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MT COMPETING INTERESTS: Dr Lu and Professor O'Neal: None

35 Comparative prevalence rates are as follows: 16.6% in Australia, 36 48% in Finland with a gender-specific breakdown of 60% in males and 31% in females, 37 17.0% in New Zealand with 27.8% in males and 8.8% in females, 38 24.5% in Ireland with 25.0% in males and 24.1% in females, 39 9.9% in Croatia, 40 16.8% in Russia, 41 12.1% in Turkey with 19.0% in male and 5.8% in female, 42 21.2% in Qatar

Search strategy A comprehensive search of PubMed, Scopus, Web of Science, and Google Scholar was conducted for studies published up to May 2025, identifying 132 articles

Bonaccorso, S

D., Flanagan, J