Ethnic and health correlates of diabetes-related amputations at the Texas-Mexico border Academic Article uri icon

abstract

  • OBJECTIVE: To examine the association between diabetes-related lower-extremity amputation (LEA) and ethnicity, age, source of payment, geographic location, diabetes severity, and health condition in adults with diabetes mellitus type 2 living in border and non-border counties in Texas, United States of America, and to assess intra-border region geographic differences in post-LEA treatment. METHODS: This correlational study was based on secondary data from the 2003 Texas Inpatient Hospital Discharge Data. The sample consisted of individuals 45 years of age and older with type 2 diabetes who had undergone a nontraumatic LEA (n = 5,865). Descriptive statistics and logistic regression analyses were applied. RESULTS: The following characteristics were predictors of LEA: being Hispanic or African American, male, ≥ 55 years old, and a Medicare or Medicaid user, and living in a border county. Persons with moderate diabetes and those who suffered from cardiovascular disease or stroke also had higher odds of undergoing an LEA. Post-LEA occupational therapy was significantly less prevalent among border residents (9.5%) than non-border residents (15.3%) (P < 0.001). CONCLUSION: Understanding the factors that influence diabetes-related LEA may lead to early detection and effective treatment of this disabling consequence of diabetes along the U.S.-Mexico border.

author list (cited authors)

  • Mier, N., Ory, M., Zhan, D., Villarreal, E., Alen, M., & Bolin, J.

citation count

  • 3

publication date

  • September 2010
  • September 2010
  • January 1, 2010 11:11 AM
  • January 1, 2010 11:11 AM

keywords

  • African Americans
  • African Americans
    Aged
    Aged, 80 And Over
    Cardiovascular Diseases
    Comorbidity
    Diabetic Foot
    Ethnic Groups
    European Continental Ancestry Group
    Female
    Foot
    Humans
    Ischemia
    Leg
    Male
    Mexican Americans
    Middle Aged
    Risk Factors
    Stroke
    Diabetes Mellitus
    Type 2
    United States.
    Amputation
    Border Health
    Diabetes Mellitus, Type 2
    Minority Health
    Mexico
    Texas
    United States
  • African AmericansAgedAged, 80 And OverCardiovascular DiseasesComorbidityDiabetic FootEthnic GroupsEuropean Continental Ancestry GroupFemaleFootHumansIschemiaLegMaleMexican AmericansMiddle AgedRisk FactorsStrokeDiabetes MellitusType 2United States.AmputationBorder HealthDiabetes Mellitus, Type 2Minority HealthMexicoTexasUnited States
  • Aged
  • Aged, 80 And Over
  • Amputation
  • Border Health
  • Cardiovascular Diseases
  • Comorbidity
  • Diabetes Mellitus
  • Diabetes Mellitus, Type 2
  • Diabetic Foot
  • Ethnic Groups
  • European Continental Ancestry Group
  • Female
  • Foot
  • Humans
  • Ischemia
  • Leg
  • Male
  • Mexican Americans
  • Mexico
  • Middle Aged
  • Minority Health
  • Risk Factors
  • Stroke
  • Texas
  • Type 2
  • United States
  • United States.