Figure 1.

Potential factors associated with poor diabetes control among people with SMI (N= 4,339). Out of 4,399 individuals with SMI and DM, 816 had at least one A1c > 9 or no A1c measurement in 2014. Effect estimates are adjusted for confounders but not mediators: age is adjusted for sex, race/ethnicity, and medical facility; race/ethnicity for age, sex, and medical facility; substance abuse for age, sex, race/ethnicity, county, education, psychiatric diagnosis, past mental health utilization, past primary care utilization and medical facility; and primary care utilization for urban area type, education, income, insurance, psychiatric diagnosis, psychotropic adherence, substance Abuse, medical facility, cardiovascular disease, current primary care utilization, current mental health utilization, past mental health utilization, past primary care utilization and medical facility.