For spina bifida, rates among Hispanics (PR: 0.64; 95% CI 0.56–0.74) declined 36% pre- to post-fortification and 34% among non-Hispanic white births (PR: 0.66 95% CI 0.60–0.72), but showed only borderline significance among non-Hispanic blacks (PR: 0.81; 95% CI 0.67–1.00) [ 73 ].
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