Evidence map›Paper›PMID 37597839›Full record

ArticleSchizophrenia bulletin2024

Serious Mental Illness, Glycemic Control, and Neighborhood Factors within an Urban Diabetes Cohort.

Esti Iturralde, Anna D Rubinsky, Kim H Nguyen, Chelsie Anderson, Courtney R Lyles, Christina Mangurian

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Esti IturraldeDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.ORCID 0000-0001-6837-4998
Anna D RubinskyDepartment of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, United States.
Kim H NguyenDepartment of Medicine, Center for Vulnerable Populations at ZSFG, University of California San Francisco, San Francisco, CA, United States.
Chelsie AndersonDepartment of Surgery, University of California San Francisco, San Francisco, CA, United States.
Courtney R LylesDepartment of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0002-1111-8595
Christina MangurianDepartment of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, United States.
University of California, San Francisco · USKaiser Permanente · US

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Optimizing Care to Prevent Diabetes and Promote Cardiovascular Health Among Younger Adults with Severe Mental IllnessK23MH126078 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI Esti Iturralde · 2022 to 2026
$1.0M
NIDDK NIH HHS P30 DK092924NIMH NIH HHS K23 MH126078
6 · The paper itself

Abstract

background and hypothesisSerious mental illness (SMI) may compromise diabetes self-management. This study assessed the association between SMI and glycemic control, and explored sociodemographic predictors and geographic clustering of this outcome among patients with and without SMI. STUDY

designWe used electronic health record data for adult primary care patients with diabetes from 2 San Francisco health care delivery systems. The primary outcome was poor glycemic control (hemoglobin A1c >9.0%), which was modeled on SMI diagnosis status and sociodemographics. Geospatial analyses examined hotspots of poor glycemic control and neighborhood characteristics. STUDY

resultsThe study included 11 694 participants with diabetes, 21% with comorbid SMI, of whom 22% had a schizophrenia spectrum or bipolar disorder. Median age was 62 years; 52% were female and 79% were Asian, Black, or Hispanic. In adjusted models, having schizophrenia spectrum disorder or bipolar disorder was associated with greater risk for poor glycemic control (vs participants without SMI, adjusted relative risk [aRR] = 1.24; 95% confidence interval, 1.02, 1.49), but having broadly defined SMI was not. People with and without SMI had similar sociodemographic correlates of poor glycemic control including younger versus older age, Hispanic versus non-Hispanic White race/ethnicity, and English versus Chinese language preference. Hotspots for poor glycemic control were found in neighborhoods with more lower-income, Hispanic, and Black residents.

conclusionsPoor diabetes control was significantly related to having a schizophrenia spectrum or bipolar disorder, and to sociodemographic factors and neighborhood. Community-based mental health clinics in hotspots could be targets for implementation of diabetes management services.

Indexed as

Bipolar DisorderGlycemic ControlResidence CharacteristicsSchizophreniaUrban PopulationAdultAgedCohort StudiesComorbidityDiabetes MellitusFemaleGlycated HemoglobinHumansMaleMiddle AgedSan FranciscoGlycated Hemoglobinbipolar disorderdiabetes mellitusgeospatial analysisschizophrenia spectrumsocial determinants

Identifiers

PMID37597839
PMCPMC11059791
OpenAlexW4385997787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.