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Article History

Received: 12 August 2025

Accepted: 12 March 2026

First Online: 20 March 2026

Declarations

:

: Ethical approval was granted by the University of Lübeck Ethics Committee (AZ 21–388, Date: 15.10.2021). The study was conducted in compliance with the principles of the Declaration of Helsinki. Electronic informed consent was obtained prior to participation, and only anonymized data were analysed in this study.

: Not applicable.

: Institute of Occupational Medicine, Prevention and Workplace Health Management, Medical Faculty, University of Luebeck (institutional funding) reports financial support was provided by Employer’s Liability Insurance Association for Health Services and Welfare Care (BGW). MJ reports a relationship with Employer’s Liability Insurance Association for Health Services and Welfare Care (BGW) that includes: employment. MJ was affiliated with the Institute of Occupational Medicine, Prevention and Workplace Health Management, Medical Faculty, University of Luebeck at the time of her contribution to the project with no post or present affiliation to the funding partner, the Employer’s Liability Insurance Association for Health Services and Welfare Care (BGW). After finishing her part in the project, she began working with the BGW but had no further involvement in the project thereafter. The other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.