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As a secondary data analysis study that did not involve direct interaction with human subjects or the re-identification of individuals, no new ethical approval or informed consent was required for this work. According to the Regulations of the People\u2019s Republic of China on the Administration of Human Genetic Resources (2019) and the Personal Information Protection Law of the People\u2019s Republic of China (2021), the use of anonymized and publicly accessible datasets does not require additional ethics approval or informed consent. Therefore, informed consent to participate was not required, and ethics approval was deemed unnecessary.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"728"}}