Ethnic and health correlates of diabetes-related amputations at the Texas-Mexico border

Mier, Nelda; Ory, Marcia G.; Zhan, Dongling; Villarreal, Edna K.; Alen, Maria; Bolin, Jane N.

doi:10.1590/s1020-49892010000900012

Cited by 8 publications

(9 citation statements)

References 33 publications

(37 reference statements)

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“…In the general population, and within the diabetic population, the rate of LEA varies by geographic location, ethnic group, and type of community (rural/ urban) (28)(29)(30)(31). For developing countries, reported incidence rates for LEA secondary to diabetes vary from 13.7 to as high as 18.0 per 1 000 PY, as reported in studies conducted in the 1990s among Pima Indians (32,33).…”

Section: Discussionmentioning

confidence: 91%

Diabetes-related lower-extremity amputation incidence and risk factors: a prospective seven-year study in Costa Rica

Laclé¹,

Juan²

2012

Rev Panam Salud Publica

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Those most likely to undergo LEA among Costa Rican diabetic patients were men with 10 or more years of diabetes and average HbA1c > 8% who used insulin and had diabetic retinopathy. Patients on insulin therapy were at greatest risk, especially those with a previous amputation. Diabetic patients with the above-mentioned profile should be considered to be at very high risk of LEA and followed closely by the health care system.

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Section: Discussionmentioning

confidence: 91%

Diabetes-related lower-extremity amputation incidence and risk factors: a prospective seven-year study in Costa Rica

Laclé¹,

Juan²

2012

Rev Panam Salud Publica

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“…Goodney and colleagues Louisiana. Even within the state of Texas, there is regional heterogeneity in number of amputations, with previous studies citing that the Texas-Mexico border and South Texas have higher rates of amputation compared with the rest of the state (11,15).…”

Section: Discussionmentioning

confidence: 99%

“…Texas is notable for high rates of underinsured individuals, increasing prevalence of diabetes, heterogeneity in regional poverty, and a growing Hispanic population (13). Prior studies have demonstrated that specific regions within Texas have relatively higher rates of LEAs (14,15). The purpose of the present analysis was to define the temporal trends and risk factor associations and assess the impact of revascularization therapy for LEAs in Texas.…”

mentioning

confidence: 99%

A Lack of Decline in Major Nontraumatic Amputations in Texas: Contemporary Trends, Risk Factor Associations, and Impact of Revascularization

et al. 2019

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Nontraumatic major lower extremity amputations (LEAs) have been reported to be declining nationally; however, trends in Texas have been less well described. We evaluated demographic and clinical risk factors and revascularization associations for LEAs by using inpatient hospital discharge data in Texas from 2005 to 2014. RESEARCH DESIGN AND METHODS Inpatient hospital discharge data were obtained from the Texas Center for Health Statistics. Multivariate logistic regression analyses were performed to evaluate clinical, ethnic, and socioeconomic risk factors associated with LEA. The impact of revascularization (surgical and/or endovascular) on LEA was analyzed. RESULTS

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“…However, few studies have compared risk factors for diseases and mortality by border location. The few that have been conducted have focused on alcohol and drug abuse (Vaeth et al 2012; Shah et al 2012; Caetano et al 2012), birth defects (Lupo et al 2011), diabetes outcomes (Mier et al 2010), cancer screening (Fernández and Morales, 2007), and infectious disease risk (Pérez et al 2006). Moreover, most of these studies have made comparisons between cities or specific areas of the border/non-border, thereby failing to make the regional comparisons needed to best understand this dynamic.…”

Section: Introductionmentioning

confidence: 99%

Border Health in the Shadow of the Hispanic Paradox: Issues in the Conceptualization of Health Disparities in Older Mexican Americans Living in the Southwest

Salinas

snih

2013

J Cross Cult Gerontol

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Mexican Americans have demonstrated lower than what would be expected mortality rates and disease prevalence, given their overrepresentation among those living in poverty. However, Mexican Americans living along the US-Mexico border have been documented as carrying a higher burden of disease and disability that seems to contradict or at least challenge evidence in support of a “Hispanic Paradox”. The purpose of this paper is to evaluate the concept of border health as it relates to the conceptualization and measurement of health outcomes in older Mexican Americans living in the Southwest United States. Data for this study comes from the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (Hispanic EPESE) wave 1 and mortality files up to wave 5. Border residence was determined using La Paz Agreement county and distance from a port of entry classifications. Statistical analysis was conducted to assess border versus non-border differences in cause of death, disability, disease prevalence and premature mortality. Adjusted regression models were used to predict cause of death, disability and disease-free life expectancy and premature mortality (i.e. occurring before life expectancy). Interaction models between border/non-border and median income were also performed. Finally, distance from the US-Mexico border was used to determine the effect of distance to the US-Mexico border in border-residing participants. The findings from this study indicate that participants in the HEPESE were more likely to be alive at Wave 5 if they resided in a border county, however more likely to transition into ADL disability status. These findings were not explained by behaviors, duration in the US or sociocultural characteristics of where they lived. Additionally, Hispanic EPESE subjects that lived in the border region were more likely to have died from old age and were less likely to be lost to follow up. Interaction models revealed significant effects for diabetes as a cause of death. Moreover, distance from a US-Mexico port of entry was significant for being alive at wave 5 for border-residing participants. Relative to non-border residing participants, border residing Mexican Americans in the Hispanic EPESE did not carry a uniformly higher burden of disease, however had a significantly greater odds of 10 year survival. These findings bring up issues of measurement and the importance of geographic location when it comes to evaluating disease burden and mortality in Mexican Americans.

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Ethnic and health correlates of diabetes-related amputations at the Texas-Mexico border

Cited by 8 publications

References 33 publications

Diabetes-related lower-extremity amputation incidence and risk factors: a prospective seven-year study in Costa Rica

Diabetes-related lower-extremity amputation incidence and risk factors: a prospective seven-year study in Costa Rica

A Lack of Decline in Major Nontraumatic Amputations in Texas: Contemporary Trends, Risk Factor Associations, and Impact of Revascularization

Border Health in the Shadow of the Hispanic Paradox: Issues in the Conceptualization of Health Disparities in Older Mexican Americans Living in the Southwest

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