Palacios-Fong, Yolanda
de los Ángeles Segura-Azuara, Nancy
León-Rojas, Daniela
Torres-Soto, Nissa Yaing
Chávez-López, Oscar Manuel
Castorena-Torres, Fabiola
Rodríguez-de Ita, Julieta
Article History
Received: 30 December 2025
Accepted: 27 April 2026
First Online: 2 May 2026
Declarations
:
: The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. The study was approved by the Ethics Committee of the Maternal and Child Hospital and Specialized Services of Nuevo León, Secretariat of Health of Nuevo León, Mexico (Protocol No. DEISC-PR-19-01-23-019). Written informed consent to participate was obtained from all adult participants. For participants younger than 16 years, written informed consent was obtained from their parents or legal guardians prior to data collection. In addition, verbal assent was obtained from these participants at the time of enrollment, in accordance with the ethics committee–approved protocol.
: Not applicable.
: The authors declare no competing interests.