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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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Chronic Disease Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion to address the interface between applied public health research, practice, and policy. 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. Preventing Chronic Disease PCD ob uuid:ec2aacea-ad2a-40f3-95d8-02b76a1a67cd uuid:3849019d-00a2-4c76-83ee-b39b0025ee80 endstream endobj 39 0 obj <> endobj xref 0 40 0000000000 65535 f 0000121513 00000 n 0000121723 00000 n 0000148534 00000 n 0000148744 00000 n 0000174419 00000 n 0000174629 00000 n 0000200291 00000 n 0000200491 00000 n 0000225782 00000 n 0000225983 00000 n 0000246473 00000 n 0000246675 00000 n 0000259569 00000 n 0000259781 00000 n 0000276159 00000 n 0000276361 00000 n 0000294348 00000 n 0000294550 00000 n 0000306245 00000 n 0000306759 00000 n 0000306807 00000 n 0000306898 00000 n 0000321656 00000 n 0000321849 00000 n 0000322515 00000 n 0000322657 00000 n 0000323179 00000 n 0000325617 00000 n 0000328233 00000 n 0000330757 00000 n 0000333220 00000 n 0000335796 00000 n 0000338274 00000 n 0000340012 00000 n 0000341738 00000 n 0000343284 00000 n 0000344589 00000 n 0000344701 00000 n 0000349336 00000 n trailer <]>> startxref 116 %%EOF