Sun, Bianjin https://orcid.org/0000-0001-7717-7419
Yuan, Qiheng
Chen, Siwen
Chen, Gengzhong
Kang, Yutong https://orcid.org/0000-0002-6772-7162
Zheng, Meiqin https://orcid.org/0000-0002-3249-6683
Article History
Received: 5 June 2025
Revised: 21 February 2026
Accepted: 27 February 2026
First Online: 1 April 2026
Competing interests
: The authors declare no competing interests.
: The institutional review board of Wenzhou Medical University determined that ethical approval was not necessary, as the study used publicly available data. The research follows the Guidelines for Accurate and Transparent Health Estimates Reporting for cross-sectional studies.