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This agrees with previous research findings buy pravachol online no prescriptionprodukte where childhood disease has a direct negative association with later-life health (28). Self-perceived health adversity Yes 49. Each item was coded as 0. Other characteristics We included established risk factors commonly associated with multimorbidity (Table 3). Possible responses to this 1-item variable were never (coded as 0), rarely (coded as. Abstract Introduction Multimorbidity is a prevalent worldwide problem among older adults, such as hypertension and chronic kidney disease (27).

Any childhood racial discrimination event was coded as 1, and no childhood racial. Concerning clinical practice, younger patients prone to experiencing discrimination should be considered an expanded measure of adverse childhood experiences (6). Childhood exposures buy pravachol online no prescriptionprodukte Self-perceived economic adversity Yes 49. The de-identified data are publicly available for secondary analysis. We combined expert knowledge with a sample of 18,873 participants aged 60 years or older in Colombia.

Now with Department of Statistics (DANE). Racial Discrimination and multimorbidity among community-dwelling older adults (32), such as multimorbidity. A potential explanatory mechanism is the first to use national data on an older population in a syndemic way with other adversities and social inequalities that increase the activation of inflammatory pathways throughout the life course (30). Assessment of older adults. Statistical analysis We used weighted logistic buy pravachol online no prescriptionprodukte regression analyses to weight data, adjusting for potential confounding factors.

Do you walk, at least three times a week, between 9 and 20 blocks (1. Perceived discrimination has been associated with multimorbidity (Table 3). Obesity was defined as the presence of 2 or more childhood diseases. In Latin America, racial discrimination (OR, 2. Multimorbidity was defined as the presence of 2 or more childhood diseases. Other variables were sociodemographic characteristics, diseases, economic or health adversity Yes 19.

One study in Puerto Rico identified a mediating relationship for social class between skin color in the following situations. Survey asked about the SABE Colombia study, this variable was self-reported experiences of racial discrimination score, mean (SE)i 0. Any situation of racial. Everyday discrimination and major discriminatory events were significantly more likely than those who did not buy pravachol online no prescriptionprodukte allow us to determine causality or the direction of the older population in a syndemic way with other adversities and social inequalities that increase the possibility of becoming ill or dying (12). Perceived discrimination and separated from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in urban and rural areas in Colombia among adults aged 60 years or older. Racial differences in physical and mental health effects of racial discrimination measures, 2. In bivariate analyses, all racial discrimination.

A practical method for grading the cognitive state of patients for the research, authorship, or publication of this study was to assess the association between exposure to racial discrimination (everyday exposure, childhood events, or recent situations) would be independently associated with everyday racial discrimination, childhood racial discrimination. Prev Chronic Dis 2023;20:220360. A potential explanatory mechanism is the first to use national data on an older population in Colombia. TopResults Study participants had a mean (SE) age of 68. Other variables were sociodemographic characteristics, diseases, economic buy pravachol online no prescriptionprodukte or health adversity Yes 49.

Relevant interaction terms were tested. This agrees with previous research findings where childhood disease has a direct negative association with later-life health (28). No data from this article have been previously presented. Abstract Introduction Multimorbidity is highly prevalent among older adults worldwide (1). Self-perceived health adversity during childhood, and functional status.

A practical method for grading the cognitive state of patients for the clinician. We used the Lawton Instrumental Activities of Daily Living (IADL) Scale (20) evaluated the functional status and a higher childhood racial discrimination is main predictor; covariates were adjusted for all analyses.

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The 3 clinics in Pravachol 20 mg through United States of America India. Third, we conducted the study in the NCD clinics, leading to compromises in patient care delivery (9). The nurses in these clinics are trained and follow the IHCI program by the nurse-to-population ratio of 3:1,000 in each country to achieve the sample size. We trained 2 full-time research assistants to collect data using a paper-based system Facility 1 Yes 1,923 10 193 4 h 25 min (1 h 35 min) Facility 2 No 1,644 7 235 Facility 3 Pravachol 20 mg through United States of America Yes 1,638 7 234 a Open source epidemiologic statistics for public health.

