Mental illness and substance use disorders among women veterans with diabetes
Department of Psychiatry
Medical Subject Headings
Adult; Aged; Cross-Sectional Studies; Diabetes Mellitus; Diagnosis, Dual (Psychiatry); Female; Humans; Medicare; Mental Disorders; Middle Aged; Prevalence; Socioeconomic Factors; Substance-Related Disorders; United States; United States Department of Veterans Affairs; Veterans
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
OBJECTIVES: We sought to estimate the prevalence of mental illness (MI) and substance use disorders (SUD) and determine the predictors of MI/SUD categories among veteran women with diabetes.
METHODS: We evaluated a cross-sectional analysis of 16,368 women veterans with diabetes in fiscal 1999 and 2000. SUD, MI, and diabetes were identified using validated algorithms based on diagnosis codes. Chi-square and multinomial logistic regressions were used to examine associations between SUD, MI, demographic, socioeconomic, and health status variables.
RESULTS: Overall, 45% of women had a MI, SUD, or both. SUD rates were high among those with serious MI. The associations between MI/SUD and independent variables were not uniformly significant, except for macrovascular conditions; women veterans were more likely to have combinations of MI/SUD.
CONCLUSION: A high rate of MI/SUD suggests that care for mental and physical illness needs to be integrated into health care planning and delivery of services to veteran women with diabetes.
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Citation: Womens Health Issues. 2009 Nov-Dec;19(6):446-56. Link to article on publisher's site