{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:18:28Z","timestamp":1792783108226,"version":"4.5.0"},"reference-count":56,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"University of Connecticut School of Medicine","award":["U77HP01068"],"award-info":[{"award-number":["U77HP01068"]}],"id":[{"id":"https:\/\/ror.org\/02der9h97","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Health Resources and Services Administration","id":[{"id":"https:\/\/ror.org\/0121dpf30","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Immigrant Minority Health"],"DOI":"10.1007\/s10903-026-02004-9","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:11:24Z","timestamp":1790619084000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elevated Blood Lead Levels Among Refugee Children in Urban Primary Care: A Retrospective Analysis Following Revised CDC Guidelines"],"prefix":"10.1007","author":[{"given":"Julia","family":"Levin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Lorick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"O\u2019Neill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Mirabella-Pimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecil","family":"Tengatenga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Lorick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"2004_CR1","unstructured":"UNICEF. Number of displaced children reaches new high of 43.3 million. In: UNICEF for every child. June 13. 2023. https:\/\/www.unicef.org\/press-releases\/number-displaced-children-reaches-new-high-433-million Accessed 12 Aug 2023."},{"key":"2004_CR2","unstructured":"The UN Refugee Agency. Refugee data finder. 2025. https:\/\/www.unhcr.org\/refugee-statistics Accessed 8 Sept 2025."},{"key":"2004_CR3","unstructured":"The United Nations. Welcome to the United Nations. Definitions. 2025. https:\/\/together.un.org\/definitions#:~:text=Refugees%20are%20persons%20who%20are,as%20well%20as%20UNHCR\u2019s%20Statute Accessed 8 Sept 2025."},{"key":"2004_CR4","unstructured":"U.S. Department of State, Bureau of Population, Refugees, and Migration. Refugee arrivals by state and nationality, Fiscal year 2025. https:\/\/www.rpc.state.gov\/documents\/FY%202025%20Arrivals%20by%20State%20and%20Nationality%20as%20of%2030%20Sep%202025.pdf Accessed 21 Feb 2026."},{"key":"2004_CR5","unstructured":"Centers for Disease Control and Prevention. Immigrant and refugee health. Lead. Refugee health domestic guidance. 15 May 2024. https:\/\/www.cdc.gov\/immigrant-refugee-health\/hcp\/domestic-guidance\/lead.html Accessed 18 Aug 2026."},{"key":"2004_CR6","unstructured":"United States Environmental Protection Agency. Learn about lead. 5 Dec 2024. https:\/\/www.epa.gov\/lead\/learn-about-lead Accessed 5 Sept 2025."},{"key":"2004_CR7","unstructured":"World Health Organization. Lead poisoning. 27 Sept 2024. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/lead-poisoning-and-health Accessed 8 Sept 2025."},{"key":"2004_CR8","doi-asserted-by":"publisher","unstructured":"Sample J. Lead exposure in children: Failure to protect the most vulnerable. J Pediatr Pharmacol Ther. 2024 June 10;29(3):202\u2013214. https:\/\/doi.org\/10.5863\/1551-6776-29.3.212","DOI":"10.5863\/1551-6776-29.3.212"},{"issue":"1","key":"2004_CR9","doi-asserted-by":"publisher","first-page":"92","DOI":"10.2105\/ajph.2006.093229","volume":"98","author":"P Tehranifar","year":"2008","unstructured":"Tehranifar P, Leighton J, Auchincloss AH, Faciano A, Alper H, Paykin A, Wu S. Immigration and risk of childhood lead poisoning: Findings from a case\u2013control study of New York city children. Am J Public Health. 2008;98(1):92\u20137. https:\/\/doi.org\/10.2105\/ajph.2006.093229.","journal-title":"Am J Public Health"},{"key":"2004_CR10","volume-title":"WHO guideline for clinical management of exposure to lead","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. WHO guideline for clinical management of exposure to lead. Geneva: World Health Organization; 2021. https:\/\/iris.who.int\/bitstream\/handle\/10665\/347360\/9789240037045-eng.pdf. Accessed 11 Sept 2025."