{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:48:48Z","timestamp":1782388128335,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["24\/573"],"award-info":[{"award-number":["24\/573"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Diabetes prevalence in Aotearoa New Zealand is rising rapidly, disproportionately affecting M\u0101ori communities and contributing to significantly higher rates of diabetes\u2010related lower limb amputations. These inequities reflect systemic issues such as colonisation, racism, and limited access to culturally safe care rather than clinical factors alone. Embedding tikanga (M\u0101ori customs) within podiatry foot screening offers a pathway to culturally responsive practice that honours M\u0101ori spiritual, physical, and cultural well\u2010being. Integrating Rongo\u0101 M\u0101ori (traditional healing) and wh\u0101nau\u2010centred approaches alongside biomedical care can improve engagement and outcomes, whereas marae\u2010based and community\u2010led models enhance accessibility and trust. Workforce development in cultural safety is essential to uphold Te Tiriti o Waitangi obligations of equity, partnership, and protection. Culturally grounded podiatry services not only reduce the risk of amputation but also restore connections to t\u016brangawaewae (place of belonging) and whakapapa (genealogy), ensuring that care is meaningful and effective for M\u0101ori communities.<\/jats:p>","DOI":"10.1002\/jfa2.70167","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:54:07Z","timestamp":1779335647000},"source":"Crossref","is-referenced-by-count":0,"title":["The Sacred Connection of the Feet (Te Tuhono Tapu o ng\u0101 Waewae): The Cultural and Spiritual Impact of Diabetes\u2010Related Lower Limb Amputation Among M\u0101ori"],"prefix":"10.1002","volume":"19","author":[{"given":"Cynthia","family":"Otene","sequence":"first","affiliation":[{"name":"Department of Podiatry School of Allied Health Auckland University of Technology  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Ihaka","sequence":"additional","affiliation":[{"name":"Department of Podiatry School of Allied Health Auckland University of Technology  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5095-0539","authenticated-orcid":false,"given":"Matthew R.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Podiatry School of Allied Health Auckland University of Technology  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Hauora: Report on Stage One of the Health Services and Outcomes Kaupapa Inquiry (WAI 2575)","author":"Waitangi Tribunal","year":"2019"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.26635\/6965.6045"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1108\/978-1-68123-157-020251009"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.26635\/6965.6500"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15079"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325024.2013.809295"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100570"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1177020"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010022\u201000562\u20103"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40842\u2010016\u20100039\u20103"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019\u2010014\u20109560\u20102"},{"key":"e_1_2_11_13_1","volume-title":"Tikanga Maori (Revised Edition): Living by Maori Values","author":"Mead H. 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