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Informed consent was obtained from both the adolescents and their parents and\/or legal guardians, with electronic informed consent forms duly signed. The Ethics Committee of The Third Hospital of Mianyang led the ethical oversight of this study, and ethical approval was granted by the institution (2023\u2212123).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical 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":"846"}}