Barely Significant
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The associations between environmental quality and preterm birth in the United States, 2000-2005: a cross-sectional analysis.

Environ Health · 2015 · PMC4464856 · PMID 26051702

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a negative trendno p-value reported
The most consistent effect estimates were in the metropolitan urbanized strata, where a negative trend was observed.

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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.