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health stroke income cancer intervention treatment study patient effect group breast table stage screening analysis change implementation service women china control effectiveness hospital inequality difference equity lifetime cost-effectiveness smear stroke services age 12 cost effectiveness region thrombolysi result vaccination income mobility distribution smear test trial 0.000 breast cancer reference outcome approach model level colorectal estimate 10.1136/ bmj.e 614 colorectal cancer disease population ischemic stroke income distribution intervention group equation decomposition growth health care costs category hpv vaccinations resource variable practice month increase mobility program income growth netherland income inequality hpv vaccination control group figure health effects stroke service sub-saharan africa acetic acid evolution