Barely Significant
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Global, regional, and national impact of air pollution on stroke burden: changing landscape from 1990 to 2021.

BMC Public Health · 2024 · PMC11470728 · PMID 39394088

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a clear trendno p-value reported
Although there was a slight increase in the absolute numbers of deaths and DALYs in 2021 compared to 1990, a clear trend among age groups was not observed (Figure S1 A).

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an increasing trendno p-value reported
However, the BAPC model forecasted an increasing trend.

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a decreasing trendno p-value reported
Most GBD regions in Asia and Africa experienced an increasing stroke burden linked to air pollution, while Europe and America showed a decreasing trend.

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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.