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21.94 13.46 l 21.87 13.03 21.87 12.91 21.98 12.86 c 22.34 12.67 l 23.1 14.12 l 23.19 14.3 23.25 14.42 23.27 14.49 c 23.3 14.58 23.29 14.6 22.97 14.79 c 23.03 14.93 l 24.16 14.34 l 24.09 14.21 l h f 22.47 15.02 m 22.14 15.22 22.11 15.22 22.05 15.15 c 21.97 15.05 21.81 14.82 21.5 14.37 c 21.19 13.92 21.03 13.68 20.97 13.57 c 20.93 13.48 20.94 13.46 21.24 13.23 c 21.16 13.1 l 20.37 13.64 l 20.38 13.66 20.4 13.7 20.41 13.74 c 20.92 15.63 l 20.91 15.63 l 19.23 14.42 l 18.45 14.95 l 18.54 15.08 l 18.87 14.88 18.89 14.87 18.95 14.95 c 19.03 15.04 19.2 15.28 19.5 15.73 c 19.81 16.18 19.98 16.42 20.03 16.53 c 20.08 16.61 20.07 16.63 19.77 16.87 c 19.85 16.99 l 20.87 16.3 l 20.79 16.17 l 20.47 16.36 20.43 16.36 20.39 16.29 c 19.27 14.66 l 19.27 14.66 l 21.01 15.91 l 21.06 15.95 21.11 15.98 21.16 16.03 c 21.38 15.87 l 21.37 15.85 21.34 15.79 21.33 15.73 c 20.77 13.63 l 20.77 13.63 l 21.71 14.99 l 21.77 15.08 21.84 15.22 21.86 15.28 c 21.91 15.36 21.9 15.38 21.63 15.6 c 21.71 15.72 l 22.56 15.15 l 22.47 15.02 l h f 19.73 16.94 m 19.47 17.14 19.44 17.14 19.37 17.08 c 19.28 16.99 19.1 16.78 18.73 16.37 c 18.37 15.95 18.18 15.74 18.12 15.64 c 18.06 15.56 18.07 15.54 18.3 15.3 c 18.2 15.19 l 17.2 16.07 l 17.04 16.2 16.87 16.32 16.75 16.4 c 16.86 16.53 17.1 16.86 17.14 16.95 c 17.28 16.87 l 17.05 16.46 17.07 16.37 17.45 16.04 c 17.69 15.84 l 17.72 15.81 17.75 15.81 17.78 15.84 c 18.31 16.45 l 18.35 16.49 18.35 16.51 18.27 16.58 c 18.2 16.65 l 17.91 16.9 17.85 16.87 17.66 16.7 c 17.54 16.81 l 17.62 16.89 17.69 16.97 17.81 17.1 c 17.91 17.21 18 17.33 18.07 17.41 c 18.19 17.31 l 18.03 17.1 18.03 17.02 18.24 16.84 c 18.42 16.68 l 18.45 16.65 18.48 16.65 18.51 16.68 c 19.11 17.36 l 19.14 17.4 19.14 17.43 19.1 17.46 c 18.65 17.86 l 18.43 18.05 18.32 18.04 18.12 17.91 c 17.91 17.77 l 17.81 17.92 l 17.97 18.03 18.22 18.26 18.33 18.37 c 19.83 17.06 l 19.73 16.94 l h f 18.03 18.42 m 17.78 18.66 17.75 18.66 17.68 18.61 c 17.58 18.53 17.37 18.34 16.96 17.97 c 16.56 17.59 16.35 17.4 16.27 17.31 c 16.21 17.23 16.22 17.21 16.43 16.94 c 16.32 16.84 l 15.82 17.38 l 15.84 17.42 15.85 17.48 15.87 17.56 c 16.31 19.49 l 16.3 19.49 l 15.9 19.11 l 15.5 18.74 15.29 18.55 15.21 18.45 c 15.14 18.38 15.15 18.35 15.39 18.06 c 15.28 17.95 l 14.6 18.69 l 14.71 18.79 l 14.93 18.55 14.97 18.54 15.12 18.66 c 15.26 