Nayem, Md. Mahadi Hassan https://orcid.org/0009-0008-5393-9800
Biswas, Soma Chowdhury
Article History
Received: 16 April 2026
Accepted: 28 July 2026
First Online: 6 August 2026
Declarations
Competing interests: Author M.M.H. Nayem is the sole developer of the drglm R package 26 , which implements the D&R framework evaluated in this paper. This potential conflict of interest is disclosed in accordance with journal policy. To reduce implementation-level ambiguity, the archived code repository cited below includes both the drglm -based analysis scripts and a manual D&R implementation used to reproduce the main subset-fit and recombination steps without reliance on the high-level package interface. Author S.C. Biswas declares no competing interests.
Ethical compliance: This study used publicly available, de-identified survey data from the BRFSS. All BRFSS procedures were approved by the relevant institutional review boards at CDC and participating state health departments. The secondary data analysis was conducted in accordance with ethical standards for human subjects research and did not require additional IRB approval.