highly significantp < 0.001
Environmental indicators were also highly significant in the adjusted model, with CF per 1,000 kcal showing a strong inverse association (AOR = 0.221, 95%CI: 0.125–0.393; p < 0.001) and WF per 1,000 kcal demonstrating a positive association (AOR = 1.003, 95%CI: 1.002–1.005; p < 0.001). 4.