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19.65 16.7 19.42 16.63 19.1 c 16.31 17.61 l 16.31 17.61 l 16.84 18.1 l 17.24 18.47 17.45 18.66 17.53 18.76 c 17.59 18.84 17.59 18.86 17.31 19.19 c 17.42 19.29 l 18.14 18.52 l 18.03 18.42 l h f 15.94 20.77 m 15.68 21.06 15.66 21.07 15.58 21.03 c 15.52 20.99 15.41 20.91 15.25 20.79 c 13.94 19.81 l 14.18 19.48 l 14.25 19.39 14.36 19.41 14.78 19.54 c 14.86 19.39 l 14.72 19.33 14.55 19.23 14.28 19.04 c 14.24 19.11 14.21 19.17 14.17 19.23 c 14.14 19.28 14.1 19.34 14.06 19.4 c 13.33 20.37 l 13.23 20.5 13.14 20.6 13.04 20.69 c 13.3 20.89 13.45 21.03 13.54 21.14 c 13.66 21.03 l 13.42 20.67 13.37 20.57 13.44 20.47 c 13.68 20.14 l 15 21.12 l 15.16 21.25 15.26 21.33 15.31 21.38 c 15.38 21.44 15.38 21.47 15.17 21.79 c 15.29 21.88 l 16.05 20.86 l 15.94 20.77 l h f 13.63 24.38 m 13.46 24.72 12.98 24.83 12.31 24.48 c 11.64 24.12 11.47 23.66 11.65 23.33 c 11.82 22.99 12.3 22.88 12.97 23.23 c 13.64 23.58 13.81 24.04 13.63 24.38 c 11.49 23.25 m 11.19 23.83 11.41 24.52 12.1 24.88 c 12.78 25.24 13.47 25.04 13.78 24.46 c 14.09 23.88 13.87 23.18 13.18 22.82 c 12.5 22.46 11.8 22.66 11.49 23.25 c f 12.96 25.62 m 12.81 25.91 12.8 25.92 12.7 25.9 c 12.58 25.87 12.32 25.76 11.82 25.55 c 11.3 25.35 11.04 25.24 10.93 25.18 c 10.84 25.13 10.84 25.12 10.94 24.8 c 10.81 24.75 l 10.3 25.98 l 10.23 26.17 10.13 26.36 10.06 26.48 c 10.21 26.54 10.58 26.73 10.66 26.79 c 10.74 26.66 l 10.35 26.39 10.34 26.31 10.52 25.85 c 10.64 25.55 l 10.66 25.51 10.68 25.5 10.73 25.52 c 11.48 25.82 l 11.52 25.84 11.54 25.86 11.5 25.95 c 11.46 26.05 l 11.31 26.4 11.25 26.4 11 26.34 c 10.95 26.49 l 11.05 26.53 11.16 26.56 11.32 26.63 c 11.46 26.68 11.6 26.74 11.69 26.78 c 11.75 26.64 l 11.52 26.52 11.48 26.45 11.58 26.2 c 11.68 25.97 l 11.69 25.93 11.71 25.92 11.76 25.94 c 12.56 26.26 l 12.65 26.29 12.64 26.32 12.52 26.7 c 12.66 26.76 l 13.1 25.67 l 12.96 25.62 l h f 11.83 28.59 m 11.72 28.94 11.7 28.96 11.6 28.95 c 11.49 28.93 11.21 28.87 10.67 28.74 c 10.14 28.62 9.87 28.55 9.75 28.51 c 9.65 28.48 9.65 28.45 9.71 28.1 c 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10.88 35.96 10.87 36.26 c 11.02 36.26 l 11.04 35.04 l 10.89 35.04 l 10.87 35.4 10.84 35.43 10.75 35.43 c 10.67 35.43 10.28 35.27 10.24 35.24 c 10.22 35.23 10.21 35.22 10.21 35.2 c 10.2 35.11 10.2 34.93 10.2 34.57 c 10.21 34.35 10.23 34.34 10.31 34.31 c 10.52 34.22 10.71 34.17 10.75 34.17 c 10.85 34.18 10.88 34.21 10.9 34.55 c 11.05 34.55 l 11.07 33.6 l 10.92 33.6 l h f 10.89 36.34 m 10.89 36.68 10.89 36.7 10.79 36.72 c 10.67 36.74 10.39 36.76 9.84 36.81 c 9.3 36.86 9.01 36.88 8.89 36.88 c 8.79 36.88 8.78 36.86 8.72 36.53 c 8.57 36.54 l 8.67 37.68 l 8.82 37.67 l 8.82 37.33 8.82 37.31 8.92 37.29 c 9 37.27 9.2 37.25 9.37 37.23 c 10.78 37.11 