Sturla Irizarry, Savannah M.
Cathey, Amber L.
Zimmerman, Emily
Hao, Wei
Lin, Yi-Ting
Mukherjee, Bhramar
Rosario Pabón, Zaira Y.
Huerta Montañez, Gredia
Vélez Vega, Carmen M.
Alshawabkeh, Akram N.
Cordero, José F.
Meeker, John D.
Watkins, Deborah J. https://orcid.org/0000-0002-6692-2206
Article History
Received: 13 January 2026
Revised: 22 May 2026
Accepted: 27 May 2026
First Online: 8 June 2026
Competing interests
: The authors declare no competing interests.
: This study was approved by the research and ethics committees of the University of Michigan School of Public Health, Northeastern University, the University of Puerto Rico, and participating hospitals and clinics. Study participants received a full description of the study and provided full informed consent prior to participation. All methods were performed in accordance with the relevant guidelines and regulations.