1 School of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
2 Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
3 Department of Dermatology, University of Mississippi Medical Center, Jackson, Mississippi; Center for Animal and Human Health in Appalachia, College of Veterinary Medicine, DeBusk College of Osteopathic Medicine, and School of Mathematics and Sciences, Lincoln Memorial University, Harrogate, Tennessee.
4 Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, Tennessee.
5 Department of Allied Health Sciences, University of Connecticut, Johnson City, Tennessee. Electronic address: sherry.pagoto@umassmed.edu.