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These covariates reflected the risk of bias associated with study design (prospective cohorts versus others), representativeness of the study population, exposure measurement (measured at baseline only versus multiple times during follow-up), outcome assessment method (self-report versus medical records), degree of control for confounding, and potential for selection bias (based on percentage follow-up for longitudinal study designs and percentages of cases and controls for which exposure data could be ascertained for casecontrol designs)

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Since the MSAs signing, cigarette sales have decreased more than 20% nationally and theres greater understanding of tobaccos harmful effects, Nessel said