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Article History

Received: 15 October 2024

Accepted: 14 August 2025

First Online: 26 August 2025

Competing interests

: The authors declare no competing interests.

: All research content in this article complies with the ethical standards and guidelines stipulated in the 1964 Helsinki Declaration and its subsequent amendments, and strictly adheres to the systems and regulations of relevant institutions. This study has obtained ethical approval from the Zhejiang Natural Science Foundation Committee (Date: November 19, 2019/No. LQ20G030016). The approval covers all research procedures involving human participants, including research design, recruitment, informed consent, data collection, and data analysis. All research activities conform to the relevant guidelines and regulations for studies involving human participants, and all data have been anonymized.

: The survey in this article was conducted from July 2022 to August 2022. The surveyors received adequate training before conducting the survey. An informed consent form was included at the beginning of the questionnaire. This informed consent form fully explains the purpose of the survey, the confidentiality of the data, and the anonymity rules. The confidentiality of the data will be strictly maintained, and the collected data will be used solely for academic purposes. Participation is entirely voluntary, and all participants have been informed of their right to withdraw from the survey at any time. All participants have consented to take part in this survey. There is no conflict of interest or violation of ethical and legal prohibitions in the research content.