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7), longer AL (per mm; OR=3.1) and lower education (OR=1.9) were associated with MMD after multivariable adjustment (all p0.001). Similarly, in the clinic-based/school-based studies, older age (OR=1.07; p0.001), female (OR=2.1; p0.001), longer AL (OR=2.1; p0.001) and lower education (OR=1.7; p=0.005) were associated with MMD after multivariable adjustment. SE had the highest AUC of 0.92, followed by AL (AUC=0.87). The combination of SE, age, education and gender had a marginally higher AUC (0.94). In this pooled analysis