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Article History

Received: 27 September 2025

Accepted: 16 March 2026

First Online: 27 April 2026

Declarations

:

: This study was reviewed and approved by the Institutional Ethics Committee (Approval Ref. No.: REGN-4057/2022/113) of Rajiv Gandhi University, Itanagar, Arunachal Pradesh on 1 May 2023. All research procedures complied with the ethical standards of the institution and adhered to the principles outlined in the Declaration of Helsinki.

: The manuscript does not contain any individual person’s data in any form.

: Informed consent was obtained from all participants prior to their inclusion in the study. Given the non-interventional nature of the research and its minimal risk to participants, verbal consent was considered appropriate. Consent was obtained between May and August 2023 by trained field investigators before administering the questionnaire. The verbal consent procedure, including the consent script, was reviewed and approved by the ethics committee.

: The authors declare no competing interests.