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Harold Farber, a pediatric pulmonologist at Texas Children's Hospital in Houston, says he's not surprised by the study's findings

The highest contribution of the combined physical environment, after adjusting for the effects of gender, ethnicity, deprivation, urbanicity, region and year, was observed for groups of self-harm ( a = 1.14 [1.10, 1.17]) and emotional ( a = 1.09 [1.09, 1.10]) conditions

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