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Article History

Received: 10 December 2024

Accepted: 6 February 2026

First Online: 13 February 2026

Declarations

:

: This work was supported by the Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran, under the ethical code MUK.REC.1403.226. The authors would like to thank the Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences for providing financial support. The study was conducted in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments.After obtaining approval from the ethics committee of Kurdistan University of Medical Sciences and attending comprehensive health service centers, the research objectives were clearly explained to the participants. Informed consent to participate was obtained from all participants and they were assured of their voluntary participation in the study. Participants had the freedom to withdraw from the study at any point, and the confidentiality of the data was guaranteed throughout all stages of the research.

: Not Applicable.

: The authors declare no competing interests.

: not applicable.