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Burden and risk factors of chronic obstructive pulmonary disease in Sub-Saharan African countries, 1990-2019: a systematic analysis for the Global Burden of disease study 2019.

EClinicalMedicine · 2023 · PMC10550520 · PMID 37799614

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a decreasing trendno p-value reported
From 1990 to 2019 the prevalence rate of COPD was stable in Eastern and Western Sub-Saharan Africa, whereas there was a decreasing trend in Southern Sub-Saharan African countries.

also in 47,180 other papers

an increasing trendno p-value reported
Similarly, there was an increasing trend in COPD attributable to smoking in Sao Tome and Principe where the highest age-standardized COPD prevalence was observed compared to other Sub-Saharan countries.

also in 63,971 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.