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22 [95% CI 1.41 to 3.5]; P.001; and aged 30 to 39 years aOR 1.54 [95% CI 1.19 to 1.99]; P.001). Adults with celiac disease of all ages and sexes had increased adjusted odds of death if they had ASCVD (aOR aged 40 years 7.31 [95% CI 2.49 to 21.46]; P.001; and aOR aged ≥40 years 2.02 [95% CI 1.68 to 2.42]; P.001). We found significantly higher prevalence and adjusted odds of ASCVD in young women with celiac disease when compared with matched controls. ASCVD was associated with significant mortality among patients with