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BACKGROUND Immunosuppressive nonadherence is a risk factor for worse outcomes after kidney transplantation (KT). Brazil, having the world's largest public, fully covered transplantation system and the second highest KT volume worldwide, provides a unique setting for studying multilevel correlates of nonadherence (patient, healthcare provider, transplant center, and healthcare system levels) independent of patients' financial burden. METHODS By applying a multistage sampling approach, we included 1105 patients from 20 KT centers. Nonadherence to immunosuppre

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117, p = 0.092), nor in firearm-related suicide among White non-Hispanics (  = 1.107, p = 0.164) or Wisconsinites residing in rural counties (  = 1.085, p = 0.50. Our findings suggest that the repeal of the 48-hour waiting period on handgun purchases in 2015 is correlated with the increase of firearm-related suicides among Wisconsin residents of color and Wisconsinites residing in urban counties.Key MessagesFirearm policies are associated with changes in suicide rates. Our findings suggest that the repeal of the 48-hour waiting period on