l 10.91 37.1 10.94 37.14 10.95 37.24 c 10.98 37.65 l 11.01 37.99 10.91 38.05 10.43 38.29 c 10.5 38.45 l 10.62 38.4 11.03 38.31 11.21 38.29 c 11.04 36.33 l 10.89 36.34 l h f 11.12 38.68 m 11.16 39.06 11.16 39.08 11.06 39.11 c 10.99 39.13 10.87 39.16 10.66 39.2 c 9.05 39.47 l 8.99 39.07 l 8.96 38.95 9.05 38.88 9.44 38.67 c 9.37 38.51 l 9.24 38.57 9.05 38.63 8.73 38.7 c 8.75 38.76 8.77 38.83 8.78 38.9 c 8.81 38.96 8.82 39.03 8.83 39.1 c 9.04 40.31 l 9.06 40.45 9.08 40.59 9.08 40.72 c 9.4 40.68 9.6 40.67 9.74 40.67 c 9.75 40.51 l 9.32 40.43 9.21 40.4 9.19 40.28 c 9.12 39.88 l 10.73 39.6 l 10.94 39.57 11.06 39.55 11.13 39.55 c 11.23 39.54 11.25 39.56 11.34 39.93 c 11.49 39.91 l 11.27 38.66 l 11.12 38.68 l h f 11.4 40.38 m 11.47 40.73 11.47 40.76 11.38 40.79 c 11.26 40.84 10.99 40.92 10.46 41.07 c 9.93 41.22 9.66 41.29 9.54 41.32 c 9.44 41.33 9.43 41.32 9.3 40.97 c 9.16 41.01 l 9.49 42.19 l 9.64 42.16 l 9.56 41.8 9.57 41.78 9.66 41.74 c 9.73 41.71 9.93 41.65 10.09 41.6 c 10.32 41.53 l 10.42 41.51 10.44 41.51 10.46 41.6 c 10.72 42.5 l 10.74 42.59 10.73 42.6 10.63 42.63 c 10.4 42.7 l 10.24 42.75 10.04 42.8 9.96 42.81 c 9.86 42.83 9.84 42.81 9.72 42.47 c 9.58 42.51 l 9.91 43.69 l 10.06 43.65 l 9.99 43.29 9.99 43.27 10.08 43.24 c 10.2 43.19 10.47 43.11 11 42.96 c 11.53 42.81 11.8 42.74 11.92 42.71 c 12.02 42.7 12.03 42.71 12.16 43.06 c 12.3 43.02 l 11.97 41.83 l 11.82 41.87 l 11.9 42.23 11.89 42.25 11.8 42.29 c 11.71 42.33 11.43 42.41 11.03 42.52 c 10.93 42.55 10.91 42.54 10.88 42.46 c 10.63 41.56 l 10.61 41.47 10.61 41.46 10.72 41.42 c 11.12 41.32 11.4 41.24 11.5 41.22 c 11.59 41.2 11.61 41.22 11.73 41.56 c 11.88 41.52 l 11.54 40.34 l 11.4 40.38 l h f 13 45.15 m 13.06 45.26 13.07 45.41 13.04 45.59 c 12.73 45.51 12.12 45.46 11.83 45.46 c 11.84 45.19 11.91 45.03 12.14 44.92 c 12.39 44.81 12.85 44.83 13 45.15 c 11.69 45.8 m 11.7 45.99 11.56 46.14 11.43 46.2 c 11.31 46.26 11.13 46.27 11.05 46.12 c 11.01 46.01 11.03 45.87 11.2 45.8 c 11.3 45.75 11.47 45.73 11.69 45.8 c 13.72 46.55 m 13.76 46.33 13.74 46.12 13.67 45.97 c 13.59 45.81 13.46 45.72 13.19 45.63 c 13.26 45.39 13.27 45.14 13.14 44.88 c 12.93 44.43 12.5 44.34 12.16 44.5 c 11.85 44.65 11.7 44.92 11.69 45.44 c 11.31 45.41 11.18 45.42 11.06 45.47 c 10.85 45.57 10.72 45.8 10.89 46.16 c 11.03 46.47 11.26 46.61 11.53 46.48 c 11.79 46.35 11.84 46.09 11.83 45.83 c 12.21 45.85 12.57 45.88 12.93 45.94 c 12.85 46.14 12.7 46.36 12.59 46.41 c 12.5 46.46 12.43 46.42 12.34 46.29 c 12.21 46.35 l 12.56 47.1 l 12.7 47.03 l 12.62 46.86 12.63 46.71 12.79 46.5 c 12.87 46.4 12.99 46.21 13.1 45.98 c 13.39 46.04 13.47 46.08 13.54 46.21 c 13.59 46.32 13.59 46.45 13.57 46.63 c 13.72 46.55 l h f 14.32 47.61 m 14.51 47.92 14.51 47.95 14.44 48.01 c 14.35 48.1 14.12 48.25 13.66 48.57 c 13.22 