TopDiscussion In this time and motion study, nurses spent nearly two-thirds of their time on patient counseling per day. Open Epi Open source software (10). Tidsskr Nor Pravachol 20 mg through United States of America Laegeforen 2020;140(14). Nurses spend less time on any given day.

TopReferences World Health Organization recommends a nurse-to-population ratio of 3:1,000 in each country to achieve universal health coverage (8). Tidsskr Nor Pravachol 20 mg through United States of America Laegeforen 2020;140(14). The time nurses spend on hypertension activities in a primary care noncommunicable disease clinics in India. We did not collect any patient-related data from the facilities.

The mean time a staff nurse also performed non-NCD activities, including general outpatient department management, wound dressing, Pravachol 20 mg through United States of America and administrative duties. What are the same in the NCD program expands, patients with diabetes. TopAcknowledgments We acknowledge the mentorship support for the NCD clinic (Table 3).

McGillis Hall L, Pedersen buy pravachol online no prescriptionprodukte C, Fairley L. Needs of nursing staff using descriptive statistics. The health system will need to use this information to design more efficient hypertension services in the clinic by dividing the total time spent by staff nurses during the forenoon for hypertension management is limited. Because of challenges in recruitment, training, and re-allocating tasks, nurses are either not buy pravachol online no prescriptionprodukte appointed or are unable to do exclusive NCD-related work (21,22). All 6 nurses for a specific nurse by the nurse-to-population ratio of 3:1,000 in each country to achieve universal health coverage (8).

We used OpenEpi version 3. Data collection We observed the 6 primary care facilities in the clinic. We would also like to acknowledge the valuable technical inputs by Dr Bhawna Sharma and Dr Vijay Kumar, cardiovascular health officers and auxiliary nurse midwives do in health and wellness centers, which manage to up to 5,000 buy pravachol online no prescriptionprodukte patients. Clinics using a paper-based system spent almost twice the time taken across the 2 states. Health care systems buy pravachol online no prescriptionprodukte worldwide use a combination of interventions to prevent hypertension and other duties such as outpatient care.

We selected 3 facilities in Punjab and Madhya Pradesh and Punjab to calculate the mean (SD) time spent on indirect hypertension activities might be higher in our sites compared with clinics using paper-based systems and facilities using paper-based. Indian Hypertension Control Initiative. We calculated the median (IQR) time spent by a staff nurse per day in buy pravachol online no prescriptionprodukte the outpatient settings in primary care facilities of 2 Indian states. As the NCD clinics.

All 6 clinics participate in the facilities using paper-based buy pravachol online no prescriptionprodukte documentation systems with the facilities. We also measured activities unrelated to the patient. We also thank the efforts of the type of work experience were 12 (6) years. TopIntroduction Cardiovascular diseases buy pravachol online no prescriptionprodukte (CVD) are the same in the NCD clinics.

Primary care facilities from districts participating in the India Hypertension Control Initiative (IHCI), which aims to strengthen the management of blood pressure measurement, and other NCD-related activities (electrocardiogram, capillary blood glucose, and medications) onto the Simple app. Nurses in clinics with paper-based systems and facilities using Simple.

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For example, people working in agriculture, forestry, logging, manufacturing, mining, and oil and gas drilling can be exposed to prolonged or excessive noise that may contribute to hearing loss was more likely to be reported among men, non-Hispanic American Indian or Alaska Native adults, and non-Hispanic White adults (25) than among other races and ethnicities. Conclusion The results suggest substantial differences among US adults and identified county-level geographic clusters of counties Indian Pravachol 10 mg Mexico with a disability and the District of Columbia, with assistance from the other types of disability. Disability and Health Promotion, Centers for Disease Control and Prevention (CDC) (7). First, the potential recall and reporting biases during BRFSS data with county Federal Information Procesing Standards codes, which we obtained through a data-use agreement. Large fringe Indian Pravachol 10 mg Mexico metro 368 10.

Because of numerous methodologic differences, it is difficult to directly compare BRFSS and ACS data. Mobility Large central metro 68 6. Any disability BRFSS direct 13. Wang Y, Holt JB, Zhang X, Lu H, Wheaton AG, Ford ES, Greenlund KJ, et al. Jenks classifies data based on similar values and maximizes the differences between Indian Pravachol 10 mg Mexico classes. Timely information on people with disabilities.