},{"key":"2004_CR11","unstructured":"Centers for Disease Control and Prevention. Childhood lead poisoning prevention. CDC updates blood lead reference value. 2024. https:\/\/www.cdc.gov\/lead-prevention\/php\/news-features\/updates-blood-lead-reference-valuehtml Accessed 11 Sept 2025."},{"key":"2004_CR12","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s12889-020-8225-8","volume":"20","author":"JJ Michel","year":"2020","unstructured":"Michel JJ, Erinoff E, Tsou AY. More Guidelines than states: variations in U.S. lead screening and management guidance and impacts on shareable CDS development. BMC Public Health. 2020;20:127. https:\/\/doi.org\/10.1186\/s12889-020-8225-8.","journal-title":"BMC Public Health"},{"key":"2004_CR13","unstructured":"An act reducing lead poisoning. State of Connecticut house bill 5045 public act no. 22\u201349. https:\/\/www.cga.ct.gov\/2022\/act\/Pa\/pdf\/2022PA-00049-R00HB-05045-PA.PDF Accessed 11 Sept 2025."},{"key":"2004_CR14","unstructured":"Connecticut Department of Public Health. 2024 Lead Surveillance Report. 2025. https:\/\/portal.ct.gov\/dph\/-\/media\/dph\/ehdw\/childhood-lead-poisoning-prevention\/2024-lead-surveillance-report.pdf"},{"issue":"12","key":"2004_CR15","doi-asserted-by":"publisher","first-page":"1252","DOI":"10.1001\/jamapediatrics.2021.3518","volume":"175","author":"M Hauptman","year":"2021","unstructured":"Hauptman M, Niles JK, Gudin J, Kaufman HW. Individual- and community-level factors associated with detectable and elevated blood lead levels in US children: Results from a national clinical laboratory. JAMA Pediatr. 2021;175(12):1252\u201360. https:\/\/doi.org\/10.1001\/jamapediatrics.2021.3518.","journal-title":"JAMA Pediatr"},{"key":"2004_CR16","unstructured":"United States Census. Quick facts Hartford Connecticut 2017\u20132021. https:\/\/www.census.gov\/quickfacts\/fact\/table\/hartfordcityconnecticut\/INC110223 Accessed 11 Sept 2025."},{"key":"2004_CR17","unstructured":"What we do - iris-integrated refugee & immigrant services. IRIS. Integrated Refugee & Immigrant Services; 2025. Accessed 11 Dec 2025. https:\/\/irisct.org\/our-services\/"},{"key":"2004_CR18","unstructured":"Glesby L. March. IRIS to shutter main office. New Haven Independent. 27 2025. https:\/\/par-newhaven.org\/2025\/03\/27\/iris-to-shutter-main-office\/#:~:text=New%20Haven\u2019s%20flagship%20refugee%20resettlement,of%20dollars%20in%20federal%20funding Accessed 21 Feb 2026."},{"key":"2004_CR19","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s12011-024-04163-y","volume":"203","author":"L Disalvo","year":"2025","unstructured":"Disalvo L, Varea A, Matamoros N, Sala M, Fasano MV, Gonz\u00e1lez HF. Blood lead levels and their association with iron deficiency and anemia in children. Biol Trace Elem Res. 2025;203:69\u201375. https:\/\/doi.org\/10.1007\/s12011-024-04163-y.","journal-title":"Biol Trace Elem Res"},{"key":"2004_CR20","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1007\/s10903-019-00880-y","volume":"22","author":"CD Lupone","year":"2019","unstructured":"Lupone CD, Daniels D, Lammert D, Borsuk R, Hobart T, Lane S. Lead exposure in newly resettled pediatric refugees in Syracuse, NY. J Immigr Minor Health. 2019;22:34\u201343. https:\/\/doi.org\/10.1007\/s10903-019-00880-y.","journal-title":"J Immigr Minor Health"},{"key":"2004_CR21","unstructured":"Macrae J, Ikeda R. HRSA-CDC letter on childhood lead poisoning prevention and blood lead testing. 10 January 2023. https:\/\/stacks.cdc.gov\/view\/cdc\/135295 Accessed 11 Sept 2025."},{"key":"2004_CR22","unstructured":"National Institute on Minority Health and Health Disparities. NIMHD research framework. 2024. https:\/\/www.nimhd.nih.gov\/node\/21466 Accessed 11 Sept 2025."