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avoid health care. We found inequities in care-seeking behavior by race/ethnicity and education level. Health care perceptions and lack of appropriate discussion of health care concerns with health care providers are also associated with this behavior. Clinical interventions (eg, improved patient-provider communication) and educational outreach are needed to decrease the numbers of Medicare beneficiaries who avoid health care. Each US state, territory, and tribe/tribal organization is supported by the Centers for Disease Control and Pr

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implementation strategies may be applicable to other implementation challenges in hepatology. This study examined the relationships between self-transcendence and depressive symptoms, self-esteem, and locus of control in persons with substance abuse disorder (SUDs). This descriptive-relational study examined 115 participants who had been diagnosed with SUD. High self-transcendence scores were positively associated with lower levels of depressive symptoms, higher levels of self-esteem, and internal locus of control. Mental health nu