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Given that COPD diagnoses are rarely made before age 40, and consistent with national COPD cohorts, 21-23 we limited our sample to adults aged 40 years who have ever had a COPD diagnosis at Wave 5 for the cross-sectional analyses (N=1670)

Although the Surgeon General of the United States has labeled cigarette smoking the chief, single, avoidable cause of death in our society and the most important public health issue of our time, the AMA-Newsweek supplement mentioned cigarettes in only four sentences, none of which explicitly identified smoking as a health hazard

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