This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. RR1-10.2196/25750.</description><identifier>ISSN: 1929-0748</identifier><identifier>EISSN: 1929-0748</identifier><identifier>DOI: 10.2196/25750</identifier><identifier>PMID: 34554100</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Acquired immune deficiency syndrome ; Aging ; AIDS ; Cohort analysis ; Community support ; Data collection ; Domestic violence ; Enrollments ; Gays &amp; lesbians ; Health care ; Health disparities ; HIV ; Homophobia ; Human immunodeficiency virus ; Mens health ; Middle age ; Minority &amp; ethnic groups ; Observational studies ; Protocol ; Public health ; Research methodology</subject><ispartof>JMIR research protocols, 2021-09, Vol.10 (9), p.e25750-e25750</ispartof><rights>James E Egan, Sabina A Haberlen, Steven Meanley, Deanna Ware, Andre L Brown, Daniel Siconolfi, Mark Brennan-Ing, Ron Stall, Michael W Plankey, M Reuel Friedman. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 23.09.2021.</rights><rights>2021. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>James E Egan, Sabina A Haberlen, Steven Meanley, Deanna Ware, Andre L Brown, Daniel Siconolfi, Mark Brennan-Ing, Ron Stall, Michael W Plankey, M Reuel Friedman. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 23.09.2021. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13</citedby><cites>FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13</cites><orcidid>0000-0001-5923-1864 ; 0000-0002-9467-3454 ; 0000-0001-9071-6659 ; 0000-0003-2022-8283 ; 0000-0003-3888-7148 ; 0000-0002-7805-5410 ; 0000-0001-6191-9799 ; 0000-0002-6098-9733 ; 0000-0002-4741-4396 ; 0000-0003-4554-7483</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2577903507/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2577903507?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,36992,44569,53769,53771,74872</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34554100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Egan, James E</creatorcontrib><creatorcontrib>Haberlen, Sabina A</creatorcontrib><creatorcontrib>Meanley, Steven</creatorcontrib><creatorcontrib>Ware, Deanna</creatorcontrib><creatorcontrib>Brown, Andre L</creatorcontrib><creatorcontrib>Siconolfi, Daniel</creatorcontrib><creatorcontrib>Brennan-Ing, Mark</creatorcontrib><creatorcontrib>Stall, Ron</creatorcontrib><creatorcontrib>Plankey, Michael W</creatorcontrib><creatorcontrib>Friedman, M Reuel</creatorcontrib><title>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study</title><title>JMIR research protocols</title><addtitle>JMIR Res Protoc</addtitle><description>With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. This paper aims to describe the methods and sample for the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men study. This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. RR1-10.2196/25750.</description><subject>Acquired immune deficiency syndrome</subject><subject>Aging</subject><subject>AIDS</subject><subject>Cohort analysis</subject><subject>Community support</subject><subject>Data collection</subject><subject>Domestic violence</subject><subject>Enrollments</subject><subject>Gays &amp; lesbians</subject><subject>Health care</subject><subject>Health disparities</subject><subject>HIV</subject><subject>Homophobia</subject><subject>Human immunodeficiency virus</subject><subject>Mens health</subject><subject>Middle age</subject><subject>Minority &amp; ethnic groups</subject><subject>Observational studies</subject><subject>Protocol</subject><subject>Public health</subject><subject>Research methodology</subject><issn>1929-0748</issn><issn>1929-0748</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkltr2zAUgM3YWEuXvzAEY7CXbLpZlz0MQuiWQksLXemjkOXj2MGROkkOy7-fnbSlnR4kcc7Hdw7SKYoZwV8p0eIbLWWJ3xSnRFM9x5Krty_uJ8UspQ0el5JSU_G-OGG8LDnB-LRId76GmLL1defX6MbmDNEnFBq0Atvndo8W6ymz2IZxvwKP7tuAVnYH6Bb-ovsut1P0O7qJIQcXetSEiKxH11WCuLO5C972aBnaEDO6zUO9_1C8a2yfYPZ4nhV3P89_L1fzy-tfF8vF5dxxKvIcKNaCaK5LVbtakRI7VkoJVIKQqhZaY4t1w6AhtHIcV8pSW0stKgeCVISdFRdHbx3sxjzEbmvj3gTbmUMgxLWxMXeuB0OorVzVKMIZ5s5xq52jGhNwWjDVsNH14-h6GKot1A58jrZ_JX2d8V1r1mFnFNdKaTwKvjwKYvgzQMpm2yUHfW89hCGZ6QsVEwJPtT79h27CEMdXPFBylJVYjtTnI-ViSClC89wMwWaaioNyKvzxZefP1NMMsH-EnrBp</recordid><startdate>20210923</startdate><enddate>20210923</enddate><creator>Egan, James E</creator><creator>Haberlen, Sabina A</creator><creator>Meanley, Steven</creator><creator>Ware, Deanna</creator><creator>Brown, Andre L</creator><creator>Siconolfi, Daniel</creator><creator>Brennan-Ing, Mark</creator><creator>Stall, Ron</creator><creator>Plankey, Michael W</creator><creator>Friedman, M