Loading…

Exploring the Mental Health of Black Men Who Have Sex with Men

Absract Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the me...

Full description

Saved in:
Bibliographic Details
Published in:Community mental health journal 2009-08, Vol.45 (4), p.272-284
Main Authors: Graham, Louis F., Braithwaite, Kisha, Spikes, Pilgrim, Stephens, Charles F., Edu, Ugo F.
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-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383
cites cdi_FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383
container_end_page 284
container_issue 4
container_start_page 272
container_title Community mental health journal
container_volume 45
creator Graham, Louis F.
Braithwaite, Kisha
Spikes, Pilgrim
Stephens, Charles F.
Edu, Ugo F.
description Absract Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multi-racial including black, MSM residing in Atlanta, Georgia participated in two focus groups—11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes for each category were delineated.
doi_str_mv 10.1007/s10597-009-9186-7
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67536211</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>57310485</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383</originalsourceid><addsrcrecordid>eNqFkVFLwzAUhYMobk5_gC8SBH2r5jZp0vsi6JhOUHxQ8TGkXeY6u3Ymnc5_b8qGA0F8Srj5zklyDiGHwM6AMXXugSWoIsYwQkhlpLZIFxLFo1iluE26jAGLeJrwDtnzfsoYSwDULukAxggcsUsuBst5WbuieqXNxNJ7WzWmpENrymZC6zG9Kk3-1o7py6SmQ_Nh6aNd0s8iHIfpPtkZm9Lbg_XaI8_Xg6f-MLp7uLntX95FuVC8icBIKUeKpxwzY4URiDLLIFUZCotoMg6xDNvRCBWKJOdCGJWDSoWSYIKsR05XvnNXvy-sb_Ss8LktS1PZeuG1VAmXMcC_YEgHmAiR9MjxL3BaL1wVPqHjOOUcOcMAwQrKXe29s2M9d8XMuC8NTLcV6FUFOlSg2wq0CpqjtfEim9nRRrHOPAAna8D43JRjZ6q88D9cDAgC09YoXnF-3vZj3eaFf9_-DaGhmhA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228339309</pqid></control><display><type>article</type><title>Exploring the Mental Health of Black Men Who Have Sex with Men</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>ABI/INFORM Global</source><source>Springer Nature</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Sociology Collection</source><source>Sociological Abstracts</source><creator>Graham, Louis F. ; Braithwaite, Kisha ; Spikes, Pilgrim ; Stephens, Charles F. ; Edu, Ugo F.</creator><creatorcontrib>Graham, Louis F. ; Braithwaite, Kisha ; Spikes, Pilgrim ; Stephens, Charles F. ; Edu, Ugo F.</creatorcontrib><description>Absract Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multi-racial including black, MSM residing in Atlanta, Georgia participated in two focus groups—11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes for each category were delineated.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-009-9186-7</identifier><identifier>PMID: 19291399</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; African Americans ; African Americans - psychology ; Anxiety ; Anxiety - epidemiology ; Anxiety disorders ; Anxiety disorders. Neuroses ; Attitudes ; Biological and medical sciences ; Black people ; Community and Environmental Psychology ; Depression ; Depression - epidemiology ; Focus Groups ; Gays &amp; lesbians ; Georgia - epidemiology ; Heterosexuals ; Homosexuality, Male - psychology ; Homosexuals ; Humans ; Identity formation ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Men ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Middle Aged ; Minority &amp; ethnic groups ; Miscellaneous ; Mood disorders ; Original Paper ; Psychiatry ; Psychological distress ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health ; Racial identity ; Social exclusion ; Stigma ; Young Adult</subject><ispartof>Community mental health journal, 2009-08, Vol.45 (4), p.272-284</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383</citedby><cites>FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/228339309/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/228339309?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,12846,21394,21395,27344,27924,27925,30999,31000,33611,33612,33774,34530,34531,36060,36061,43733,44115,44363,74221,74639,74895</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21914987$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19291399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graham, Louis F.</creatorcontrib><creatorcontrib>Braithwaite, Kisha</creatorcontrib><creatorcontrib>Spikes, Pilgrim</creatorcontrib><creatorcontrib>Stephens, Charles F.</creatorcontrib><creatorcontrib>Edu, Ugo F.</creatorcontrib><title>Exploring the Mental Health of Black Men Who Have Sex with Men</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>Absract Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multi-racial including black, MSM residing in Atlanta, Georgia participated in two focus groups—11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes for each category were delineated.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>African Americans</subject><subject>African Americans - psychology</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety disorders</subject><subject>Anxiety disorders. Neuroses</subject><subject>Attitudes</subject><subject>Biological and medical sciences</subject><subject>Black people</subject><subject>Community and Environmental Psychology</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Focus Groups</subject><subject>Gays &amp; lesbians</subject><subject>Georgia - epidemiology</subject><subject>Heterosexuals</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuals</subject><subject>Humans</subject><subject>Identity formation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Men</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Minority &amp; ethnic groups</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Original Paper</subject><subject>Psychiatry</subject><subject>Psychological distress</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health</subject><subject>Racial identity</subject><subject>Social exclusion</subject><subject>Stigma</subject><subject>Young Adult</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M0C</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNqFkVFLwzAUhYMobk5_gC8SBH2r5jZp0vsi6JhOUHxQ8TGkXeY6u3Ymnc5_b8qGA0F8Srj5zklyDiGHwM6AMXXugSWoIsYwQkhlpLZIFxLFo1iluE26jAGLeJrwDtnzfsoYSwDULukAxggcsUsuBst5WbuieqXNxNJ7WzWmpENrymZC6zG9Kk3-1o7py6SmQ_Nh6aNd0s8iHIfpPtkZm9Lbg_XaI8_Xg6f-MLp7uLntX95FuVC8icBIKUeKpxwzY4URiDLLIFUZCotoMg6xDNvRCBWKJOdCGJWDSoWSYIKsR05XvnNXvy-sb_Ss8LktS1PZeuG1VAmXMcC_YEgHmAiR9MjxL3BaL1wVPqHjOOUcOcMAwQrKXe29s2M9d8XMuC8NTLcV6FUFOlSg2wq0CpqjtfEim9nRRrHOPAAna8D43JRjZ6q88D9cDAgC09YoXnF-3vZj3eaFf9_-DaGhmhA</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Graham, Louis F.</creator><creator>Braithwaite, Kisha</creator><creator>Spikes, Pilgrim</creator><creator>Stephens, Charles F.</creator><creator>Edu, Ugo F.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Exploring the Mental Health of Black Men Who Have Sex with Men</title><author>Graham, Louis F. ; Braithwaite, Kisha ; Spikes, Pilgrim ; Stephens, Charles F. ; Edu, Ugo F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>African Americans</topic><topic>African Americans - psychology</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety disorders</topic><topic>Anxiety disorders. Neuroses</topic><topic>Attitudes</topic><topic>Biological and medical sciences</topic><topic>Black people</topic><topic>Community and Environmental Psychology</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Focus Groups</topic><topic>Gays &amp; lesbians</topic><topic>Georgia - epidemiology</topic><topic>Heterosexuals</topic><topic>Homosexuality, Male - psychology</topic><topic>Homosexuals</topic><topic>Humans</topic><topic>Identity formation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Men</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Middle Aged</topic><topic>Minority &amp; ethnic groups</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Original Paper</topic><topic>Psychiatry</topic><topic>Psychological distress</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health</topic><topic>Racial identity</topic><topic>Social exclusion</topic><topic>Stigma</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graham, Louis F.</creatorcontrib><creatorcontrib>Braithwaite, Kisha</creatorcontrib><creatorcontrib>Spikes, Pilgrim</creatorcontrib><creatorcontrib>Stephens, Charles F.</creatorcontrib><creatorcontrib>Edu, Ugo F.</creatorcontrib><collection>Pascal-Francis</collection><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【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Social Services Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science 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>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</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 Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graham, Louis F.</au><au>Braithwaite, Kisha</au><au>Spikes, Pilgrim</au><au>Stephens, Charles F.</au><au>Edu, Ugo F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring the Mental Health of Black Men Who Have Sex with Men</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>45</volume><issue>4</issue><spage>272</spage><epage>284</epage><pages>272-284</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>Absract Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multi-racial including black, MSM residing in Atlanta, Georgia participated in two focus groups—11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes for each category were delineated.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19291399</pmid><doi>10.1007/s10597-009-9186-7</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0010-3853
ispartof Community mental health journal, 2009-08, Vol.45 (4), p.272-284
issn 0010-3853
1573-2789
language eng
recordid cdi_proquest_miscellaneous_67536211
source Applied Social Sciences Index & Abstracts (ASSIA); ABI/INFORM Global; Springer Nature; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection; Sociological Abstracts
subjects Adolescent
Adult
Adult and adolescent clinical studies
African Americans
African Americans - psychology
Anxiety
Anxiety - epidemiology
Anxiety disorders
Anxiety disorders. Neuroses
Attitudes
Biological and medical sciences
Black people
Community and Environmental Psychology
Depression
Depression - epidemiology
Focus Groups
Gays & lesbians
Georgia - epidemiology
Heterosexuals
Homosexuality, Male - psychology
Homosexuals
Humans
Identity formation
Male
Medical sciences
Medicine
Medicine & Public Health
Men
Mental depression
Mental disorders
Mental health
Mental health care
Middle Aged
Minority & ethnic groups
Miscellaneous
Mood disorders
Original Paper
Psychiatry
Psychological distress
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health
Racial identity
Social exclusion
Stigma
Young Adult
title Exploring the Mental Health of Black Men Who Have Sex with Men
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T05%3A11%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Exploring%20the%20Mental%20Health%20of%20Black%20Men%20Who%20Have%20Sex%20with%20Men&rft.jtitle=Community%20mental%20health%20journal&rft.au=Graham,%20Louis%20F.&rft.date=2009-08-01&rft.volume=45&rft.issue=4&rft.spage=272&rft.epage=284&rft.pages=272-284&rft.issn=0010-3853&rft.eissn=1573-2789&rft.coden=CMHJAY&rft_id=info:doi/10.1007/s10597-009-9186-7&rft_dat=%3Cproquest_cross%3E57310485%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c473t-1a666d73839bae4a4996bb187b94e99ab312694edd97945c344a7c1784761a383%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=228339309&rft_id=info:pmid/19291399&rfr_iscdi=true