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The highest rates were among women with a high school diploma or GED (12.2 percent), followed by women with less than a high school diploma (11.7 percent) and women with some college or an associate's degree (7.9 percent)

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A history of ever using e-cigarettes was significantly predictive of COPD exacerbations in COPDGene ( p = 0.01), even after adjusting for baseline history of exacerbations, age, gender, current tobacco smoking, FEV 1 , GERD, and SGRQ (Table S1)