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Integrating substance abuse care with community diabetes care: implications for research and clinical practice
Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexistin...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558925/ https://www.ncbi.nlm.nih.gov/pubmed/23378792 http://dx.doi.org/10.2147/SAR.S39982 |
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author | Ghitza, Udi E Wu, Li-Tzy Tai, Betty |
author_facet | Ghitza, Udi E Wu, Li-Tzy Tai, Betty |
author_sort | Ghitza, Udi E |
collection | PubMed |
description | Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexisting substance use and diabetes, including suggestions for future research. Diabetes is the seventh leading cause of death in the US, and is associated with many severe health complications like cardiovascular disease, stroke, kidney damage, and limb amputations. There are an estimated 24 million adults in the US with type 2 diabetes. Approximately 20% of adults aged 18 years or older with diabetes report current cigarette smoking. The prevalence of current alcohol use in the diabetic population is estimated to be around 50%–60% in epidemiological surveys and treatment-seeking populations. Cigarette smoking is associated with an increased risk of type 2 diabetes in a dose-dependent manner and is an independent modifiable risk factor for development of type 2 diabetes. Diabetic patients with an alcohol or other drug use disorder show a higher rate of adverse health outcomes. For example, these patients experience more frequent and severe health complications as well as an increased risk of hospitalization, and require longer hospital stays. They are also less likely to seek routine care for diabetes or adhere to diabetes treatment than those without an alcohol or other drug use disorder. The Affordable Care Act of 2010 and the Mental Health Parity Act and Addiction Equity Act of 2008 provide opportunities for facilitating integration of preventive services and evidence-based treatments for substance use disorders with diabetes care in community-based medical settings. These laws also offer emerging areas for research. |
format | Online Article Text |
id | pubmed-3558925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35589252013-01-30 Integrating substance abuse care with community diabetes care: implications for research and clinical practice Ghitza, Udi E Wu, Li-Tzy Tai, Betty Subst Abuse Rehabil Commentary Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexisting substance use and diabetes, including suggestions for future research. Diabetes is the seventh leading cause of death in the US, and is associated with many severe health complications like cardiovascular disease, stroke, kidney damage, and limb amputations. There are an estimated 24 million adults in the US with type 2 diabetes. Approximately 20% of adults aged 18 years or older with diabetes report current cigarette smoking. The prevalence of current alcohol use in the diabetic population is estimated to be around 50%–60% in epidemiological surveys and treatment-seeking populations. Cigarette smoking is associated with an increased risk of type 2 diabetes in a dose-dependent manner and is an independent modifiable risk factor for development of type 2 diabetes. Diabetic patients with an alcohol or other drug use disorder show a higher rate of adverse health outcomes. For example, these patients experience more frequent and severe health complications as well as an increased risk of hospitalization, and require longer hospital stays. They are also less likely to seek routine care for diabetes or adhere to diabetes treatment than those without an alcohol or other drug use disorder. The Affordable Care Act of 2010 and the Mental Health Parity Act and Addiction Equity Act of 2008 provide opportunities for facilitating integration of preventive services and evidence-based treatments for substance use disorders with diabetes care in community-based medical settings. These laws also offer emerging areas for research. Dove Medical Press 2013-01-11 /pmc/articles/PMC3558925/ /pubmed/23378792 http://dx.doi.org/10.2147/SAR.S39982 Text en © 2013 Ghitza et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Commentary Ghitza, Udi E Wu, Li-Tzy Tai, Betty Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title | Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title_full | Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title_fullStr | Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title_full_unstemmed | Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title_short | Integrating substance abuse care with community diabetes care: implications for research and clinical practice |
title_sort | integrating substance abuse care with community diabetes care: implications for research and clinical practice |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558925/ https://www.ncbi.nlm.nih.gov/pubmed/23378792 http://dx.doi.org/10.2147/SAR.S39982 |
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