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Authors
Bentley, R. Alexander https://orcid.org/0000-0001-9086-2197
Ozeryansky, Larisa
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Article History
Received: 15 June 2026
Accepted: 31 August 2026
First Online: 8 September 2026
Declarations
Competing interests: The authors declare that they have no competing interests.
Ethics and consent to participate: The study uses publicly available, aggregated county-level data from secondary sources and does not involve human participants, identifiable personal information, or intervention with individuals. Consequently, ethics committee approval and informed consent were not required.
