Document is current

Article History

Received: 29 November 2024

Accepted: 12 December 2025

First Online: 18 December 2025

Declarations

:

: Ethical approval was not sought for this study because it used secondary analysis of already collected, fully anonymized, and publicly available data. All sources are duly acknowledged and cited. As the study was based on anonymized surveillance data routinely collected for public health purposes, individual informed consent was not required. However, written informed consent was obtained from all participants at the time of original data collection. Participation was voluntary, and confidentiality of information was ensured.

: All authors consent to the publication of this manuscript. The dataset used contained no personal identifiers, and participant confidentiality was maintained throughout the analysis.

: The authors declare no competing interests.