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Article History

Received: 4 December 2024

Accepted: 11 November 2025

First Online: 26 November 2025

Competing interests

: The authors declare no competing interests.

: Our study strictly adhered to ethical standards in accordance with the Declaration of Helsinki. The research conducted in March 2024, and ethical approval was obtained before the study from the Jiangnan University Medical Ethics Committee in January 2024 (N0: JNU202401RB065). Data collection was conducted online using anonymous, non-interactive, and non-intrusive technologies to ensure that no personal information or commercial interests could be identified from the collected data. All procedures were carried out with respect to participant rights, dignity, and privacy. All personal data collected during the project adhered to relevant legal and regulatory guidelines.

: In accordance with the Declaration of Helsinki, informed consent was obtained from the respondents prior to their participation in the questionnaire survey conducted from May to September 2024. The period for participants to sign the informed consent form is from March to September 2024. Participants were informed of the purpose of the study, confidentiality and anonymity of the information, voluntary nature of their participation, and their right to withdraw from the study at any time. Informed consent was obtained from the legal guardians of a few participants. All respondents agreed to participate in the study and the processing of their data.