Mental illness and substance use disorders among women veterans with diabetes

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



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.

DOI of Published Version



Womens Health Issues. 2009 Nov-Dec;19(6):446-56. Link to article on publisher's site

Journal/Book/Conference Title

Women's health issues : official publication of the Jacobs Institute of Women's Health

Related Resources

Link to Article in PubMed

PubMed ID