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Utilization of dental services and associated factors among preschool children in China.

BMC Oral Health · 2020 · PMC6950915 · PMID 31914978

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a negative trendno p-value reported
A similar finding was reported in America, where utilization of dental care showed a negative trend as urbanization decreased [ 38 ].

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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.