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. 2026 Mar 16;14:1786959. doi: 10.3389/fpubh.2026.1786959

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PRISMA flow diagram illustrating a systematic review process: 2,457 records identified from five databases, 1,134 duplicates removed, 1,323 records screened, 822 excluded, 501 reports sought, 246 not retrieved, 255 assessed for eligibility, 159 excluded, and 96 studies included in the final review. — PRISMA flow chart of study selection.