},{"key":"2004_CR23","unstructured":"Connecticut Children\u2019s. Connecticut Children\u2019s CLASP guideline lead poisoning. July 2022. https:\/\/www.connecticutchildrens.org\/sites\/default\/files\/2023-09\/rg_lead-poisoning-8.17.22.pdf Accessed 11 Sept 2025."},{"issue":"1","key":"2004_CR24","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1007\/s10903-019-00878-6","volume":"22","author":"S Seifu","year":"2020","unstructured":"Seifu S, Tanabe K, Hauck FR. The prevalence of elevated blood lead levels in foreign-born refugee children upon arrival to the U.S. and the adequacy of follow-up treatment. J Immigr Minor Health. 2020;22(1):10\u20136. https:\/\/doi.org\/10.1007\/s10903-019-00878-6. Accessed 11 Sept 2025.","journal-title":"J Immigr Minor Health"},{"issue":"2","key":"2004_CR25","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1515\/reveh-2022-0015","volume":"38","author":"JS Balza","year":"2022","unstructured":"Balza JS, Bikomeye JC, Beyer KMM, Rublee C, Flynn KE. Elevated blood lead levels of refugee children in the United States: a systematic review of recent literature (2011\u20132021). Rev Environ Health. 2022;38(2):361\u201383. https:\/\/doi.org\/10.1515\/reveh-2022-0015.","journal-title":"Rev Environ Health"},{"key":"2004_CR26","unstructured":"Access Health CT. Health disparities and social determinants of health in Connecticut. Feb 2021. Accessed 11 Sept 2025. https:\/\/www.accesshealthct.com\/wp-content\/uploads\/2021\/06\/10811_01_AHCT_Disparities_Report_V4-ng-10.pdf"},{"key":"2004_CR27","unstructured":"Bolger A. Refugee processing and settlement. 2018. https:\/\/cga.ct.gov\/2018\/rpt\/pdf\/2018-R-0134.pdf Accessed 11 Sept 2025."},{"key":"2004_CR28","unstructured":"Refugee Processing Center. Refugee arrivals by state and nationality fiscal year 2023. 2023. https:\/\/www.wrapsnet.org\/documents\/Refugee%20Arrivals%20by%20State%20and%20Nationality%20as%20of%2030%20September%202023.pdf Accessed 11 Sept 2025."},{"key":"2004_CR29","doi-asserted-by":"publisher","unstructured":"Song L, von Ehrenstein OS. Exposure to lead, cadmium, mercury and arsenic among Asian and Non-Asian children and adolescents in the United States: NHANES 2015\u20132018. J Immigr Minor Health. 2025;Apr;27(2):258\u2013267. https:\/\/doi.org\/10.1007\/s10903-024-01634-1 Accessed 12 Sept 2025.","DOI":"10.1007\/s10903-024-01634-1"},{"key":"2004_CR30","doi-asserted-by":"publisher","unstructured":"Fellows KM, Samy S, Rodriguez Y, Whittaker SG. Investigating aluminum cookpots as a source of lead exposure in Afghan refugee children resettled in the United States. J Expo Sci Environ Epidemiol. 2022;05;32(3):451\u201360. https:\/\/doi.org\/10.1038\/s41370-022-00431-y Accessed 12 Sept 2025.","DOI":"10.1038\/s41370-022-00431-y"},{"key":"2004_CR31","unstructured":"UN environment programme. Harmonised effort to limit lead in paint in Africa. 2016. https:\/\/www.unep.org\/news-and-stories\/news\/harmonised-effort-limit-lead-paint-africa. Accessed 12 Sept 2025."},{"key":"2004_CR32","unstructured":"World Health Organization. Legally-binding controls on lead paint. 2024. https:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/indicator-groups\/legally-binding-controls-on-lead-paint. Accessed 12 Sept 2025."},{"key":"2004_CR33","doi-asserted-by":"publisher","unstructured":"Harjani MG, Stathakarou N, Konstantinidis ST, Dratsiou I, Varella A, Salcedo VT, Segura MS, Tsoupouroglou I, Bamidis PD, Karlgren K. Identifying the health educational needs of refugees: empirical evidence from a Delphi Study. J Immigr Minor Health. 2024Dec;26(6):984\u201397. https:\/\/doi.org\/10.1007\/s10903-024-01626-1.","DOI":"10.1007\/s10903-024-01626-1"},{"issue":"1","key":"2004_CR34","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1007\/s10903-019-00878-6","volume":"22","author":"S Seifu","year":"2020","unstructured":"Seifu S, Tanabe K, Hauck FR. The prevalence of elevated blood lead levels in foreign-born refugee children upon arrival to the U.S. and the adequacy of follow-up treatment. J Immigr Minor Health. 