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As all data were fully de-identified and accessible in the public domain, no direct interaction with human participants occurred and no identifiable personal information was used. In accordance with the principles of the Declaration of Helsinki (2013), our study ensures respect for participant autonomy, privacy and data protection by relying solely on anonymised datasets generated under prior ethical approval by the original investigators. Because this project involves secondary analysis of existing, non-identifiable data, additional institutional ethics approval was not required [\n                      \n                      ].","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"As this study utilizes publicly available de-identified data, consent for publication is not applicable. All data used in this research are freely accessible in the public domain, and no identifiable information about individuals was included. All authors have approved the publication of this manuscript.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests related to this study. There are no financial or personal relationships that could be perceived as potential conflicts of interest.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"856"}}