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Tohoku Univ, Grad Sch Med, Dept Hlth Informat & Publ Hlth, Div Epidemiol,Sch Publ Hlth,Aoba Ku, 2-1 Seiryo Machi, Sendai, Miyagi 9808575, Japan Tohoku Univ, Grad Sch Med, Dept Hlth Informat & Publ Hlth, Div Epidemiol,Sch Publ Hlth,Aoba Ku, 2-1 Seiryo Machi, Sendai, Miyagi 9808575, Japan