Smartest Doc
The impact of substance abuse on osteoporosis screening and risk of osteoporosis in women with psychotic disorders
Osteoporosis International, 06/18/2010
Clinical Article
Kelly DL et al. – Osteoporosis screening in the Medicaid population is significantly lower for women with SUD, after adjusting for age, race, and Medicaid enrollment category. The prevalence of osteoporosis appears markedly elevated in those with major mood disorders and those over age 55 dually diagnosed with schizophrenia and SUD.
Methods- Examined rates (FY 2005) of osteoporosis screening and disease risk in Medicaid enrolled women aged 50 to 64 (N=18,953)
- 4 diagnostic groups were characterized: (1) psychosis, (2) SUD, (3) major mood disorder, and (4) controls
- Prevalence of osteoporosis across the entire population was 6.7%
- 4% of those without an osteoporosis diagnosis received osteoporosis screening with no notable differences between psychosis and controls
- Those with SUD had significant reduction in screening compared to controls (OR=0.61, 95% CI=0.40–0.91, p=0.016)
- Those who were dually diagnosed (SUD and psychosis) in the oldest ages (55–64 years) had a markedly higher prevalence of osteoporosis compared to controls (OR=6.4 CI=1.51–27.6, p=0.012), whereas this interaction (SUD and psychosis) was not significant in the entire population over age 49
- Women with a major mood disorder were more likely to have osteoporosis in their administrative record (OR?=?1.32, 95% CI=1.03–1.70, p?=?0.028) compared to controls
