TY - JOUR
T1 - Mental Illness and Substance Use Disorders among Women Veterans with Diabetes
AU - Banerjea, Ranjana
AU - Pogach, Leonard M.
AU - Smelson, David
AU - Sambamoorthi, Usha
N1 - Funding Information:
Supported by grants from Dr. Banerjea (IEA-05-255) and Dr. Pogach, (REA-03-021). The findings and opinions reported here are those of the authors and do not necessarily represent the views of any other individuals or organizations.
PY - 2009/11
Y1 - 2009/11
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=70350340828&partnerID=8YFLogxK
U2 - 10.1016/j.whi.2009.07.007
DO - 10.1016/j.whi.2009.07.007
M3 - Article
C2 - 19879456
AN - SCOPUS:70350340828
SN - 1049-3867
VL - 19
SP - 446
EP - 456
JO - Women's Health Issues
JF - Women's Health Issues
IS - 6
ER -