da Silva Rocha, Izabele https://orcid.org/0009-0000-4537-1962
Rodrigues Galvão, Maria Helena https://orcid.org/0000-0003-1344-2863
Jacob, Michelle Cristine Medeiros https://orcid.org/0000-0002-4881-7285
Vieira, Renata Adrielle Lima https://orcid.org/0000-0001-8700-9507
Gomes, Sávio Marcelino https://orcid.org/0000-0002-6320-2502
Funding for this research was provided by:
Coordination for the Improvement of Higher Education Personnel (001)
Universidade Federal Da Paraíba
Article History
Received: 10 February 2026
Accepted: 21 May 2026
First Online: 2 July 2026
Declarations
:
: The 2019 National Health Survey (PNS) was approved by the National Research Ethics Commission (Approval No. 3529376, August 23, 2019), and all participants provided informed consent. According to Resolution No. 466/2012 of the Brazilian National Health Council, secondary analyses of anonymized public data, such as the PNS, do not require additional ethical approval.
: Not applicable.
: The authors declare no conflicts of interest.
: 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.