Document is current

Article History

Received: 18 October 2024

Accepted: 27 August 2025

First Online: 6 October 2025

Declarations

:

: This research, which involved human participants, was reviewed and sanctioned by the Institutional Review Board of the CDC’s National Center for Health Statistics. Participants provided written informed consent. All procedures adhered to the principles outlined in the Helsinki Declaration. As this study involved secondary data analysis, additional ethics approval was not required.

: Not applicable.

: The authors declare no competing interests.