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Because gender was considered a potential confounder of the primary exposure-outcome relationship, participants with missing information on gender were excluded (n=18)

American Indian warriors have a long and illustrious history of sacrifice and service in the armed forces of the United States, and the extremely serious nature of this incident has the potential to affect all Indians who serve in the United States military." According to DoD, American Indians historically have the highest rate of military service per capita compared to other ethnic groups

PyNAST: a flexible tool for aligning sequences to a template alignment