Each point represents an individual study included in the meta-analysis. The x-axis shows the effect size (Odds Ratios, ORs), and the y-axis represents the standard error of the log OR, a measure of study precision. Studies with larger sample sizes and greater precision appear toward the top of the plot, while smaller, less precise studies are near the bottom. Symmetry of the plot indicates the absence of publication bias, whereas asymmetry suggests potential bias or heterogeneity. The vertical dashed line represents the pooled effect size from the meta-analysis.