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

作者信息

Banerjea Ranjana, Sambamoorthi Usha, Smelson David, Pogach Leonard M

机构信息

Department of Veterans Affairs New Jersey Healthcare System, Center for Health Care Knowledge Management, East Orange, New Jersey 07018, USA.

出版信息

Am J Drug Alcohol Abuse. 2007;33(6):807-21. doi: 10.1080/00952990701653701.

DOI:10.1080/00952990701653701
PMID:17994477
Abstract

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.

摘要

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