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


  • 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


  • African Americans
  • African Americans
    Aged, 80 And Over
    Cardiovascular Diseases
    Diabetic Foot
    Ethnic Groups
    European Continental Ancestry Group
    Mexican Americans
    Middle Aged
    Risk Factors
    Diabetes Mellitus
    Type 2
    United States.
    Border Health
    Diabetes Mellitus, Type 2
    Minority Health
    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.