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Article History

Received: 22 September 2025

Accepted: 9 December 2025

First Online: 13 January 2026

Declarations

:

: This study was performed in accordance with the principles of the Declaration of Helsinki. The study protocol was declared to the French Data Protection Authority (Commission Nationale de l’Informatique et des Libertés, CNIL) under file number 912292. The analyses relied on data anonymized prior to analysis; accordingly, ethics committee approval was not sought. Identifying data were stored on servers located separately from those hosting the main database. Electronic informed consent was obtained from all adult participants. Children participated under the responsibility and with the consent of a legal guardian.

: Not applicable. This study does not contain any individual person’s data in any form (including individual details, images, or videos).

: The authors declare no competing interests.