Article History
Received: 24 September 2024
Revised: 28 April 2025
Accepted: 9 May 2025
First Online: 21 May 2025
Competing interests
: The authors declare no competing interests.
: This study protocol was approved by the Institutional Review Boards of the University of North Carolina at Chapel Hill UNC (IRB Number: 09-0828) and the NC Division of Public Health. The EPA’s Human Subjects Research Officer also reviewed and approved this work (HSR-001254). This analysis was secondary data, and informed consent was not required. All methods were performed in accordance with the relevant guidelines and regulations.