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Published Online: 15 June 2016

Correlates of Co-Occurring Diabetes and Obesity Among Community Mental Health Program Members With Serious Mental Illnesses

Judith A. Cook, Ph.D., Lisa Razzano, Ph.D., C.P.R.P., Jessica A. Jonikas, M.A., Margaret A. Swarbrick, Ph.D., Pamela J. Steigman, M.A., Marie M. Hamilton, L.C.S.W., M.P.H., Tina M. Carter, B.A., and Alberto B. Santos, M.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 67, Number 11
https://doi.org/10.1176/appi.ps.201500219
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Abstract

Objective:

This study examined the prevalence and correlates of co-occurring obesity and diabetes among community mental health program members.

Methods:

Medical screenings of 457 adults with serious mental illnesses were conducted by researchers and peer wellness specialists in four U.S. states. Body mass index was measured directly. Diabetes was assessed via glycosylated hemoglobin and interview self-report. Multivariable logistic regression analysis examined associations with known predictors.

Results:

In the sample, 59% were obese, 25% had diabetes, and 19% had both conditions. When gender, diagnosis, and site were controlled, co-occurring diabetes and obesity was almost three times as likely among African Americans (OR=2.93) as among participants from other racial groups and half as likely among smokers as among nonsmokers (OR=.58). Older persons and those with poorer self-rated physical health also were more likely to have these co-occurring conditions.

Conclusions:

Results support the need for culturally competent treatment and for smoking cessation options with sensitivity to the potential for weight gain.

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Information & Authors

Information

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Cover: covered jar with star decoration, by Solomon Grimm, 1822. Glazed red earthenware. Gift of Ralph Esmerian. American Folk Art Museum, New York City. Photo: John Begelow Taylor; American Folk Art Musuem/Art Resource, New York City.

Psychiatric Services
Volume 67 • Number 11 • November 01, 2016
Pages: 1269 - 1271
PubMed: 27301761

History

Received: 1 June 2015
Revision received: 1 November 2015
Revision received: 4 April 2016
Accepted: 25 April 2016
Published online: 15 June 2016
Published in print: November 01, 2016

Authors

Details

Judith A. Cook, Ph.D.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Lisa Razzano, Ph.D., C.P.R.P.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Jessica A. Jonikas, M.A.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Margaret A. Swarbrick, Ph.D.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Pamela J. Steigman, M.A.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Marie M. Hamilton, L.C.S.W., M.P.H.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Tina M. Carter, B.A.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Alberto B. Santos, M.D.
Dr. Cook, Dr. Razzano, Ms. Jonikas, Ms. Steigman, and Ms. Hamilton are with the Department of Psychiatry, University of Illinois at Chicago, Chicago (e-mail: [email protected]). Dr. Swarbrick is with the Collaborative Support Programs of New Jersey, Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Freehold, New Jersey. Ms. Carter is with the Department of Pediatrics, University of Chicago, Chicago. Dr. Santos is with the Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta.
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Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Center for Mental Health Services10.13039/100005268: Cooperative Agreement No. H133B100028
U.S. Department of Health and Human Services, Administration on Community Living, National Institute on Disability, Independent Living, and Rehabilitation Research: Cooperative Agreement No. 90RT5012-01-00
This research was funded by the National Institute on Disability, Independent Living, and Rehabilitation Research, U.S. Department of Health and Human Services, Administration on Community Living; and by the Center for Mental Health Services, Substance Abuse and the Mental Health Services Administration, under cooperative agreement 90RT5012 and 90RT5038.

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