da Silva, Ellen Mara Fernandes
Sousa, Julianne Figueiredo Costa
Maranhão, Ednaldo Pereira
Aquino, Leanna Silva
Aguiar, Victoria Valentim
Filho, Cesar Ferreira Fernandes
de Oliveira, Sheyla Mara Silva
Quaresma, Tatiane Costa
Conde, Valney Mara Gomes
Honorato, Marcos Manoel
Conde, Guilherme Augusto Barros
de Paula Fernandes, Franciane
de Aguiar Valentim, Lívia
Article History
Received: 29 October 2025
Accepted: 11 May 2026
First Online: 11 June 2026
Declarations
:
: The study was approved, under approval number 4.915.684 and CAAE 46491621.1.0000.5168, by the Research Ethics Committee (CEP) of the State University of Pará, located at Rua Plácido de Castro, 1399, Bairro Aparecida, Santarém, PA, CEP: 68038610, e-mail: ceptapajos@uepa.br, informed consent was obtained from all participants and all methods were performed in accordance with current guidelines and standards. Data collection was conducted from April 10, 2024, to September 17, 2025. Informed consent was obtained from all participants.
: Not applicable.
: The authors declare no competing interests.