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The most plausible threat from bias is that the COVID-19 pandemic resulted in a systematic change to the methods (e.g., to the sampling strategy, response rates or to the data collection methods) affecting particularly the 2020/21 and 2021/22 surveys

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Furthermore, variations in enforcement and human activity across different protection levels, e.g., no take versus multiple use, may lead to inconsistencies in comparisons of contamination density, particularly since several protected areas lack a classified protection level

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She explains its common to turn to substance use to cope with or avoid difficult feelings