Received: 15 November 2021
Accepted: 8 April 2022
First Online: 28 April 2022
: The survey was carried out in accordance with all ethical guidelines. The survey was approved by the Institutional Review Board at Middle Tennessee State University. Institutional permission was sought from either the Ministry of Education or the Ministry of Health in various countries. All these institutions’ ethical regulations were properly followed, particularly when it came to the involvement of children in a study. At the school level, the heads of the several schools involved in the study were asked to sign a written informed consent form. Adolescents under the age of 18 were asked for parental or guardian agreement as well as child assent before being included in the study. Those aged 18 and up were also asked to sign a written informed consent form. The survey questionnaire was completed anonymously and willingly by the students that were sampled.
: Not applicable.
: The authors declare that they have no competing interests.