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The odds ratio (OR) of KSD was higher in the never-smokers with SHS exposure (OR, 1.622) and ever-smokers groups (OR, 1.282) than in the never-smokers with no SHS exposure group after adjustment of confounders

For cross-sectional studies, the Joanna Briggs Institute (JBI) critical appraisal checklist for analytical cross-sectional studies was employed, the JBIs critical appraisal tools assist in assessing the trustworthiness, relevance and results of published papers (21)

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