1. Department of Community and Family Health, University of South Florida, Tampa, FL, USA
2. Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito, Ecuador
3. College of Public Health, University of South Florida, Tampa, FL, USA
4. Facultad de Enfermería, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
5. Department of Health Sciences, Northern Arizona University, Flagstaff, AZ, USA