“…Nevertheless, a notable strength of this research lies in the weighted analysis, which enables the findings to be generalized to the entire West Sumatran population. Although the discrepancy of our weighted and un-weighted analysis was less than 10 %, showing an un-biased result, previous study suggested that weighting should be taken as a priority in the population base data analysis collected by sampling with complex designs [ 30 ]. Moreover, the substantial sample size of this study, with a total of 32,366 data subjects, contributes to the precision of the estimates.…”