Document is current

Article History

Received: 23 February 2024

Accepted: 21 August 2025

First Online: 1 September 2025

Competing interests

: The author declares no competing interests.

: This study was approved by the Ethics Committee of South-Central Minzu University (Approval No. SCMU-SFL-20221202; Date of approval: December 10, 2022). All procedures were conducted in accordance with institutional and national research committee standards and the Declaration of Helsinki (1964) and its later amendments. The approval covered participant recruitment, data collection, data management, and dissemination of anonymized findings.

: Written informed consent was obtained from all participants between February and June 2023. Consent was obtained after participants were fully informed about the study’s purpose, procedures, scope of data use, potential risks and benefits, and their right to withdraw at any time without penalty. All participants consented to both participation and the publication of anonymized data. No identifying information is included in this manuscript.