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Similarly, the author affirms that participants provide consent to publish the findings of research. The authors of this work declare that they did not receive any funding for the work they submitted. We declare that none of the information or conclusions in this manuscript could have been influenced by any conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"On September 20, 2022, the Institutional Review Committee of the Institute of Medicine at Tribhuvan University approved the research conducted for this study and the research is in compliance with ethical standards. The strict maintenance of participant data confidentiality ensured that private information\u2014such as sexual orientation and other sensitive details\u2014was kept hidden. To preserve participant privacy, all data was safely destroyed when the study was over. Prior to each participant\u2019s involvement in the research, written informed consent was obtained from each participant, and there were no conflicts of interest during the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}