Hasn't it? Looks published to me. It has a doi and everything.
Interestingly the DOI does not show up
Here's some further criticisms:
https://www.researchsquare.com/article/rs-1073440/latest.pdf
https://arxiv.org/abs/2112.01296
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s...