Barely Significant
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Burden of tobacco in Nepal: a systematic analysis from the Global Burden of Disease Study 1990-2017.

BMJ Open · 2021 · PMC8383890 · PMID 34426463

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a decreasing trendno p-value reported
Conclusion The prevalence of smoking along with the age-standardised mortality rate and DALYs shows a decreasing trend.

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a clear trendno p-value reported
Supplementary data bmjopen-2020-047847supp001.pdf Figure 3 demonstrates a clear trend of the increasing rate of deaths and DALYs attributable to tobacco with an increase in age.

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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.