Funding for this research was provided by:
University of South Carolina
Article History
Received: 13 November 2025
Revised: 3 May 2026
Accepted: 30 May 2026
First Online: 19 June 2026
Declarations
:
: This study used publicly available, de-identified data from the Behavioral Risk Factor Surveillance System (BRFSS). Therefore, institutional review board (IRB) approval and informed consent to participate were not required.
: The authors have no relevant financial or non-financial interests to disclose.