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37- (95% CI = 2.20, 2.54) fold and 4.08- (95% CI = 3.69, 4.52) fold, respectively.Conclusions. The relative importance of determinants of above-threshold BLLs changes with decreasing intervention thresholds.Public Health Implications. States may need to update lead screening guidelines when decreasing the intervention threshold. (Am J Public Health. Published online ahead of print March 19, 2020 e1-e7. doi10.2105/AJPH.2020.305566).Objectives. To determine factors that explain the higher BlackWhite cardiovascular disease (CVD) mortality

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