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Factors associated with good self-rated health and quality of life in subjects with self-reported COPD.

Int J Chron Obstruct Pulmon Dis · 2011 · PMC3206767 · PMID 22069362

1
hedged sentence
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a worrying trendno p-value reported
Nonsmoking is a health supporting factor, but there is a worrying trend of higher prevalence of smoking among women, especially in younger age groups. 30 The design of the present study was cross-sectional and therefore no causal associations could be verified.

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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.