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Article History

Received: 3 October 2025

Accepted: 29 January 2026

First Online: 1 March 2026

Declarations

:

: This study received ethics approval from the Institutional Review Board (IRB) of the University of California, Los Angeles (IRB #10-000238). Within communities, permission was granted by local leaders and household heads. Verbal informed consent was obtained from all participants, as the study population is largely non-literate. The present research conforms with the principles of the Helsinki Declaration.

: Not applicable.

: The authors declare no competing interests.