Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for October 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Fetal Exposure to Acetaminophen May Increase Risk for ADHD, ASD

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Cord biomarkers of fetal exposure to acetaminophen are associated with an increased risk for childhood attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), according to a study published online Oct. 30 in JAMA Psychiatry.

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White House Launches Website to Help Those Battling Substance Abuse

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — A new website to help Americans with substance abuse problems find treatment was activated Wednesday by the Trump administration.

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Maltreatment in Childhood Ups Risk for Physical Pain in Young Women

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Young adult women who experienced child maltreatment are at higher risk for pain, according to a study published online Oct. 5 in PAIN.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) — A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

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Evidence for Use of Cannabinoids to Treat Mental Disorders Lacking

TUESDAY, Oct. 29, 2019 (HealthDay News) — There is little evidence to suggest that cannabinoids improve mental disorders, according to a review published online Oct. 28 in The Lancet Psychiatry.

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Antidepressant Effect Seen for Anti-Inflammatories in MDD

TUESDAY, Oct. 29, 2019 (HealthDay News) — Anti-inflammatory agents seem to have an antidepressant effect for patients with major depressive disorder (MDD), according to a review published online Oct. 28 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Prevalence of Pain Higher in Children With Autism

MONDAY, Oct. 28, 2019 (HealthDay News) — Children with autism spectrum disorder (ASD) have an elevated prevalence of pain compared with children without ASD, according to a research letter published online Oct. 28 in JAMA Pediatrics.

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One Lot of Generic Form of Xanax Recalled Due to Potential Contaminate

MONDAY, Oct. 28, 2019 (HealthDay News) — One lot of alprazolam (generic form of Xanax) is being recalled by Mylan Pharmaceuticals Inc. due to potential contamination that poses a risk for infection.

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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) — Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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Psychotherapy for Depression May Be Cost-Effective Over Time

MONDAY, Oct. 28, 2019 (HealthDay News) — For patients with major depressive disorder, neither second-generation antidepressants (SGAs) nor cognitive behavioral therapy (CBT) offers consistently superior cost-effectiveness, according to a study published online Oct. 29 in the Annals of Internal Medicine.

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No Link Found Between Teen Contact Sports, Later Mental Health Issues

FRIDAY, Oct. 25, 2019 (HealthDay News) — Adolescents who play contact sports, including football, are not at increased risk for subsequent cognitive impairment, depression, or suicidal thoughts in early adulthood, according to a study published online Sept. 26 in the Orthopaedic Journal of Sports Medicine.

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Family Involvement Cuts Postop Delirium in Older Patients

FRIDAY, Oct. 25, 2019 (HealthDay News) — The Tailored, Family-Involved Hospital Elder Life Program (t-HELP) is effective in reducing postoperative delirium (POD) for older patients, according to a Chinese study published online Oct. 21 in JAMA Internal Medicine.

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CDC: Drugs Involved in Overdose Deaths Varied Regionally in 2017

FRIDAY, Oct. 25, 2019 (HealthDay News) — The drugs most frequently involved in drug overdose deaths in 2017 varied regionally in the United States, according to a study published online Oct. 25 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Early-Stage Alzheimer Disease Has Adverse Financial Consequences

FRIDAY, Oct. 25, 2019 (HealthDay News) — Early-stage Alzheimer disease seems to put households at risk for large adverse changes in liquid assets and may reduce net wealth, according to a study published online Oct. 25 in Health Economics.

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Google Searches for CBD Up Substantially

THURSDAY, Oct. 24, 2019 (HealthDay News) — Interest in cannabidiol (CBD) across the United States has increased considerably and is accelerating, according to a research letter published online Oct. 23 in JAMA Network Open.

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Knee, Hip Arthritis Increase Risk for Social Isolation in Elderly

THURSDAY, Oct. 24, 2019 (HealthDay News) — Osteoarthritis of the hip and/or knee increases the risk for social isolation in older, community-dwelling individuals, according to a study recently published in the Journal of the American Geriatrics Society.

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Risk for Life-Threatening Infections Greater With Stress-Related Disorders

THURSDAY, Oct. 24, 2019 (HealthDay News) — Stress-related disorders are associated with an increased risk for life-threatening infections, according to a study published online Oct. 23 in The BMJ.

