De La Cruz, Marleny Prada https://orcid.org/0000-0001-8686-9097
Cantalice, Aníbal Silva https://orcid.org/0000-0003-0205-5219
Jacob, Michelle Cristine Medeiros https://orcid.org/0000-0002-4881-7285
de Albuquerque, Ulysses Paulino https://orcid.org/0000-0002-8131-8429
Funding for this research was provided by:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (001)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (406557/2022-5, 442678/2023-1, 407968/2023-7)
Article History
Received: 25 May 2026
Accepted: 4 August 2026
First Online: 10 August 2026
Declarations
Ethics approval and consent to participate: The study was approved by the Research Ethics Committee (CEP) of the Universidade Federal de Pernambuco (UFPE), through the Brazil Platform, under the Certificate of Presentation for Ethical Consideration number (CAAE; No. 74992923.0.0000.5208). Necessary permits were also obtained from the Authorization and Information System on Biodiversity (SISBIO; No. 98112-1). All participants aged 18 or over who consented to participate in the study signed the Free and Informed Consent Form (TCLE), in accordance with the guidelines of Resolution No. 466 of 2012 of the National Health Council, which authorizes the collection, use, and disclosure of information obtained in the interviews.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.