Accepted for Publication: June 29, 2021.
Published: September 14, 2021. doi:10.1001/jamanetworkopen.2021.24190
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Iroungou BA et al. JAMA Network Open.
Corresponding Author: Berthe Amélie Iroungou, PhD, Unité Mixte de Recherche Centre International de Recherches Médicales de Franceville et le Service de Santé Militaire, PO Box 20404 HIAOBO, Libreville, Gabon (abertheamelie@gmail.com).
Author Contributions: Dr Iroungou had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Iroungou, Mangouka, Bivigou-Mboumba, Nzigou Boucka, Aghokeng, Tchoua, Pineau, Nzenze.
Acquisition, analysis, or interpretation of data: Iroungou, Mangouka, Bivigou-Mboumba, Moussavou-Boundzanga, Obame-Nkoghe, Nzigou Boucka, Mouinga-Ondeme, Nzenze.
Drafting of the manuscript: Iroungou, Mangouka, Bivigou-Mboumba, Nzigou Boucka, Mouinga-Ondeme, Pineau.
Critical revision of the manuscript for important intellectual content: Iroungou, Mangouka, Bivigou-Mboumba, Moussavou-Boundzanga, Obame-Nkoghe, Aghokeng, Tchoua, Nzenze.
Statistical analysis: Mangouka, Moussavou-Boundzanga, Obame-Nkoghe, Nzigou Boucka, Aghokeng, Pineau.
Obtained funding: Iroungou, Tchoua, Nzenze.
Administrative, technical, or material support: Iroungou, Bivigou-Mboumba, Nzenze.
Supervision: Iroungou, Bivigou-Mboumba.
Conflict of Interest Disclosures: None reported.
Funding/Support: This work was supported by the Gabonese government (Prof Tchoua and Prof Nzenze).
Role of the Funder/Sponsor: The Gabonese government had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: We are grateful to all patients involved in this study. We also acknowledge Remi Charlebois, MS (GSSHealth), for attentive review of the manuscript. He was not paid for this contribution.
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