Chronic illness with complexities: mental illness and substance use among Veteran clinic users with diabetes

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adult; African Americans; Aged; Chronic Disease; Classification; Comorbidity; Diabetes Mellitus; Diagnosis, Dual (Psychiatry); Ethnic Groups; Female; Hispanic Americans; Humans; Male; Medicare; Mental Disorders; Middle Aged; Population; Sex Factors; 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


OBJECTIVE: Create a taxonomy and examine the predictors of the often co-occurring conditions of substance use disorders and mental illness in veterans with diabetes.

DESIGN: Merged Veteran Health Administration and Medicare fee-for-service claims data (N = 485,893).

RESULTS: Thirty-one percent of patients with diabetes were diagnosed with either mental illness or substance use and had higher rates of diabetes-related complications. Women were more likely to have serious mental illness; African Americans and Latinos more likely to have drug and/or alcohol use.

CONCLUSION: Prevalence of substance use disorder and mental illness differed by socio-demographics, suggesting the need for tailored diabetes management interventions.

DOI of Published Version



Am J Drug Alcohol Abuse. 2007;33(6):807-21. Link to article on publisher's site

Journal/Book/Conference Title

The American journal of drug and alcohol abuse

Related Resources

Link to Article in PubMed

PubMed ID