2020;22(1):10\u20136. https:\/\/doi.org\/10.1007\/s10903-019-00878-6.","journal-title":"J Immigr Minor Health"},{"issue":"2","key":"2004_CR35","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1515\/reveh-2022-0015","volume":"38","author":"JS Balza","year":"2023","unstructured":"Balza JS, Bikomeye JC, Beyer KMM, Rublee C, Flynn KE. Elevated blood lead levels of refugee children in the United States: a systematic review of recent literature (2011\u20132021). Rev Environ Health. 2023;38(2):361\u201383. https:\/\/doi.org\/10.1515\/reveh-2022-0015.","journal-title":"Rev Environ Health"},{"key":"2004_CR36","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3567","author":"A Green","year":"2019","unstructured":"Green A, Saia M. Preventing harm on arrival: lead prevention in newly resettled pediatric refugees. Pediatrics. 2019. https:\/\/doi.org\/10.1542\/peds.2018-3567.","journal-title":"Pediatrics"},{"key":"2004_CR37","unstructured":"Centers for Disease Control and Prevention. Childhood lead poisoning prevention. 21. Aug 2025. https:\/\/www.cdc.gov\/lead-prevention\/about\/index.html. Accessed 12 Sept 2025."},{"issue":"17","key":"2004_CR38","doi-asserted-by":"publisher","first-page":"10656","DOI":"10.3390\/ijerph191710656","volume":"19","author":"J Klas","year":"2022","unstructured":"Klas J, Grzywacz A, Kulszo K, Grunwald A, Kluz N, Makaryczew M, Samardakiewicz M. Challenges in the medical and psychosocial care of the paediatric refugee\u2014a systematic review. Int J Environ Res Public Health. 2022;19(17):10656. https:\/\/doi.org\/10.3390\/ijerph191710656.","journal-title":"Int J Environ Res Public Health"},{"key":"2004_CR39","unstructured":"Grinspoon P. Why is it so challenging to find a primary care physician? Harvard Health Publishing. 2022. https:\/\/www.health.harvard.edu\/blog\/why-is-it-so-challenging-to-find-a-primary-care-physician-202209282822. Accessed 11 Dec 2025."},{"issue":"1","key":"2004_CR40","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1089\/heq.2020.0094","volume":"5","author":"LS Lau","year":"2021","unstructured":"Lau LS, Rodgers G. Cultural competence in refugee service settings: a scoping review. Health Equity. 2021;5(1):124\u201334. https:\/\/doi.org\/10.1089\/heq.2020.0094.","journal-title":"Health Equity"},{"key":"2004_CR41","unstructured":"Minnesota Department of Health. Key clinical and cultural considerations for the domestic medical screening. 11 Jun 2024. Accessed 12 Sept 2025. https:\/\/www.health.state.mn.us\/communities\/rih\/coe\/clinical\/screen.html"},{"key":"2004_CR42","doi-asserted-by":"publisher","unstructured":"Hofer A, McDonald M. Continuity of care: why it matters and what we can do. Aust J Prim Health 2019 Jun:25:214\u20138. https:\/\/doi.org\/10.1071\/py19041","DOI":"10.1071\/py19041"},{"key":"2004_CR43","unstructured":"Centers for Disease Control and Prevention. About lead in foods, cosmetics, and medicines. 2025 https:\/\/www.cdc.gov\/lead-prevention\/prevention\/foods-cosmetics-medicines.html. Accessed 12 Dec 2025."},{"key":"2004_CR44","unstructured":"Centers for Disease Control and Prevention . . About lead in drinking water. 2025. 12 Dec 2025. https:\/\/www.cdc.gov\/lead-prevention\/prevention\/drinking-water.html.Accessed"},{"issue":"2","key":"2004_CR45","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1515\/intox-2015-0009","volume":"8","author":"AL Wani","year":"2015","unstructured":"Wani AL, Ara A, Usmani JA. Lead toxicity: a review. Interdiscip Toxicol. 2015;8(2):55\u201364. https:\/\/doi.org\/10.1515\/intox-2015-0009.","journal-title":"Interdiscip Toxicol"},{"key":"2004_CR46","unstructured":"Alfonsi S, CBS News. Early results from 174 flint children exposed to lead during water crisis shows 80% of them will require special education services. 