{"id":"W4281709278","doi":"10.1186/s12913-022-08149-1","title":"“Syndemic moral distress”: sexual health provider practices in the context of co-occurring, socially produced sexual and mental health epidemics","year":2022,"lang":"en","type":"article","venue":"BMC Health Services Research","topic":"Sexuality, Behavior, and Technology","field":"Psychology","cited_by":3,"is_retracted":false,"has_abstract":true,"ca_institutions":"British Columbia Centre on Substance Use; University of Toronto; Simon Fraser University; Institut National de Santé Publique du Québec; University of British Columbia; BC Centre for Disease Control; Université de Montréal; Vancouver Coastal Health","funders":"British Columbia Centre for Disease Control","keywords":"Syndemic; Mental health; Reproductive health; Psychological intervention; Public health; Psychosocial; Medicine; Distress; Nursing research; Psychiatry; Psychology; Population; Clinical psychology; Nursing; Environmental health","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.01923786,0.0003226716,0.0009002049,0.0005491499,0.001601874,0.00006701454,0.001397811,0.0001976414,0.0001799664],"category_scores_gemma":[0.0001614227,0.0002884318,0.00004420655,0.001151239,0.0005402889,0.0002137174,0.000698347,0.002514803,0.00001417153],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0008613419,"about_ca_system_score_gemma":0.003550774,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.09254886,"about_ca_topic_score_gemma":0.05025701,"domain_scores_codex":[0.9830176,0.01063522,0.001588251,0.001264134,0.001547027,0.001947744],"domain_scores_gemma":[0.9953737,0.001343038,0.001659576,0.001111023,0.0001555153,0.0003571927],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"qualitative","study_design_scores_codex":[0.0006019753,0.001570164,0.8117437,0.002809165,0.00004203157,0.00001196626,0.1336101,0.000001850831,0.00005583109,0.008042473,0.005250594,0.03626024],"study_design_scores_gemma":[0.002673206,0.005202408,0.2301417,0.00007093757,0.00000626796,0.0001419211,0.7246187,0.0002164573,0.000008690571,0.0003630484,0.0362415,0.0003151082],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9597811,0.007470923,0.000003095177,0.02725223,0.0004013289,0.003962754,0.0008009637,0.0001005654,0.0002270128],"genre_scores_gemma":[0.9872664,0.0002072936,0.0001739596,0.0102587,0.0002035648,0.0009229353,0.000466004,0.00006328952,0.0004378977],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.5910087,"threshold_uncertainty_score":0.9999568,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2160174446260339,"score_gpt":0.5310351488080212,"score_spread":0.3150177041819873,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}