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Womens Health Issues. 2009 Nov-Dec;19(6):446-56. doi: 10.1016/j.whi.2009.07.007.

Mental illness and substance use disorders among women veterans with diabetes.

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1
Department of Veterans Affairs New Jersey Healthcare System, Center for Health Care Knowledge Management, East Orange, New Jersey, USA. Ranjana.Banerjea@va.gov

Abstract

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.

PMID:
19879456
DOI:
10.1016/j.whi.2009.07.007
[Indexed for MEDLINE]
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