Barely Significant
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Pneumococcal Vaccination Coverage and Uptake Among Adults in Switzerland: A Nationwide Cross-Sectional Study of Vaccination Records.

Front Public Health · 2021 · PMC8841552 · PMID 35174130

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a clear trendno p-value reported
Previous work has demonstrated a clear trend toward increased overall pneumococcal vaccination coverage in countries recommending vaccination for both elderly and at-risk individuals compared to countries recommending vaccination of only those at risk ( 25 ).

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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.