However, even in the fully-adjusted model (model 4) a strong trend persisted (p-trend <0.0001).
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The association between local area immigrant fraction and prevalence of cardiovascular diseases in the United States: an observational study.
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The sentences
With adjustment for indicators of health access, health behaviors, and obesity, a moderate attenuation was again seen; however, highly significant trends toward decreasing CHD prevalence remained (p-trend <0.0001 in all models).