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A large burden of that is in the Medicaid population, she says, referring to those who are too poor to afford health insurance

10.1093/poq/nfm047 Delnevo CD, Gundersen DA, Hagman BT: Declining estimated prevalence of alcohol drinking and smoking among young adults nationally: artifacts of sample undercoverage

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Due to the wide scope of this review, including in vitro , in vivo , and human studies, the vast literature data were more suitably summarized as a scoping review rather than a systematic review for space constraints