18.79 15.43 18.93 15.57 19.06 c 16.08 19.53 16.5 19.93 16.69 20.14 c 16.86 19.95 l 16.76 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 9.56 28.07 l 9.28 29.26 l 9.43 29.3 l 9.53 28.94 9.55 28.93 9.65 28.94 c 9.72 28.95 9.93 28.99 10.1 29.03 c 10.32 29.09 l 10.43 29.11 10.44 29.12 10.42 29.21 c 10.21 30.12 l 10.18 30.21 10.17 30.22 10.07 30.19 c 9.83 30.14 l 9.67 30.1 9.46 30.05 9.39 30.03 c 9.3 29.99 9.29 29.97 9.35 29.61 c 9.21 29.58 l 8.92 30.77 l 9.07 30.81 l 9.18 30.46 9.19 30.44 9.29 30.45 c 9.41 30.47 9.69 30.53 10.22 30.66 c 10.76 30.79 11.03 30.85 11.15 30.89 c 11.24 30.92 11.25 30.95 11.19 31.3 c 11.34 31.34 l 11.62 30.14 l 11.47 30.11 l 11.36 30.45 11.35 30.47 11.25 30.46 c 11.15 30.45 10.87 30.39 10.46 30.29 c 10.36 30.27 10.35 30.26 10.37 30.16 c 10.58 29.26 l 10.6 29.16 10.62 29.16 10.72 29.18 c 11.13 29.27 11.41 29.34 11.5 29.38 c 11.6 29.41 11.6 29.43 11.54 29.79 c 11.69 29.83 l 11.97 28.63 l 11.83 28.59 l h f 11.19 31.42 m 11.12 31.75 11.11 31.76 11.01 31.76 c 10.89 31.76 10.61 31.73 10.06 31.66 c 9.52 31.59 9.23 31.56 9.12 31.53 c 9.02 31.51 9.01 31.49 9.03 31.16 c 8.88 31.14 l 8.71 32.47 l 8.69 32.67 8.65 32.87 8.61 33.01 c 8.78 33.04 9.18 33.12 9.27 33.15 c 9.32 33.01 l 8.87 32.85 8.83 32.78 8.89 32.28 c 8.93 31.96 l 8.93 31.92 8.96 31.91 9.01 31.91 c 9.81 32.01 l 9.87 32.01 9.87 32.02 9.87 32.13 c 9.85 32.23 l 9.8 32.61 9.74 32.63 9.48 32.63 c 9.47 32.78 l 9.59 32.8 9.69 32.8 9.87 32.82 c 10.01 32.84 10.17 32.87 10.27 32.88 c 10.28 32.73 l 10.03 32.67 9.98 32.61 10.01 32.34 c 10.04 32.1 l 10.04 32.05 10.06 32.04 10.11 32.04 c 11 32.15 l 11.05 32.16 11.07 32.18 11.07 32.22 c 11 32.82 l 10.96 33.11 10.88 33.17 10.64 33.22 c 10.39 33.26 l 10.41 33.43 l 10.61 33.41 10.95 33.41 11.1 33.42 c 11.34 31.44 l 11.19 31.42 l h f 10.02 35.1 m 10.02 35.13 10.01 35.15 10.01 35.15 c 9.98 35.15 9.95 35.13 9.92 35.12 c 9.04 34.77 l 9.96 34.43 l 9.98 34.42 10 34.41 10.02 34.41 c 10.03 34.41 10.04 34.43 10.04 34.45 c 10.02 35.1 l h 10.92 33.6 m 10.89 33.87 10.81 33.92 10.5 34.03 c 8.95 34.62 l 8.69 34.72 8.62 34.75 8.49 34.78 c 8.49 34.97 l 8.6 34.98 8.79 35.05 8.9 35.1 c 10.61 35.84 l 10.84 35.93 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 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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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