Chronic illness with complexities: Mental illness and substance use among veteran clinic users with diabetes
Chronic illness with complexities: Mental illness and substance use among veteran clinic users with diabetes
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DOI：
10.1080/00952990701653701
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发表时间：
2007-01-01
影响因子：
2.7
通讯作者：
Pogach, Leonard M.
中科院分区：
文献类型：
--
作者：
Banerjea, Ranjana;Sambamoorthi, Usha;Pogach, Leonard M.
目的：建立一种分类法，并检验退伍军人糖尿病患者中经常同时出现的物质使用障碍和精神疾病的预测因素。设计：合并退伍军人健康管理局和联邦医疗保险服务收费索赔数据(N=485,893)。结果：31%的糖尿病患者被诊断为精神疾病或药物使用，糖尿病相关并发症的发生率较高。女性更有可能患有严重的精神疾病；非洲裔美国人和拉美裔美国人更有可能吸毒和/或酗酒。结论：物质使用障碍和精神疾病的患病率因社会人口学的不同而不同，这表明有必要进行量身定制的糖尿病管理干预。
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.