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Authors
Wu, Leyi https://orcid.org/0009-0005-8852-4216
Wu, Bei https://orcid.org/0000-0002-6891-244X
Dou, Chuwen https://orcid.org/0009-0007-7277-5744
Shao, Jing https://orcid.org/0000-0002-6744-5771
Zhang, Chen https://orcid.org/0009-0001-1050-7169
Lou, Jianlin https://orcid.org/0000-0002-4052-7865
Wang, Lina https://orcid.org/0000-0002-8153-7015
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Funding
Funding for this research was provided by:
General Project of Zhejiang Primary Health Association (2024ZJWX-B014)
Key Research and Development Program of Zhejiang Province (2025C02106)
Key Research and Development Program of Zhejiang Province (2026C02A1146)
the National Natural Science Foundation of China (72174061)
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Article History
Received: 13 August 2026
Accepted: 25 August 2026
First Online: 5 September 2026
Declarations
Ethics approval and consent to participate: has been obtained from the Research Ethics Committee of Huzhou Normal University (Approval No. 202511-11). The trial has been registered with the Chinese Clinical Trial Registry (ChiCTR; Registration No. ChiCTR2600121557). Informed written consent will be obtained from each participant. Codes will replace names to ensure participants’ privacy.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.
