Funding for this research was provided by:
Social Sciences and Humanities Research Council of Canada (Insight Grant #435-2017-1289)
Received: 9 October 2020
Accepted: 11 November 2021
First Online: 18 December 2021
: The study protocol for original data collection and secondary analysis was approved by the Queen’s University Health Sciences and Affiliated Teaching Hospitals Research Ethics Board (protocol #6019042 & 6027552, respectively). The original data collection was also approved locally by the Congolese National Committee of Health Ethics (CNES). Participants aged 13 to 17 were considered to be mature minors and parental consent was not pursued as it was believed that involving parents could have introduced bias and a heightened risk of parental conflict and/or abuse [CitationRef removed]. The consent process for all participants, including minors, was conducted by providing a letter of information verbally or in writing when literacy skills allowed, with active consent being obtained from the participant electronically by iPad.
: Consent for publication was obtained by study participants during data collection.
: The authors declare that they have no competing interests.