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All unadjusted models showed that PS, IS, and low AA were strongly associated with EMS, demonstrating their independent effect. After controlling for PI and IS, the multivariate model for AA and EMS increased odds by 6.5 times (95%CI 1.8-23, indicating that EMS is strongly associated with low AA. Besides, PI and IS were also statistically significant higher ( 0.0001) in the model, demonstrating their mixed effect. This study found a higher occurrence of PI and IS in EMS. Besides, independent and mixed effects of these variables on l
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