Participants reported their age at time of survey completion as a continuous measure. For race, participants were instructed to select all applicable options from the following: White, Black or African American, Asian, Native American or other Pacific Islander, American Indian or Alaska Native, Multiracial, and other. Persons were also asked to report if they identified as Hispanic. Our sample consisted primarily of persons who identified as White and non-Hispanic. As a result, we combined the race and ethnicity measures to a single variable that indicated if persons identified as White, non-Hispanic versus all others. The lack of racial and ethnic diversity in our sample is comparable to the demographic profile of the study setting (the US Census Bureau estimates that 90.1% of Cabell County residents identified as “White alone, not Hispanic/Latino”) [39]. We created a binary measure for relationship status that indicated if persons were single versus in a relationship or married. We included a binary variable indicating if persons had completed high school or equivalent.

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