Univariate ordinal logistic regressions were performed to investigate the associations between each outcome and the explanatory variables listed above. Covariates with a p-value <0.2 in the univariate analysis were considered eligible for the multivariate ordinal logistic regression models. A backward selection method was used to select the covariates for the final multivariate model with a p-value <0.05. All statistical analyses were performed using SAS 9.4 and RSTUDIO 1.1.453.

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