Kerr, Ligia
Leal, Marto
da Silva, Ana Zaira
Motta-Castro, Ana Rita C.
Moreira, Regina
de Macedo Brígido, Luis Fernando
Leal, Andréa F.
Knauth, Daniela
Veras, Maria Amélia
de Brito, Ana Maria
Merchán-Hermann, Edgar
Bermudez, Ximena Pamela Díaz
Pontes, Alexandre Kerr
Macena, Raimunda Hermelinda M.
Lima, Luana N. C.
Guimarães, Mark Drew Crosland
Dourado, Inês
Oliveira, Lisângela Cristina
Magno, Laio
Generoso, Igor
dos Santos Barros, Claudia Renata
Kendall, Carl
Article History
Received: 23 June 2025
Accepted: 6 November 2025
First Online: 24 January 2026
Declarations
:
: The authors declare no competing interests.
: The study protocol was approved in 2015 by the Committee on Research Ethics of the Federal University of Ceará (UFC), accredited by the Brazil National Commission on Research (#1.024.053-23/06/2015), and all methods were performed in accordance with the ethical standards as laid down in the Declaration of Helsinki. All the participants signed separate ICFs for the questionnaire and each test. The study team was responsible for referring participants with positive tests to specialized health services. All the participants signed separate ICFs for the questionnaire and each test.