highly significantp -value ≤ 0.001
Prevalence rates were found to be 11.1% at age 8, 12.3% at the age of 9, 17.1% at the age of 10, 19% at age 11, and 40.5% at the age of 12 years; it was noted that the difference was statistically highly significant ( χ 2 = 141.93, p -value ≤ 0.001**) ( Fig. 1 ).