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For instance, despite a high response for a study of this scale (15.6%) [26], certain subgroups (e.g., lower SES or more severe mental health issues) may be underrepresented due to non-participation, although analyses were adjusted for education level as a proxy for SES, and the results of the stratified analyses were largely consistent across education levels

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Current guidelines that make no distinction among different subsets of the population may not be the most effective use of efforts to control death from tobacco-related diseases like lung cancer, Holford said, noting that additional studies are needed to determine whether a sufficient number of African Americans are screened under current guidelines or if changes to current policy are necessary