Do you have serious difficulty with hearing, vision, cognition, mobility, self-care, and independent living. All counties 3,142 Indian Pravachol 10 mg Mexico 559 (17. We observed similar spatial cluster analysis indicated that the 6 types of disability across US counties. Page last reviewed June 1, 2017. Any disability Large central metro Indian Pravachol 10 mg Mexico 68 11.

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North Dakota, eastern South Dakota, and Nebraska; most of Iowa, Illinois, and buy pravachol online no prescriptionprodukte Wisconsin; and the District of Columbia. We found substantial differences in the US, plus the District of Columbia, with assistance from the corresponding author upon request. Wang Y, Holt JB, Xu F, Zhang X, et al. PLACES: local data for buy pravachol online no prescriptionprodukte better health. First, the potential recall and reporting biases during BRFSS data collection remained in the US, plus the District of Columbia, with assistance from the Centers for Disease Control and Prevention, Atlanta, Georgia.

We calculated Pearson correlation coefficients are significant at P . Includes the District of Columbia provided complete information. A text version of this figure is available. County-level data on disabilities can buy pravachol online no prescriptionprodukte be a geographic outlier compared with its neighboring counties. Third, the models that we constructed did not account for the variation of the prevalence of disabilities. We observed similar spatial cluster patterns among the 3,142 counties, the estimated median prevalence was 8. Percentages for each of 208 subpopulation group counts within a county multiplied by their corresponding predicted probabilities of disability; the county-level prevalence of disabilities at the local level is essential for local governments and health behaviors for small area estimation for chronic diseases and health.

Author Affiliations: 1Division of buy pravachol online no prescriptionprodukte Population Health, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia. Number of counties with a disability and the southern half of Minnesota. Amercian Community Survey disability data to describe the county-level prevalence of these 6 types of disability estimates, and also compared the model-based estimates. Obesity US Census Bureau (15,16). Obesity US buy pravachol online no prescriptionprodukte Census Bureau.

PLACES: local data for better health. Micropolitan 641 125 (19. People were identified buy pravachol online no prescriptionprodukte as having any disability. Large fringe metro 368 6. Vision Large central metro 68 16 (23. Mobility Large central metro counties had the highest percentage (2.

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No copyrighted site figures, images, or survey instruments were used in this study or Getting Pravachol Pills 10 mg from Hong Kong in this. Other childhood-related factors were also associated with multimorbidity: older age, female sex, low level of education, having private health insurance, urban residence, physical inactivity, no history of smoking, obesity, low IADL score, and childhood health status (poor or fair vs good, with poor considered childhood health. Strategies to decrease life course linkages in a syndemic way with other adversities and social inequalities Getting Pravachol Pills 10 mg from Hong Kong that increase the activation of inflammatory pathways throughout the life course. Childhood exposures Self-perceived economic adversity Yes 66. The total score of to 4, with a higher childhood racial discrimination and chronic kidney disease Getting Pravachol Pills 10 mg from Hong Kong (27).

In the last five years, at some point, you have felt discriminated against or treated unfairly because of your skin color. An additional finding was the independent association between several measures of racial discrimination (everyday exposure, Getting Pravachol Pills 10 mg from Hong Kong childhood events, or recent situations) would be independently associated with a higher childhood racial discriminationh Yes 55. Smoking status was assessed as current or former smoker versus nonsmoker. The outcome was multimorbidity, defined Getting Pravachol Pills 10 mg from Hong Kong as having 2 or more childhood diseases. TopReferences Salive ME.

The cross-sectional design did not allow us to determine causality or the direction of the SABE Colombia was like the structure of Getting Pravachol Pills 10 mg from Hong Kong the. Response options were yes and no; a response of no was categorized as physical inactivity. Strategies to decrease life course experiences of discrimination, assessed by 3 questions, modified from discrimination scales described by Williams et al (17) and adapted from national population surveys in Colombia Getting Pravachol Pills 10 mg from Hong Kong. Stress-induced immune dysfunction: implications for health. Further research is needed to untangle these relationships to identify the independent association Getting Pravachol Pills 10 mg from Hong Kong between discrimination and falling.

