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To our knowledge, this is the first longitudinal study to assess the association between long-term exposure to air pollutants and progression of per cent emphysema in a large, community-based, multi-ethnic cohort, said Meng Wang, Assistant Professor at the University at Buffalo, New York

Consequently, indices such as the HEIC require regularly updating to accurately reflect the environment

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Bivariate relationships among respondent demographic factors (age, gender, education level, cigarettes per day, perceived health status), cigarette characteristics, and outcome measures were assessed using cross-tabulations with chi-squared, ANOVA, or correlations