Reuel</creator><general>JMIR Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</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>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5923-1864</orcidid><orcidid>https://orcid.org/0000-0002-9467-3454</orcidid><orcidid>https://orcid.org/0000-0001-9071-6659</orcidid><orcidid>https://orcid.org/0000-0003-2022-8283</orcidid><orcidid>https://orcid.org/0000-0003-3888-7148</orcidid><orcidid>https://orcid.org/0000-0002-7805-5410</orcidid><orcidid>https://orcid.org/0000-0001-6191-9799</orcidid><orcidid>https://orcid.org/0000-0002-6098-9733</orcidid><orcidid>https://orcid.org/0000-0002-4741-4396</orcidid><orcidid>https://orcid.org/0000-0003-4554-7483</orcidid></search><sort><creationdate>20210923</creationdate><title>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study</title><author>Egan, James E ; Haberlen, Sabina A ; Meanley, Steven ; Ware, Deanna ; Brown, Andre L ; Siconolfi, Daniel ; Brennan-Ing, Mark ; Stall, Ron ; Plankey, Michael W ; Friedman, M Reuel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Aging</topic><topic>AIDS</topic><topic>Cohort analysis</topic><topic>Community support</topic><topic>Data collection</topic><topic>Domestic violence</topic><topic>Enrollments</topic><topic>Gays &amp; lesbians</topic><topic>Health care</topic><topic>Health disparities</topic><topic>HIV</topic><topic>Homophobia</topic><topic>Human immunodeficiency virus</topic><topic>Mens health</topic><topic>Middle age</topic><topic>Minority &amp; ethnic groups</topic><topic>Observational studies</topic><topic>Protocol</topic><topic>Public health</topic><topic>Research methodology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Egan, James E</creatorcontrib><creatorcontrib>Haberlen, Sabina A</creatorcontrib><creatorcontrib>Meanley, Steven</creatorcontrib><creatorcontrib>Ware, Deanna</creatorcontrib><creatorcontrib>Brown, Andre L</creatorcontrib><creatorcontrib>Siconolfi, Daniel</creatorcontrib><creatorcontrib>Brennan-Ing, Mark</creatorcontrib><creatorcontrib>Stall, Ron</creatorcontrib><creatorcontrib>Plankey, Michael W</creatorcontrib><creatorcontrib>Friedman, M Reuel</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: 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 &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Nursing &amp; Allied Health Premium</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><collection>Directory of Open Access Journals</collection><jtitle>JMIR research protocols</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Egan, James E</au><au>Haberlen, Sabina A</au><au>Meanley, Steven</au><au>Ware, Deanna</au><au>Brown, Andre L</au><au>Siconolfi, Daniel</au><au>Brennan-Ing, Mark</au><au>Stall, Ron</au><au>Plankey, Michael W</au><au>Friedman, M Reuel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study</atitle><jtitle>JMIR research protocols</jtitle><addtitle>JMIR Res Protoc</addtitle><date>2021-09-23</date><risdate>2021</risdate><volume>10</volume><issue>9</issue><spage>e25750</spage><epage>e25750</epage><pages>e25750-e25750</pages><issn>1929-0748</issn><eissn>1929-0748</eissn><abstract>With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. This paper aims to describe the methods and sample for the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men study. This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. RR1-10.2196/25750.</abstract><cop>Canada</cop><pub>JMIR Publications</pub><pmid>34554100</pmid><doi>10.2196/25750</doi><orcidid>https://orcid.org/0000-0001-5923-1864</orcidid><orcidid>https://orcid.org/0000-0002-9467-3454</orcidid><orcidid>https://orcid.org/0000-0001-9071-6659</orcidid><orcidid>https://orcid.org/0000-0003-2022-8283</orcidid><orcidid>https://orcid.org/0000-0003-3888-7148</orcidid><orcidid>https://orcid.org/0000-0002-7805-5410</orcidid><orcidid>https://orcid.org/0000-0001-6191-9799</orcidid><orcidid>https://orcid.org/0000-0002-6098-9733</orcidid><orcidid>https://orcid.org/0000-0002-4741-4396</orcidid><orcidid>https://orcid.org/0000-0003-4554-7483</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1929-0748
ispartof JMIR research protocols, 2021-09, Vol.10 (9), p.e25750-e25750
issn 1929-0748
1929-0748
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_12abcbf814304cc4a9cc2901ec9638f3
source Open Access: PubMed Central; Publicly Available Content Database
subjects Acquired immune deficiency syndrome
Aging
AIDS
Cohort analysis
Community support
Data collection
Domestic violence
Enrollments
Gays & lesbians
Health care
Health disparities
HIV
Homophobia
Human immunodeficiency virus
Mens health
Middle age
Minority & ethnic groups
Observational studies
Protocol
Public health
Research methodology
title Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T04%3A29%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Understanding%20Patterns%20of%20Healthy%20Aging%20Among%20Men%20Who%20Have%20Sex%20With%20Men:%20Protocol%20for%20an%20Observational%20Cohort%20Study&rft.jtitle=JMIR%20research%20protocols&rft.au=Egan,%20James%20E&rft.date=2021-09-23&rft.volume=10&rft.issue=9&rft.spage=e25750&rft.epage=e25750&rft.pages=e25750-e25750&rft.issn=1929-0748&rft.eissn=1929-0748&rft_id=info:doi/10.2196/25750&rft_dat=%3Cproquest_doaj_%3E2577903507%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c426t-e2096194958dcd8150c3577e27e678d6990a09f3ef12bc40b8a2ad796bce61b13%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2577903507&rft_id=info:pmid/34554100&rfr_iscdi=true