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Authors
Amponsah, Jonah K.
Thompson, Jeffrey A.
Ellis, Shellie D.
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Article History
Received: 21 June 2025
Accepted: 24 November 2025
First Online: 13 December 2025
Declarations
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: As this study utilized publicly available secondary data sources from organizations such as the Centers for Disease Control and Prevention (CDC) and the United States Census Bureau, ethics approval and consent to participate were not required. These datasets are collected and maintained by government agencies and are publicly accessible for research purposes. Therefore, no human subjects were directly involved in this study, and no ethical approval or consent procedures were necessary.
: The authors declare no competing interests.
