American journal of preventive medicine
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US safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. ⋯ Proportion of respondents with high take-up of all programs increased over the study period, perhaps due to pandemic-era policy changes. Take-up patterns showed associations with mental health, and key differences among sociodemographic subgroups suggest targeted interventions may improve participation.
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Insulin resistance (IR) is a well-establsihed risk factor for stroke. However, the relationship between triglyceride-glucose (TyG) index, its modified indices‒TyG-waist circumference (TyG-WC), TyG-waist-to-height ratio (TyG-WHtR), and TyG-BMI‒and the risk of stroke in populations without diabetes remains underexplored. ⋯ TyG-WC is strongly associated with stroke risk in populations without diabetes, offering superior risk stratification compared to other TyG indices.
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Life transitions often bring stress and uncertainty and may lead to poor long-term health outcomes if not navigated successfully. Every year over 200,000 U.S. service members transition from military to civilian life. Given that transition may be particularly challenging for younger individuals this study examined younger military Veterans' well-being during transition and its impact on suicidal ideation (SI), as compared to middle-aged Veterans. ⋯ Findings highlight the importance of considering age cohort effects in efforts to enhance well-being and reduce SI among transitioning Veterans.
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Gabapentin and pregabalin (gabapentinoids), are increasingly prescribed to children and adolescents off-label for various conditions, despite limited data and concerns for adverse outcomes including misuse and overdose. The extent of gabapentinoid use in children and adolescents is unknown. ⋯ Gabapentinoid receipt among US children and adolescents has increased. Future research can explore factors associated with prescribing including changing epidemiology of pain and psychiatric diagnoses in children and adolescents. Prescribing clinicians should carefully consider the potential risks and benefits of gabapentinoids in clinical practice.
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Many states have legalized cannabis for medicinal and recreational purposes in the past decade. However, it is unclear how recreational cannabis laws (RCLs) may affect alcohol and tobacco use among adults. ⋯ The findings suggest that while the overall effects of RCLs on the use of alcohol and tobacco may be limited, there are heterogeneous associations of RCLs with drinking and smoking by age, sex, race and ethnicity, education, and income.