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Article History

Received: 20 March 2025

Accepted: 7 July 2025

First Online: 7 August 2025

Declarations

:

: This research involving human participants was reviewed and approved by the Institutional Review Board of the CDC’s National Center for Health Statistics. Written informed consent was obtained from all participants, and the study adhered to the principles outlined in the Helsinki Declaration. As this study involved secondary data analysis, additional ethical approval was not necessary.

: Not applicable.

: The authors declare no competing interests.