de Mendonça, Diego Santiago https://orcid.org/0000-0002-7513-2986
Gurgel, Marcela Lima https://orcid.org/0000-0001-9978-0542
Ribeiro, Esther Carneiro https://orcid.org/0000-0001-9353-6178
Rodrigues, João Victor de Oliveira https://orcid.org/0009-0008-4755-5042
de Aguiar, Andrea Silvia Walter https://orcid.org/0000-0002-4316-9020
Cevidanes, Lucia Helena Soares https://orcid.org/0000-0001-9786-2253
Kurita, Lúcio Mitsuo https://orcid.org/0000-0002-9676-4376
Tuji, Fabrício Mesquita https://orcid.org/0000-0002-1135-1012
Neves, Frederico Sampaio https://orcid.org/0000-0001-9178-707X
Silva, Paulo Goberlânio de Barros https://orcid.org/0000-0002-1513-9027
de Oliveira, Saulo Anderson Freitas https://orcid.org/0000-0001-6362-6113
da Silva, José Wellington Franco https://orcid.org/0000-0001-9093-0428
Costa, Fábio Wildson Gurgel https://orcid.org/0000-0002-3262-3347
Funding for this research was provided by:
Universidade Federal Do Ceará
Article History
Received: 30 August 2025
Accepted: 25 March 2026
First Online: 6 April 2026
Declarations
:
: This cross-sectional investigation was performed after approval by the Ethics and Research Committee (number 5.642.170) and followed the principles outlined in the Declaration of Helsinki. It was conducted in accordance with the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) Statement.
: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
: During the preparation of this work, we did not use of generative AI and AI-assisted technologies in the writing process.