Nayem, Md. Mahadi Hassan
Biswas, Soma Chowdhury
Article History
Received: 10 December 2025
Accepted: 28 March 2026
First Online: 3 April 2026
Declarations
:
: The authors declare no competing interests.
: This study utilized publicly available de-identified survey data from the Behavioral Risk Factor Surveillance System (BRFSS). All BRFSS procedures were approved by relevant institutional review boards at the Centers for Disease Control and Prevention and participating state health departments. All participants provided informed consent prior to participation. The current secondary data analysis was conducted in accordance with ethical standards for human subjects research and did not require additional IRB approval as it used publicly available, de-identified data.