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Chronic illness with complexities: mental illness and substance use among Veteran clinic users with diabetes
Ranjana Banerjea1, Usha Sambamoorthi, David Smelson
1Department of Veterans Affairs New Jersey Healthcare System, Center for Health Care Knowledge Management, East Orange, New Jersey 07018, USA. Ranjana.Banerjea@va.gov
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.
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