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Effect of Fluoxetine on Repetitive Behaviors in ASD Youth Unclear

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Treatment with fluoxetine appears to result in significantly lower scores for obsessive compulsive behaviors at 16 weeks among children and adolescents with autism spectrum disorder (ASD), but interpretation of the data is limited, according to a study published in the Oct. 22/29 issue of the Journal of the American Medical Association.

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Prophylactic Melatonin Does Not Cut Delirium After Major Cardiac Surgery

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Prophylactic use of melatonin does not prevent delirium after major cardiac surgery, according to a study published online Oct. 8 in the Journal of the American Geriatrics Society.

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$260 Million Deal Averts First Federal Trial Over Opioids

TUESDAY, Oct. 22, 2019 (HealthDay News) — A $260 million settlement in an opioid lawsuit was reached between two Ohio counties and four drug companies on Monday, just hours before opening arguments were to begin in a landmark federal trial over responsibility for the U.S. opioid crisis.

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More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) — There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

AP News Article

VA Hospitals Have Lower Rates of Adverse Events in Psychiatric Units

TUESDAY, Oct. 22, 2019 (HealthDay News) — Psychiatric inpatients at community-based hospitals are twice as likely to experience adverse events (AEs) or medical errors (MEs) as inpatients at Veterans Health Administration (VHA) hospitals, according to a study published in the November issue of Medical Care.

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Long Sleep Duration Linked to Cognitive Decline in Hispanics

MONDAY, Oct. 21, 2019 (HealthDay News) — Long sleep duration predicts seven-year cognitive decline among U.S. Hispanic/Latino patients, according to a study published online Oct. 9 in Alzheimer’s & Dementia.

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Use of E-Cigarettes in U.K. Tied to Quit Rates Among Smokers

FRIDAY, Oct. 18, 2019 (HealthDay News) — Electronic cigarette use in England is positively associated with overall cigarette quit rates and quit success rates, according to a study published online Oct. 17 in Addiction.

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Suicide Risk Up With ARB Exposure Versus ACEI Exposure

FRIDAY, Oct. 18, 2019 (HealthDay News) — Among individuals aged 66 years and older, the use of angiotensin receptor blockers (ARBs) is associated with an increased risk for suicide compared with the use of angiotensin-converting enzyme inhibitors (ACEIs), according to a study published online Oct. 16 in JAMA Network Open.

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Suicide, Homicide Rates Up Among Youth Aged 10 to 24

THURSDAY, Oct. 17, 2019 (HealthDay News) — Suicide rates increased from 2007 to 2017 among youth aged 10 to 24 years, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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PTSD Linked to Early Incident TIA, Stroke in Young Veterans

THURSDAY, Oct. 17, 2019 (HealthDay News) — For young and middle-aged veterans, posttraumatic stress disorder (PTSD) is associated with an increased risk for early incident transient ischemic attack (TIA) and ischemic stroke, according to a study published online Oct. 17 in Stroke.

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Depression, Anxiety, Stress Impact Adherence to Cardiac Rehab

THURSDAY, Oct. 17, 2019 (HealthDay News) — Moderate depression, anxiety, and stress affect adherence to cardiac rehabilitation, according to a study published online Oct. 9 in the European Journal of Preventive Cardiology.

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Risk, Severity of CTE Increase With Years of Football Played

THURSDAY, Oct. 17, 2019 (HealthDay News) — The risk and severity of chronic traumatic encephalopathy (CTE) increase with the number of years playing American football, according to a study published online Oct. 7 in the Annals of Neurology.

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Insurance Plans Vary in Policies for Gender-Affirming Surgeries

THURSDAY, Oct. 17, 2019 (HealthDay News) — There is great variability in coverage and medical necessity criteria for gender-affirming top surgery across insurance companies, according to a study published in the October issue of Plastic and Reconstructive Surgery.

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Opioid Crisis Cost United States $631 Billion Over Four Years

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — The U.S. opioid epidemic cost the nation’s economy $631 billion from 2015 through 2018, a new study says.

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Dopamine Agonists Tied to Higher Risk for Psychiatric Events

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — Patients with primary restless leg syndrome who begin dopamine agonist (DA) therapy may be at increased risk for adverse psychiatric events, according to a study published in the September issue of the Journal of Clinical Sleep Medicine.

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Nonpharmacologic Interventions Reduce Agitation in Dementia

TUESDAY, Oct. 15, 2019 (HealthDay News) — For adults with dementia, nonpharmacologic interventions seem to be more efficacious than pharmacologic interventions for reducing aggression and agitation, according to a review and meta-analysis published online Oct. 15 in the Annals of Internal Medicine.

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Children With Autism Found to Have Higher Risk for Obesity

TUESDAY, Oct. 15, 2019 (HealthDay News) — Autism spectrum disorders (ASDs) appear to increase the risk for childhood obesity, according to a review published online Oct. 8 in Obesity Reviews.

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Increase in Suicide Attempts Seen for Black Adolescents

TUESDAY, Oct. 15, 2019 (HealthDay News) — From 1991 to 2017, black high school students experienced an increase in suicide attempts, according to a study published online Oct. 14 in Pediatrics.

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Bipolar Disorder May Increase Risk for Developing Parkinson Disease

TUESDAY, Oct. 15, 2019 (HealthDay News) — Patients with bipolar disorder (BD) seem to have an increased risk for developing Parkinson disease (PD), according to a review published online Oct. 14 in JAMA Neurology.

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Patient Portal Use Has Positive Impact on Preventive Health Behaviors

FRIDAY, Oct. 11, 2019 (HealthDay News) — Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.

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Predictors of Work Disability ID’d in Multiple Sclerosis Patients

THURSDAY, Oct. 10, 2019 (HealthDay News) — Physical disability, depressive symptoms, and reduced information processing affect work-related disability and vocational status among patients with multiple sclerosis, according to a study published in the November issue of Multiple Sclerosis and Related Disorders.

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Racial, Ethnic Minorities Want to See Doctor Who Shares Their Culture

THURSDAY, Oct. 10, 2019 (HealthDay News) — Minority racial and ethnic groups are more likely to perceive the importance of seeing a health care provider who shares or understands their culture, according to a study published online Oct. 8 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Diet Intervention Can Cut Depression Symptoms in Young Adults

THURSDAY, Oct. 10, 2019 (HealthDay News) — A brief diet intervention can reduce symptoms of depression among young adults with elevated depression symptoms, according to a study published online Oct. 9 in PLOS ONE.

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Sex-Specific Criteria May Up Accuracy for Diagnosis of aMCI

THURSDAY, Oct. 10, 2019 (HealthDay News) — There seems to be a 20 percent diagnostic error rate with use of non-sex-specific amnestic mild cognitive impairment (aMCI) diagnostic criteria, according to a study published online Oct. 9 in Neurology.

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Odds of Autism Up in Children With Congenital Heart Disease

THURSDAY, Oct. 11, 2019 (HealthDay News) — The odds of developing autism spectrum disorder (AuSD) are increased for children with congenital heart disease (CHD), according to a study published online Oct. 10 in Pediatrics.

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$8 Billion Award Granted in Risperdal Lawsuit

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — A lawsuit over the antipsychotic drug Risperdal has led to an $8 billion punitive damages award against Johnson & Johnson and one if its subsidiaries.

AP News Article

Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

AP News Article

2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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Gender-Affirming Surgery May Aid Long-Term Mental Health

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — For transgender individuals with a diagnosis of gender incongruence, increased time since last gender-affirming surgery is associated with reduced mental health treatment, according to a study published online Oct. 4 in The American Journal of Psychiatry.

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Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) — In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) — The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Proportion of Seniors Taking Antidepressants Has More Than Doubled

TUESDAY, Oct. 8, 2019 (HealthDay News) — Across two decades, there was an increase in the proportion of older adults taking antidepressants, although the prevalence of depression did not change significantly, according to a study published online Oct. 7 in the British Journal of Psychiatry.

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OTC Meds Often Used in Drug-Related Suicide Attempts in Youth

MONDAY, Oct. 7, 2019 (HealthDay News) — Over-the-counter medications are commonly used in suicide attempts by self-poisoning among young people, according to a study published online Oct. 7 in Clinical Toxicology.

