MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AMONG WOMEN VETERANS WITH DIABETES

作者：Banerjea Ranjana^*; Pogach Leonard M; Smelson David; Sambamoorthi Usha

来源：Women's Health Issues, 2009, 19(6): 446-456.

DOI：10.1016/j.whi.2009.07.007

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.

• 出版日期2009-12