Understanding Racial HIV/STI Disparities in Black and White Men Who Have Sex with Men: A Multilevel Approach
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{"title"=>"Understanding racial HIV/STI disparities in black and white men who have sex with men: A multilevel approach", "type"=>"journal", "authors"=>[{"first_name"=>"Patrick S.", "last_name"=>"Sullivan", "scopus_author_id"=>"7402033120"}, {"first_name"=>"John", "last_name"=>"Peterson", "scopus_author_id"=>"7403426494"}, {"first_name"=>"Eli S.", "last_name"=>"Rosenberg", "scopus_author_id"=>"23995801600"}, {"first_name"=>"Colleen F.", "last_name"=>"Kelley", "scopus_author_id"=>"15845822200"}, {"first_name"=>"Hannah", "last_name"=>"Cooper", "scopus_author_id"=>"8779276900"}, {"first_name"=>"Adam", "last_name"=>"Vaughan", "scopus_author_id"=>"56097032600"}, {"first_name"=>"Laura F.", "last_name"=>"Salazar", "scopus_author_id"=>"7102692189"}, {"first_name"=>"Paula", "last_name"=>"Frew", "scopus_author_id"=>"6602263353"}, {"first_name"=>"Gina", "last_name"=>"Wingood", "scopus_author_id"=>"7005350089"}, {"first_name"=>"Ralph", "last_name"=>"DiClemente", "scopus_author_id"=>"7005292881"}, {"first_name"=>"Carlos", "last_name"=>"Del Rio", "scopus_author_id"=>"7101889314"}, {"first_name"=>"Mark", "last_name"=>"Mulligan", "scopus_author_id"=>"7102563329"}, {"first_name"=>"Travis H.", "last_name"=>"Sanchez", "scopus_author_id"=>"9434782800"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84897537863", "sgr"=>"84897537863", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0090514", "pmid"=>"24608176", "isbn"=>"1932-6203", "pui"=>"372754371"}, "id"=>"8911fa20-8671-36e3-8209-2b299c3df342", "abstract"=>"BACKGROUND: The reasons for black/white disparities in HIV epidemics among men who have sex with men have puzzled researchers for decades. Understanding reasons for these disparities requires looking beyond individual-level behavioral risk to a more comprehensive framework. METHODS AND FINDINGS: From July 2010-December 2012, 803 men (454 black, 349 white) were recruited through venue-based and online sampling; consenting men were provided HIV and STI testing, completed a behavioral survey and a sex partner inventory, and provided place of residence for geocoding. HIV prevalence was higher among black (43%) versus white (13% MSM (prevalence ratio (PR) 3.3, 95% confidence interval (CI): 2.5-4.4). Among HIV-positive men, the median CD4 count was significantly lower for black (490 cells/microL) than white (577 cells/microL) MSM; there was no difference in the HIV RNA viral load by race. Black men were younger, more likely to be bisexual and unemployed, had less educational attainment, and reported fewer male sex partners, fewer unprotected anal sex partners, and less non-injection drug use. Black MSM were significantly more likely than white MSM to have rectal chlamydia and gonorrhea, were more likely to have racially concordant partnerships, more likely to have casual (one-time) partners, and less likely to discuss serostatus with partners. The census tracts where black MSM lived had higher rates of poverty and unemployment, and lower median income. They also had lower proportions of male-male households, lower male to female sex ratios, and lower HIV diagnosis rates. CONCLUSIONS: Among black and white MSM in Atlanta, disparities in HIV and STI prevalence by race are comparable to those observed nationally. We identified differences between black and white MSM at the individual, dyadic/sexual network, and community levels. The reasons for black/white disparities in HIV prevalence in Atlanta are complex, and will likely require a multilevel framework to understand comprehensively.", "link"=>"http://www.mendeley.com/research/understanding-racial-hivsti-disparities-black-white-men-sex-men-multilevel-approach", "reader_count"=>72, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Researcher"=>18, "Student > Doctoral Student"=>13, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>1, "Student > Master"=>8, "Other"=>4, "Student > Bachelor"=>3, "Professor"=>6}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Researcher"=>18, "Student > Doctoral Student"=>13, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>1, "Student > Master"=>8, "Other"=>4, "Student > Bachelor"=>3, "Professor"=>6}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Agricultural and Biological Sciences"=>3, "Arts and Humanities"=>2, "Business, Management and Accounting"=>1, "Veterinary Science and Veterinary Medicine"=>1, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>26, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Physics and Astronomy"=>1, "Psychology"=>6, "Social Sciences"=>17}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>26}, "Social Sciences"=>{"Social Sciences"=>17}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>6}, "Unspecified"=>{"Unspecified"=>8}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Norway"=>1, "United States"=>6}, "group_count"=>9}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1411969"], "description"=>"<p>Men recruited through Facebook were screened for eligibility criteria online; men who met eligibility criteria in their online screening were invited to attend an in-person baseline (enrollment) visit. *Participant may have more than once reason for ineligibility. **The race of 3 participants was adjusted once they attended their baseline visit due to incorrect screening races being recorded.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "recruitment", "incidence"], "article_id"=>955392, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.g001", "stats"=>{"downloads"=>7, "page_views"=>51, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Enrollment_scheme_and_results_for_recruitment_of_a_black_white_HIV_STI_incidence_cohort_Atlanta_2010_8211_2012_/955392", "title"=>"Enrollment scheme and results for recruitment of a black/white HIV/STI incidence cohort, Atlanta, 2010–2012.