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The manuscript is not under consideration for publication in another journal, and will not be submitted elsewhere until the Journal of Community Health editorial process is completed, and a final decision on approval or disapproval has been made. All authors consent to the publication of the manuscript in the Journal of Community Health, should the article be accepted by the Editor-in-chief upon completion of the refereeing process.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}