48.89 12.98 49.05 12.88 49.11 c 12.79 49.16 12.77 49.15 12.54 48.86 c 12.41 48.95 l 13.12 49.96 l 13.24 49.87 l 13.06 49.56 13.05 49.53 13.13 49.47 c 13.19 49.42 13.35 49.29 13.5 49.19 c 13.69 49.06 l 13.77 49 13.79 49 13.84 49.08 c 14.38 49.84 l 14.43 49.92 14.43 49.94 14.34 50 c 14.14 50.13 l 14.01 50.23 13.83 50.34 13.76 50.39 c 13.68 50.43 13.66 50.42 13.43 50.14 c 13.31 50.22 l 14.01 51.23 l 14.14 51.14 l 13.95 50.83 13.95 50.81 14.02 50.75 c 14.11 50.66 14.34 50.5 14.79 50.18 c 15.24 49.87 15.47 49.71 15.58 49.65 c 15.67 49.6 15.69 49.61 15.92 49.89 c 16.05 49.81 l 15.34 48.8 l 15.21 48.88 l 15.4 49.19 15.4 49.22 15.33 49.28 c 15.25 49.35 15.02 49.52 14.67 49.76 c 14.59 49.82 14.57 49.82 14.52 49.74 c 13.98 48.98 l 13.93 48.9 13.93 48.88 14.02 48.83 c 14.36 48.58 14.6 48.42 14.69 48.37 c 14.78 48.33 14.8 48.34 15.03 48.62 c 15.15 48.53 l 14.44 47.53 l 14.32 47.61 l h f 14.28 51.56 m 15.1 52.47 l 15.22 52.38 l 14.99 52.09 14.99 52.07 15.05 51.99 c 15.13 51.9 15.34 51.71 16.01 51.11 c 16.22 50.92 16.6 50.68 16.97 51.09 c 17.39 51.55 17.21 51.82 16.67 52.31 c 16.24 52.71 16.03 52.89 15.93 52.96 c 15.85 53.02 15.83 53.01 15.55 52.75 c 15.44 52.85 l 16.13 53.6 l 16.24 53.51 l 16.02 53.22 16.01 53.19 16.07 53.12 c 16.16 53.03 16.37 52.84 16.94 52.32 c 17.35 51.95 17.69 51.55 17.08 50.88 c 16.71 50.47 16.22 50.37 15.72 50.81 c 15.07 51.4 14.86 51.59 14.76 51.66 c 14.68 51.72 14.66 51.71 14.39 51.46 c 14.28 51.56 l h f 17.81 52.03 m 18.09 52.3 18.09 52.32 18.04 52.4 c 17.97 52.5 17.78 52.72 17.43 53.13 c 17.06 53.55 16.88 53.76 16.79 53.85 c 16.71 53.91 16.7 53.91 16.39 53.68 c 16.29 53.79 l 17.02 54.42 l 17.03 54.4 17.07 54.37 17.1 54.35 c 18.8 53.37 l 18.8 53.38 l 18.06 55.32 l 18.78 55.93 l 18.88 55.81 l 18.6 55.54 18.59 55.52 18.65 55.44 c 18.71 55.34 18.9 55.13 19.25 54.71 c 19.62 54.29 19.8 54.07 19.89 53.99 c 19.96 53.93 19.98 53.93 20.29 54.17 c 20.39 54.05 l 19.45 53.24 l 19.35 53.36 l 19.62 53.62 19.62 53.65 19.57 53.71 c 18.28 55.21 l 18.28 55.2 l 19.05 53.21 l 19.07 53.15 19.09 53.09 19.12 53.03 c 18.91 52.85 l 18.89 52.88 18.84 52.91 18.79 52.94 c 16.91 54.03 l 16.9 54.02 l 17.98 52.77 l 18.05 52.69 18.17 52.58 18.21 52.54 c 18.28 52.48 18.3 52.48 18.58 52.69 c 18.68 52.58 l 17.91 51.91 l 17.81 52.03 l h f 21.26 55.82 m 21.28 55.83 21.29 55.85 21.28 55.86 c 21.27 55.87 21.24 55.89 21.22 55.91 c 20.45 56.47 l 20.65 55.51 l 20.65 55.49 20.66 55.47 20.67 55.46 c 20.67 55.44 20.7 55.45 20.71 55.46 c 21.26 55.82 l h 20.46 54.26 m 20.67 54.43 20.67 54.53 20.6 54.84 c 20.27 56.47 l 20.22 56.74 20.2 56.81 20.17 56.95 c 20.32 57.04 l 20.4 56.96 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Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. 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