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411976"], "description"=>"<p>Biomedical measures on 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "measures", "803", "non-hispanic", "MSM", "enrollment"], "article_id"=>955399, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.t002", "stats"=>{"downloads"=>3, "page_views"=>26, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Biomedical_measures_on_803_black_and_white_non_Hispanic_MSM_at_enrollment_in_the_InvolveMENt_study_/955399", "title"=>"Biomedical measures on 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411977"], "description"=>"<p>A total of 350 unique census tracts were included in the analysis; there are 946 census tracts in the Atlanta MSA, which was the catchment area for the study. Because we calculated the mean of census tracts where the participants lived, the number of items of census tract data included in the average was equal to the number of participants for all calculations except for HIV diagnosis rate. Diagnosis rates are missing for 49 individuals who lived in census tracts not included in the data released from the state and for 40 individuals who lived in census tracts for which the numerator (number of persons living with an HIV infection diagnosis) was less than 5 and/or the denominator (number of people in the census tract in that population group) was <500.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "tract", "census", "tracts", "797", "non-hispanic", "MSM", "resided", "enrollment"], "article_id"=>955400, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.t005", "stats"=>{"downloads"=>2, "page_views"=>33, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Census_tract_characteristics_of_census_tracts_in_which_797_black_and_white_non_Hispanic_MSM_resided_at_enrollment_in_the_InvolveMENt_study_/955400", "title"=>"Census tract characteristics of census tracts in which 797 black and white non-Hispanic MSM resided at enrollment in the <i>InvolveMENt</i> study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411975"], "description"=>"<p>Age-specific HIV prevalence among on 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "prevalence", "803", "non-hispanic", "MSM", "enrollment"], "article_id"=>955398, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.t003", "stats"=>{"downloads"=>3, "page_views"=>37, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_specific_HIV_prevalence_among_on_803_black_and_white_non_Hispanic_MSM_at_enrollment_in_the_InvolveMENt_study_/955398", "title"=>"Age-specific HIV prevalence among on 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411984", "https://ndownloader.figshare.com/files/1411985"], "description"=>"<div><p>Background</p><p>The reasons for black/white disparities in HIV epidemics among men who have sex with men have puzzled researchers for decades. Understanding reasons for these disparities requires looking beyond individual-level behavioral risk to a more comprehensive framework.</p><p>Methods and Findings</p><p>From July 2010-Decemeber 2012, 803 men (454 black, 349 white) were recruited through venue-based and online sampling; consenting men were provided HIV and STI testing, completed a behavioral survey and a sex partner inventory, and provided place of residence for geocoding. HIV prevalence was higher among black (43%) versus white (13% MSM (prevalence ratio (PR) 3.3, 95% confidence interval (CI): 2.5–4.4). Among HIV-positive men, the median CD4 count was significantly lower for black (490 cells/µL) than white (577 cells/µL) MSM; there was no difference in the HIV RNA viral load by race. Black men were younger, more likely to be bisexual and unemployed, had less educational attainment, and reported fewer male sex partners, fewer unprotected anal sex partners, and less non-injection drug use. Black MSM were significantly more likely than white MSM to have rectal chlamydia and gonorrhea, were more likely to have racially concordant partnerships, more likely to have casual (one-time) partners, and less likely to discuss serostatus with partners. The census tracts where black MSM lived had higher rates of poverty and unemployment, and lower median income. They also had lower proportions of male-male households, lower male to female sex ratios, and lower HIV diagnosis rates.</p><p>Conclusions</p><p>Among black and white MSM in Atlanta, disparities in HIV and STI prevalence by race are comparable to those observed nationally. We identified differences between black and white MSM at the individual, dyadic/sexual network, and community levels. The reasons for black/white disparities in HIV prevalence in Atlanta are complex, and will likely require a multilevel framework to understand comprehensively.</p></div>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "disparities", "men", "multilevel"], "article_id"=>955406, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0090514.s001", "https://dx.doi.org/10.1371/journal.pone.0090514.s002"], "stats"=>{"downloads"=>7, "page_views"=>41, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Understanding_Racial_HIV_STI_Disparities_in_Black_and_White_Men_Who_Have_Sex_with_Men_A_Multilevel_Approach_/955406", "title"=>"Understanding Racial HIV/STI Disparities in Black and White Men Who Have Sex with Men: A Multilevel Approach", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411980"], "description"=>"<p>Characteristics of 2,913 partnerships reported by 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "partnerships", "803", "non-hispanic", "MSM", "enrollment"], "article_id"=>955402, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.t004", "stats"=>{"downloads"=>1, "page_views"=>27, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_2_913_partnerships_reported_by_803_black_and_white_non_Hispanic_MSM_at_enrollment_in_the_InvolveMENt_study_/955402", "title"=>"Characteristics of 2,913 partnerships reported by 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411974"], "description"=>"<p>** Options for other non-injection drugs included: Crystal meth, crack, cocaine, downers, painkillers, hallucinogens, ecstasy, special K, GHB.