title: Care and management of cardiovascular risk factors among individuals with schizophrenia and type 2 diabetes who smoke.
abstract: OBJECTIVE
  We sought to determine whether individuals with schizophrenia and type 2 diabetes who smoke were being monitored and treated for modifiable risk factors associated with cardiovascular disease.
  
  
  METHODS
  Cross-sectional analysis of 100 patients with schizophrenia and 99 without serious mental illness (SMI), with a diagnosis of type 2 diabetes.
  
  
  RESULTS
  Individuals with schizophrenia were nearly twice as likely to be smokers compared to those without SMI (62% vs. 34%). Among smokers, those with schizophrenia were significantly less likely to receive blood pressure exams, lipid profiles or treatment with ACE inhibitors or statins compared to those without SMI. Both groups were equally likely to receive smoking cessation counseling.
  
  
  CONCLUSIONS
  Smokers with type 2 diabetes and schizophrenia are significantly less likely to receive services and treatments known to improve cardiovascular outcomes. Efforts to increase awareness and improve delivery of services to this vulnerable group of patients are warranted.
authors.affiliation: University of Maryland School of Medicine, Baltimore, MD 21201, USA. shimelho@psych.umaryland.edu
authors.forename: Seth
authors.initials: S
authors.lastname: Himelhoch
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Leith
authors.forename: Richard
authors.initials: R
authors.lastname: Goldberg
authors.forename: Julie
authors.initials: J
authors.lastname: Kreyenbuhl
authors.forename: Deborah
authors.initials: D
authors.lastname: Medoff
authors.forename: Lisa
authors.initials: L
authors.lastname: Dixon
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000706:statistics & numerical data; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012559:Schizophrenia; D012907:Smoking / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology