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Other covariates In addition to collecting data on smoking status and COPD, demographic characteristics were extracted, encompassing variables such as sex, age (2039, 4059, 6079 years), race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, Mexican American, other), citizenship status (US citizen, non-US citizen), an education level (lower than high school, high school or higher), body mass index (BMI, kg/ m 2 ) categories (underweight: 4)

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