showed a trendp = 0.005
Educational attainment showed a trend, with primary school (adjusted OR, 0.26; 95% CI, 0.10–0.66; p = 0.005) and middle school education (adjusted OR, 0.34; 95% CI, 0.12–1.00; p = 0.050) being associated with lower odds of the outcome compared to illiteracy.