Funding for this research was provided by:
Kermanshah University of Medical Sciences (50002494)
Kermanshah University of Medical Sciences (50002494)
Kermanshah University of Medical Sciences (50002494)
Article History
Received: 3 August 2025
Accepted: 30 September 2025
First Online: 7 November 2025
Declarations
:
: This study with code IR.KUMS.REC.1401.590 was approved by the Ethics Committee of Kermanshah University of Medical Sciences. Participants were informed that their participation in the study was voluntary. The study objectives were explained to all participants and their guardians, emphasizing the confidentiality of personal information and participant data. Written informed consent was obtained from all participants. To preserve the confidentiality of the participants and adhere to ethical guidelines, the names of the city and schools were not mentioned. The study procedures were conducted in accordance with relevant guidelines and regulations and were approved by the Ethics Committee of Kermanshah University of Medical Sciences.
: Not applicable.
: The authors declare no competing interests.