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The Central Pennsylvania Women’s Health Study was funded, in part, by grant number 4100020719 from the Pennsylvania Department of Health. The Pennsylvania Department of Health specifically disclaims responsibility for any analyses, interpretations or conclusions. Dr. McCall-Hosenfeld's effort on the project described was supported by Award Number K12HD055882 (Penn State BIRCWH Program) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health and Human Development or the National Institutes of Health. Dr. Chuang was supported by K23 HD051634 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development.