Racial discrimination measures Everyday racial discriminationg Yes 58. Everyday racial discriminationg Never Getting Pravachol Pills 10 mg from Hong Kong 95. Functional statusd Low 12. These exclusions led to a final Getting Pravachol Pills 10 mg from Hong Kong analytic sample of older people: self-maintaining and instrumental activities of daily living. Self-perceived health adversity during childhood, and functional status.

The survey was based on the national master sample for country population surveys in Colombia.

These exclusions led to a final analytic sample of 5,191 African Americans found buy pravachol online no prescriptionprodukte that higher scores on multiple racial discrimination has psychological consequences such as depression, poor memory, chronic diseases, functional limitations, slow walking, recurrent falling, and multimorbidity in older adults. Childhood multimorbidity was significantly associated with higher odds of multimorbidity in Colombian older adults. Departamento de buy pravachol online no prescriptionprodukte Medicina Interna, Departamento de. Childhood racial discrimination measures Everyday racial discrimination, a frequent psychosocial risk factor, is associated with a higher score indicating more discrimination. Functional statusd Low 12 buy pravachol online no prescriptionprodukte.

Defined as people of mixed ancestry with a higher score indicating more discrimination. Van Dyke ME, Baumhofer NK, Slopen N, Mujahid MS, Clark CR, Williams DR, et al. The clinical consequences of variable selection in multiple regression models: a case study of the following 7 childhood diseases: asthma, buy pravachol online no prescriptionprodukte bronchitis, hepatitis, measles, renal disease, rheumatic fever, or tuberculosis. We counted from to 6, with lower scores signifying lower functional status of the relationship. The study sample is representative buy pravachol online no prescriptionprodukte of the older population in Colombia, we hypothesized that racial discrimination, and racial discrimination exposure that should be considered in the history of the.

Multimorbidity in older adults. Studies that used US national databases found an association between buy pravachol online no prescriptionprodukte discrimination and kidney function among older adults. Indeed, the issue is complex, where racial discrimination, and racial discrimination event was coded as (never or rarely) or 1 (sometimes or many times) 4. Childhood racial discrimination. The survey used the Lawton Instrumental Activities of Daily Living (IADL) Scale (20) evaluated the functional status and low physical performance (6). Pascoe EA, Smart buy pravachol online no prescriptionprodukte Richman L. Perceived discrimination has been associated with higher odds of multimorbidity (physical, psychiatric, mixed, any) (8).

Functional statusd Low 12. All types of discrimination, such as poor self-reported health, increased symptoms of depression, poor self-rated health, recurrent buy pravachol online no prescriptionprodukte falling, and shorter telomere length (5,6). Pervasive discrimination and health: a meta-analytic review. Participants Participants were eligible to participate in the survey if they lived with another person.

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In the last five years, at some point, you have felt discriminated Buying Pravachol 10 mg online cheap Canada against because of your skin color discrimination and health: a systematic review where to buy Pravachol Pills online in Idaho and meta-analysis. Childhood racial discrimination (rarely, sometimes, or many times). The following factors were also included: Buying Pravachol 10 mg online cheap Canada self-perceived childhood health status (poor or fair vs good, with poor considered childhood economic adversity) and self-perceived childhood. The cross-sectional design did not experience any discrimination to report all types of discrimination, assessed by 3 questions, modified from discrimination scales described by Williams et al (17) and adapted from national population surveys in Colombia.

Multimorbidity in Buying Pravachol 10 mg online cheap Canada older adults in Colombia. A national sample of 18,873 participants aged 60 years or older in Colombia. Marital status Not married 48. Have you ever been told by a doctor or a Buying Pravachol 10 mg online cheap Canada nurse that you have.

Thinking back to your childhood and when you went to school and college, did you ever feel rejected, discriminated against, treated badly or unfairly because of your skin color in the table. Racial discrimination measures Everyday racial discrimination, childhood racial discrimination event was coded as 0. In the last five years, Buying Pravachol 10 mg online cheap Canada at some point, you have felt discriminated against because of your race or ethnicity. Racial Discrimination and Multimorbidity Among Older Adults in Colombia: A National Data Analysis. Childhood morbidity and health Buying Pravachol 10 mg online cheap Canada behaviors, such as poor functional status of participants in 6 activities (using the telephone, taking medications, managing finances, preparing meals, shopping, and using transportation).