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "803", "non-hispanic", "MSM", "enrollment"], "article_id"=>955397, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.t001", "stats"=>{"downloads"=>2, "page_views"=>38, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographic_and_behavioral_characteristics_of_803_black_and_white_non_Hispanic_MSM_at_enrollment_in_the_InvolveMENt_study_/955397", "title"=>"Demographic and behavioral characteristics of 803 black and white non-Hispanic MSM at enrollment in the <i>InvolveMENt</i> study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-07 03:05:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1411973"], "description"=>"<p>Distribution of residence of MSM enrolled in a cohort study of men who have sex with men in Atlanta, June 2010-December 2012.</p>", "links"=>[], "tags"=>["epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "aids", "chlamydia", "gonorrhea", "syphilis", "Viral diseases", "hiv", "HIV epidemiology", "Public health", "Socioeconomic aspects of health", "psychology", "behavior", "MSM", "enrolled", "cohort", "men", "june", "2010-december"], "article_id"=>955396, "categories"=>["Medicine", "Sociology"], "users"=>["Patrick S. Sullivan", "John Peterson", "Eli S. Rosenberg", "Colleen F. Kelley", "Hannah Cooper", "Adam Vaughan", "Laura F. Salazar", "Paula Frew", "Gina Wingood", "Ralph DiClemente", "Carlos del Rio", "Mark Mulligan", "Travis H. Sanchez"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090514.g002", "stats"=>{"downloads"=>5, "page_views"=>24, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Distribution_of_residence_of_MSM_enrolled_in_a_cohort_study_of_men_who_have_sex_with_men_in_Atlanta_June_2010_December_2012_/955396", "title"=>"Distribution of residence of MSM enrolled in a cohort study of men who have sex with men in Atlanta, June 2010-December 2012.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-07 03:05:36"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"49", "full-text"=>"52", "pdf"=>"33", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"4"}
  • {"unique-ip"=>"49", "full-text"=>"58", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2015", "month"=>"4"}
  • {"unique-ip"=>"25", "full-text"=>"33", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"27", "full-text"=>"36", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"28", "full-text"=>"33", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"38", "full-text"=>"51", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
  • {"unique-ip"=>"31", "full-text"=>"37", "pdf"=>"18", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"2"}
  • {"unique-ip"=>"20", "full-text"=>"26", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"30", "full-text"=>"35", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"41", "full-text"=>"42", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"27", "full-text"=>"26", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
  • {"unique-ip"=>"25", "full-text"=>"23", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"8"}
  • {"unique-ip"=>"24", "full-text"=>"28", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"9"}
  • {"unique-ip"=>"30", "full-text"=>"35", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"30", "full-text"=>"32", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"34", "full-text"=>"27", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"5", "cited-by"=>"1", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"16", "full-text"=>"16", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
  • {"unique-ip"=>"29", "full-text"=>"28", "pdf"=>"18", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
  • {"unique-ip"=>"47", "full-text"=>"54", "pdf"=>"24", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"32", "full-text"=>"28", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"32", "full-text"=>"32", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"31", "full-text"=>"32", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"21", "full-text"=>"22", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"28", "full-text"=>"29", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"27", "full-text"=>"29", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"18", "full-text"=>"21", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"21", "full-text"=>"21", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"24", "full-text"=>"27", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"28", "full-text"=>"30", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"32", "full-text"=>"33", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"13", "full-text"=>"15", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"32", "full-text"=>"35", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"27", "full-text"=>"29", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"34", "full-text"=>"38", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"19", "full-text"=>"15", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"31", "full-text"=>"31", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"18", "full-text"=>"18", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"22", "full-text"=>"25", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"20", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"38", "full-text"=>"70", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"34", "full-text"=>"43", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"38", "full-text"=>"39", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
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