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Authors
Pérez Hernández, María Fernanda https://orcid.org/0000-0002-2141-7804
Rodríguez Guerrero, Eduardo https://orcid.org/0000-0002-9395-4561
Ocharan Hernández, María Esther https://orcid.org/0000-0003-0433-8116
Gómez Jiménez, Daniel Cuauhtémoc https://orcid.org/0000-0003-4844-4885
Gómez Esquivel, Mónica Luz https://orcid.org/0000-0003-4278-5216
Aguilar Castillo, Sergio de Jesús https://orcid.org/0009-0006-5670-4324
Flores Hernández, Vera Denisse https://orcid.org/0009-0006-2243-1823
Romo Dueñas, Sofia https://orcid.org/0009-0009-4237-2658
Torres Mendoza, Mario Rafael https://orcid.org/0009-0008-6272-8343
Calderón Vallejo, Alejandra https://orcid.org/0000-0002-6367-9124
Velázquez García, Germán https://orcid.org/0000-0002-7000-2285
Moreno Tovar, Macedonia Guadalupe https://orcid.org/0000-0002-1913-4821
Cruz López, Miguel https://orcid.org/0000-0003-4280-4501
Ordóñez Rodríguez, Juan Manuel https://orcid.org/0009-0006-8765-6046
Peña Juárez, Karla Aridahí https://orcid.org/0009-0006-2546-8250
Miranda Gastelum, Ximena https://orcid.org/0009-0008-1569-4398
Castro Díaz, José María https://orcid.org/0009-0007-6162-8765
Aguirre Guerrero, Alejandra https://orcid.org/0009-0001-5725-1818
Macías Zaragoza, Víctor Manuel https://orcid.org/0009-0005-7799-866X
Peralta Romero, José de Jesús https://orcid.org/0000-0001-5426-5555
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Funding
Funding for this research was provided by:
Instituto Mexicano del Seguro Social (R-2020-785-070)
Consejo Nacional de Humanidades, Ciencias y Tecnologías (CF-2023-G-1314)
Secretaría de Educación, Ciencia, Tecnología e Innovación de la Ciudad de México (SECTEI/132/2023)
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Article History
Received: 11 May 2025
Accepted: 19 September 2025
First Online: 9 December 2025
Declarations
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: This study was conducted in accordance with the Declaration of Helsinki and approved by the national IMSS Scientific Research Committee, under protocol number R-2020–785-070, dated on May 26th, 2020. Additional approvals were granted by the mexican Comisión Nacional de Bioética (CONBIOÉTICA; registration number 09CEI00920160601) and the Comisión Federal para la Protección contra Riesgos Sanitarios (COFEPRIS; CI: 17 CI 09 015 006).All participants provided written informed consent prior to inclusion in the study.
: Explicit written informed consent for publication of anonymized data was obtained from all participants voluntarily. No identifiable personal data are included in this publication.
: The authors declare no competing interests.