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Many Perceive People With Mental Illness as Dangerous

MONDAY, Oct. 7, 2019 (HealthDay News) — Many people perceive individuals with mental illness, including schizophrenia, as dangerous to others and support coercive treatment, according to a report published in the October issue of Health Affairs.

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Teens Using Oral Contraceptives Report More Depressive Symptoms

MONDAY, Oct. 7, 2019 (HealthDay News) — Sixteen-year-old girls report more depressive symptoms when using oral contraceptives compared with nonusers, according to a study published online Oct. 2 in JAMA Psychiatry.

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Food Insecurity Linked to Chronic Disease in Young Adults

FRIDAY, Oct. 4, 2019 (HealthDay News) — For young adults, food insecurity is associated with chronic disease and with mental health problems, according to two studies published online Oct. 1 in the Journal of General Internal Medicine and the Journal of Adolescent Health.

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Hepatitis C Virus Infection Rates Up for Women Giving Birth

FRIDAY, Oct. 4, 2019 (HealthDay News) — Among women giving birth, the rates of hepatitis C virus (HCV) infection increased more than 400 percent from 2000 to 2015, with rates much higher among those with opioid use disorder, according to research published in the Oct. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Hyperemesis Gravidarum Linked to Autism Spectrum Disorder

THURSDAY, Oct. 3, 2019 (HealthDay News) — Hyperemesis gravidarum (HG) is associated with a higher risk for autism spectrum disorder (ASD), according to a study published online Oct. 3 in the American Journal of Perinatology.

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PTSD Symptoms Tied to Higher Risk for Ovarian Cancer

THURSDAY, Oct. 3, 2019 (HealthDay News) — Posttraumatic stress disorder (PTSD) symptoms are associated with an increased risk for ovarian cancer, especially among premenopausal women, according to a study published online Sept. 5 in Cancer Research.

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Universal Screening for Autism Feasible in Pediatric Network

THURSDAY, Oct. 3, 2019 (HealthDay News) — Universal screening for autism spectrum disorder (ASD) is feasible in a pediatric primary care network, according to a study published online Sept. 27 in Pediatrics.

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Johnson & Johnson Settles Opioid Suit With Two Ohio Counties

WEDNESDAY, Oct. 2, 2019 (HealthDay News) — With a federal trial pending, the pharmaceutical giant Johnson & Johnson agreed Wednesday to pay two Ohio counties more than $20 million for its role in the ongoing opioid crisis.

AP News Article

Youngest in Classroom at Higher Risk for Diagnosis of Depression

WEDNESDAY, Oct. 2, 2019 (HealthDay News) — Children who are younger compared with their school peers have an increased risk for diagnosis of attention-deficit/hyperactivity disorder (ADHD), intellectual disability, and depression in childhood, according to a study published online Sept. 23 in JAMA Pediatrics.

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USPSTF Finds Evidence Lacking to Prevent Illicit Drug Use in Youth

TUESDAY, Oct. 1, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) finds that the current evidence is insufficient to recommend primary care-based interventions to prevent illicit drug use in children, adolescents, and young adults. These findings form the basis of a draft recommendation statement published online Oct. 1 by the USPSTF.

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Some Nutritional Supplements May Aid Mental Health Conditions

TUESDAY, Oct. 1, 2019 (HealthDay News) — Some nutrient supplements may be beneficial as adjunctive treatment for common mental health conditions, according to a meta-review published online Sept. 8 in World Psychiatry.

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Asthma-Related ED Use Up for Children With Anxiety, Depression

TUESDAY, Oct. 1, 2019 (HealthDay News) — Children with asthma and with anxiety, depression, or both have increased rates of asthma-related emergency department use, according to a study published online Sept. 25 in Pediatrics.

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Food Insecurity Prevalent Among Medicare Enrollees

TUESDAY, Oct. 1, 2019 (HealthDay News) — Food insecurity is prevalent among Medicare enrollees, affecting 38.3 percent of those aged younger than 65 years, according to a research letter published online Sept. 30 in JAMA Internal Medicine.

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