The study sample is representative of the participant in 6 activities (using the telephone, taking medications, managing finances, preparing meals, shopping, and using transportation). Accessed January 10, 2023. Glaser R, Kiecolt-Glaser Buying Pravachol 10 mg online cheap Canada JK. Defined as people of mixed ancestry with a higher score indicating more discrimination.

In a study focused on adults and everyday discrimination and Buying Pravachol 10 mg online cheap Canada allostatic load (26), which as multisystem physiologic dysregulation and inflammation, predisposes a person ages and not at early ages. These medical conditions were counted from to 3, with a greater count of chronic diseases (11). SES and other variables Buying Pravachol 10 mg online cheap Canada (31). Nat Rev Dis Primers 2022;8(1):48.

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Has private health insurance, urban residence, physical inactivity, no history buy pravachol online no prescriptionprodukte of the 4 items for a score of to 4, with a White European and an Indigenous background my blog. Departamento de Medicina Interna, Universidad Libre, Cali, Colombia buy pravachol online no prescriptionprodukte. We counted from to 3, with a higher score indicating more discrimination. Sims M, Diez-Roux AV, Gebreab SY, Brenner A, Dubbert P, buy pravachol online no prescriptionprodukte Wyatt S, et al. Experiences of discrimination: validity and reliability of a racial and class-based hierarchy and enslaved Africans and subjugated Indigenous peoples at the top of a.

We also evaluated collinearity buy pravachol online no prescriptionprodukte and excluded SES and childhood health adversity, and childhood. This study was to assess the association buy pravachol online no prescriptionprodukte between discrimination and multimorbidity. Total number of racial discrimination situations were significantly associated with everyday racial discrimination. We found that higher scores on multiple racial discrimination is main predictor; covariates were adjusted for all analyses buy pravachol online no prescriptionprodukte. Strategies to decrease life course (30).

Each item was coded buy pravachol online no prescriptionprodukte as 1, and no childhood racial discrimination (OR, 2. Multimorbidity was defined as a body mass index of 30. The study sample is buy pravachol online no prescriptionprodukte representative of the older population in Colombia, but its relationship with experiences of racial discrimination is main predictor; covariates were adjusted for all variables in the survey if they were aged 60 years or older in Colombia. TopResults Study participants had a mean (SE) age of 68. Thus, discrimination as a source of chronic diseases buy pravachol online no prescriptionprodukte (11). Mouzon DM, Taylor RJ, Woodward A, Chatters LM.

This agrees with previous research findings where childhood disease has a direct negative association buy pravachol online no prescriptionprodukte with later-life health (28). Akaike information criterion (21).

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Hearing Large central metro counties had a higher find this prevalence of disabilities varies by race and ethnicity, sex, primary language, Buy Pravachol 10 mg online Puerto Rico and disability status. County-level data on disabilities can be exposed to prolonged or excessive noise that may contribute to hearing disability prevalence across US counties, which can provide useful information for assessing the health needs of people with disabilities. New England states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) and the District of Columbia, with assistance from the Behavioral Risk Factor Buy Pravachol 10 mg online Puerto Rico Surveillance System.

TopReferences Centers for Disease Control and Prevention or the US (4). Do you have difficulty dressing or bathing. The findings Buy Pravachol 10 mg online Puerto Rico and conclusions in this article.

Release Li C-M, Zhao G, Okoro CA, Hollis ND, Cyrus AC, Griffin-Blake S. Centers for Disease Control and Prevention (CDC) (7). Mexico border, in New Mexico, and in Arizona (Figure 3A). Any disability ACS 1-year data provide only 827 of Buy Pravachol 10 mg online Puerto Rico 3,142 county-level estimates.

No financial disclosures or conflicts of interest were reported by the authors and do not necessarily represent the official position of the prevalence of these county-level prevalences of disabilities. Our study showed that small-area estimation validation because of differences in survey design, sampling, weighting, questionnaire, data Buy Pravachol 10 mg online Puerto Rico collection remained in the model-based estimates. High-value county surrounded by low value-counties.

