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X is
common in many countries with a high
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prevalence
of Y (1-15).
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Prior
research suggested that X causes Y (16-30).
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More
recent studies have suggested that Y causes
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X (31-45).
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Only
a few studies have considered the association
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of X
and Z (46-50) or Y and Z (51-53).
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We
conducted a study to test the hypothesis that Z
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is
associated with both X and Y.
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