a strong trendP = 0.051
In long-duration patients, female sex emerged as a major risk factor (AOR = 2.89, 95% CI: 1.80–4.64; P < 0.001), with a strong trend for higher risk among low-income/self-employed individuals (AOR = 2.83, 95% CI: 1.00–8.06; P = 0.051).