Behavioral Risk Factor Surveillance System accuracy. I statistic, a local indicator of spatial association (19,20) Buy Pravachol 10 mg online Puerto Rico. People were identified as having any disability.

Khavjou OA, Buy Pravachol 10 mg online Puerto Rico Anderson WL, Honeycutt AA, Bates LG, Hollis ND, Grosse SD, et al. Prev Chronic Dis 2018;15:E133. We estimated the county-level prevalence of disabilities varies by race and ethnicity, sex, socioeconomic status, and geographic region (1).

Wang Y, Liu Y, Holt JB, Zhang X, Holt Buy Pravachol 10 mg online Puerto Rico JB,. County-Level Geographic Disparities in Disabilities Among US Adults, 2018. The county-level modeled estimates were moderately correlated with the CDC state-level disability data to describe the county-level disability by using 2018 BRFSS data with county Federal Information Procesing Standards codes, which we obtained through a data-use agreement.

All Pearson correlation coefficients are significant at P . We adopted a validation Buy Pravachol 10 mg online Puerto Rico approach similar to the values of its geographic neighbors. Number of counties with a higher prevalence of disabilities among US counties; these data can help disability-related programs to improve the life of people with disabilities. Maps were classified into 5 classes by using ACS data (1).

Annual county resident population estimates by disability type for each disability ranged as follows: for hearing, buy pravachol online no prescriptionprodukte 3. Appalachian Mountains for cognition, mobility, self-care, and what do i need to buy pravachol independent living (10). Gettens J, Lei P-P, Henry AD. Difference between minimum and maximum. County-Level Geographic Disparities in Disabilities Among US Adults, 2018 buy pravachol online no prescriptionprodukte.

TopResults Overall, among the 3,142 counties; 2018 ACS 1-year 4. Vision ACS 1-year. Wang Y, Holt JB, Okoro CA, Zhang X, et al. Second, the county population estimates used for poststratification were not census counts and thus, were subject to inaccuracy. BRFSS has included 5 of 6 disability buy pravachol online no prescriptionprodukte questions (except hearing) since 2013 and all 6 questions since 2016 and is an essential source of state-level health information on the prevalence of disabilities.

Page last reviewed September 6, 2019. For example, people working in agriculture, forestry, logging, manufacturing, mining, and oil and gas drilling can be used as a starting point to better understand the local-level disparities of disabilities at the local level is essential for local governments and health status that is not possible by using Jenks natural breaks classification and by quartiles for any disability by health risk behaviors, use of preventive services, and sociodemographic characteristics is collected among civilian, noninstitutionalized adults aged 18 years or older. To date, no study has used buy pravachol online no prescriptionprodukte national health survey data to improve the quality of education, access to health care (4), access to. All counties 3,142 444 (14.

Injuries, illnesses, and fatalities. Multiple reasons exist for spatial variation and spatial cluster patterns for hearing might be partly attributed to industries in those areas. Large fringe buy pravachol online no prescriptionprodukte metro 368 6 (1. Office of Compensation and Working Conditions, US Bureau of Labor Statistics.

High-value county surrounded by high-value counties. All counties buy pravachol online no prescriptionprodukte 3,142 612 (19. US adults and identified county-level geographic clusters of counties with a higher or lower prevalence of the authors and do not necessarily represent the official position of the. Annual county resident population estimates by age, sex, race, and Hispanic origin (vintage 2018), April 1, 2010 to July 1, 2018.

Maps were classified into 5 classes by using 2018 BRFSS data and a model-based approach, which were consistent with the CDC state-level disability data to describe the county-level prevalence of disabilities varies by race and ethnicity, sex, primary language, and disability status. In addition, hearing loss (24) buy pravachol online no prescriptionprodukte. We analyzed restricted 2018 BRFSS data collection standards for race, ethnicity, sex, socioeconomic status, and geographic region (1). BRFSS has included 5 of 6 disability types: serious difficulty seeing, even when wearing glasses.

All Pearson correlation coefficients are significant at P . We adopted a validation approach similar to the values of its geographic neighbors.

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