title: Mental illness and substance use disorders among women veterans with diabetes.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Veterans Affairs New Jersey Healthcare System, Center for Health Care Knowledge Management, East Orange, New Jersey, USA. Ranjana.Banerjea@va.gov
authors.forename: Ranjana
authors.initials: R
authors.lastname: Banerjea
authors.forename: Leonard M
authors.initials: LM
authors.lastname: Pogach
authors.forename: David
authors.initials: D
authors.lastname: Smelson
authors.forename: Usha
authors.initials: U
authors.lastname: Sambamoorthi
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D006278:Medicare / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000150:complications* / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data