2020. https:\/\/www.cbsnews.com\/news\/flint-water-crisis-effect-on-children-60-minutes-2020-03-15\/. Accessed 12 Dec 2025."},{"key":"2004_CR47","unstructured":"Centers for Disease Control and Prevention. Immigrant and refugee health: Refugee health guidance. 2026. https:\/\/www.cdc.gov\/immigrant-refugee-health\/index.html. Accessed 13 Jul 2026."},{"key":"2004_CR48","unstructured":"Medline. Lead poisoning \u2013 multiple languages. https:\/\/medlineplus.gov\/languages\/leadpoisoning.html Accessed 18 Aug 2026."},{"key":"2004_CR49","unstructured":"State of Connecticut Department of Public Health. Educational Materials. https:\/\/portal.ct.gov\/dph\/environmental-health\/lead-poisoning-prevention-and-control\/educational-materials?language=en_US. Accessed 13 Jul 2026."},{"key":"2004_CR50","unstructured":"Virginia Department of Health. Lead safe. Educational materials. https:\/\/www.vdh.virginia.gov\/leadsafe\/educational-materials\/ Accessed 18 Aug 2026."},{"key":"2004_CR51","unstructured":"Minnesota Department of Health. Lead fact sheets, videos and brochures. https:\/\/www.health.state.mn.us\/communities\/environment\/lead\/fs\/index.html Accessed 18 Aug 2026."},{"key":"2004_CR52","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1177\/1077558705275416","volume":"62","author":"G Flores","year":"2005","unstructured":"Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. Jun; 2005;62:255\u201399. https:\/\/doi.org\/10.1177\/1077558705275416.","journal-title":"Med Care Res Rev"},{"key":"2004_CR53","unstructured":"The National Certification Commission for Healthcare Interpreters. Certification commission for healthcare interpreters: National, accredited, inclusive. https:\/\/cchicertification.org\/ Accessed 18 Aug 2026."},{"key":"2004_CR54","unstructured":"The National Board of Certification for Medical Interpreters. Home. https:\/\/www.certifiedmedicalinterpreters.org\/ Accessed 18 Aug 2026."},{"key":"2004_CR55","unstructured":"Centers for Disease Control and Prevention. CDC Yellow Book. Health communication with refugee, immigrant, and migrant communities. Working with professional interpreters. Updated 23 Apr 2025. https:\/\/www.cdc.gov\/yellow-book\/hcp\/refugees-immigrants-migrants\/health-communication-with-refugee-immigrant-and-migrant-communities.html Accessed 18 Aug 2026."},{"issue":"4","key":"2004_CR56","first-page":"20","volume":"25","author":"T Bodenheimer","year":"2018","unstructured":"Bodenheimer T. Teach-back: A simple technique to enhance patients\u2019 understanding. Fam Pract Manag. 2018;25(4):20\u20132. https:\/\/www.aafp.org\/fpm\/2018\/0700\/p20. Accessed 18 Aug 2026.","journal-title":"Fam Pract Manag"}],"container-title":["Journal of Immigrant and Minority Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10903-026-02004-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10903-026-02004-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10903-026-02004-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T19:03:47Z","timestamp":1792263827000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10903-026-02004-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":56,"alternative-id":["2004"],"URL":"https:\/\/doi.org\/10.1007\/s10903-026-02004-9","relation":{},"ISSN":["1557-1912","1557-1920"],"issn-type":[{"value":"1557-1912","type":"print"},{"value":"1557-1920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"13 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 October 2026","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The affiliation of Margaret Mirabella-Pimer and Cecil Tengatenga has been corrected.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study has received Institutional Review Board (IRB) approvals from the University of Connecticut Health Center (UCHC) (IRB #23-194S-2), University of Connecticut, and Trinity Health of New England (IRB #SFH-23-22), with reliance on UCHC as IRB of record.","order":2,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}}]}}