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3% (n = 3514) had an incident stroke. We observed a modest reduction in risk of incident stroke among women who lived in urban (adjusted hazard ratio [aHR] 0.86, confidence interval [95% CI] 0.71-1.05) and large rural areas (aHR 0.79, 95% CI 0.60-1.04) compared with women who lived in small rural areas. In contrast, women who lived in urban compared with large rural areas had a similarly modest increased risk of stroke (aHR 1.09, 95% CI 0.89-1.32). Women who lived in urban compared with large rural areas were more likely to have poor stro