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We therefore undertook a systematic analysis and meta-analysis of available journals to examine these associations further. DESIGN Relevant researches were identified by looking around Web of Science, Embase, Scopus and PubMed databases up to January 2019. SETTING OR had been pooled utilizing a random-effects design. Standard methods were used for evaluation of heterogeneity and book bias. MEMBERS Data were available from nineteen scientific studies with 372 143 ind