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Article History

Received: 9 July 2025

Accepted: 7 October 2025

First Online: 12 November 2025

Declarations

:

: Since the Turkish Statistical Institute’s Türkiye Health Survey provided the data for this study, ethical approval was not necessary.For this study, secondary data were employed. Official approval was received from the Turkish Statistical Institute to use the microdata set from the Türkiye Health Survey. The Turkish Statistical Institute also received a “Letter of Undertaking” authorizing it to use the study’s data.The letter of undertaking for the use of micro data without restrictions in dissemination:Article 1- This letter of undertaking determines the rules, principles and obligations of the use of micro data, which are safe to disclose apart from the Presidency.Article 2-This letter of undertaking regulates the use of micro data sets of Türkiye Health Survey in 2019, 2022, within the framework of the Directive on Access and Use of Micro Data in line with the purpose specified in Article 1.Article 3- The following provisions apply for the use of micro data:a) Findings obtained by the researcher as a result of incorrect calculation only bind the researcher.b) The researcher refers to the micro data of the Institution that he uses while disclosing the results obtained from the study.c) The researcher is obliged to send a copy of the published report, article, publication etc. to the Institution Library within three months at the latest. Subsequent micro data usage requests of the researcher who is found not to fulfill this obligation are not covered.d) The researcher cannot reproduce, give to third parties, sell or transfer the micro data set he obtained.Article 4-The researcher, by taking into account the principles of confidentiality defined in 13. and 14. articles of Turkish Statistical Institution numbered 5429 and Regulation on Procedures and Principles Regarding Data Confidentiality and Confidential Data Security in Official Statistics, is deemed to guarantee hereby that he shall not disclose the information, table, etc. violating this principle and shall only use micro data for statistical purposes.In compliance with the national legislation and the institutional standards, written informed permission from the patients/participants or patients/participants’ legal guardian/next of kin was not necessary.

: Not Applicable.

: The authors declare no competing interests.