%0 Journal Article
%T Ethnic and health correlates of diabetes-related amputations at the Texas-Mexico border
%A Mier
%A Nelda
%A Ory
%A Marcia
%A Zhan
%A Dongling
%A Villarreal
%A Edna
%A Alen
%A Maria
%A Bolin
%A Jane
%J Revista Panamericana de Salud P¨˛blica
%D 2010
%I Organizaci¨Žn Panamericana de la Salud
%R 10.1590/S1020-49892010000900012
%X 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.
%K amputation
%K border health
%K diabetes mellitus
%K type 2
%K minority health
%K mexico
%K texas
%K united states.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S1020-49892010000900012&lng=en&nrm=iso&tlng=en