Wang, Mengyun
Xu, Quan
Funding for this research was provided by:
Anhui Provincial Philosophy and Social Sciences Planning Youth Project (AHSKYQ2024D043)
Article History
Received: 20 October 2024
Accepted: 28 February 2026
First Online: 12 March 2026
Competing interests
: The authors declare no competing interests.
: This study was performed in line with the principles of the Declaration of Helsinki. This study was reviewed and approved by the Anhui Medical University Biomedical Ethics Committee (Approval Number: 82240077) on July 31, 2024. All procedures involving human participants were conducted in accordance with ethical standards and guidelines.
: All participants, along with their legal guardians, teachers, and school administrators, involved in this study provided informed consent. Oral consent was obtained from teachers, school administrators, and guardians via online communication. Participants’ formal consent was obtained via electronic forms between August 8 and September 10, 2024, prior to data collection.