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Recreational noise exposure was assessed by the question, Outside of work, are you exposed to noise or music for 10 hours or more per week? (Yes/No), dyslipidemia [defined as triglycerides TG 150 mg/dL (1.7 mmol/L) or total cholesterol TC 200 mg/dL (5.2 mmol/L) or low-density lipoprotein cholesterol LDL-C 130 mg/dL (3.4 mmol/L) or high-density lipoprotein cholesterol (HDL-C) 40 mg/dL (1.0 mmol/L) or self-reported physician diagnosis or taking cholesterol-lowering medication or taking lipid-lowering medication], moderate work activity (defined as whether the work involves moderate-intensity activity that results in a small increase in respiration or heart rate, such as walking briskly or carrying a light load continuously for at least 10 minutes?) Statistical analysis All analyses used sample weights to account for complex sampling designs in accordance with National Center for Health Statistics guidelines 21

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Additionally, the survey lacks data on exposure to specific toxicants in non-cigarette tobacco products, constraining our ability to evaluate the potential mechanisms driving the observed associations

These bears are already facing intensifying threats like habitat degradation and collisions with cars, so the hunt may be devastating to their population