{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:09:23Z","timestamp":1777662563126,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T00:00:00Z","timestamp":1550707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hisp Health Care Int"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In the United States, ethnic minorities are disproportionately affected by diabetes-related lower extremity amputations (LEA) and have higher associated mortality rates than non-Hispanic Whites. Bexar County, a county in south Texas, had higher diabetes rates than both Texas and the national average. Bexar County also had one of the highest LEA hospital admission rates in the State.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Elucidate diabetes-related LEA factors to assist policy makers and health professionals develop more effective interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For participants who had more than one amputation, the time between amputations was approximately 1 year. Hispanics endorsed more diabetic health beliefs than non-Hispanic Whites. Participants 64 and younger reported greater social support and greater depression symptomatology than participants 65 and older. Participants with an amputation reported greater ability to engage in activities that would manage their diabetes than participants without an amputation. Participants without an amputation reported greater concern of their general health than participants with an amputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The present study demonstrated the necessity for more research on diabetic amputation and related depression among Hispanics. The study also highlighted the need to create culturally appropriate interventions to reduce the rate and frequency of additional amputations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1540415319828267","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T23:36:45Z","timestamp":1550792205000},"page":"73-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lower Extremity Amputation among Diabetic Patients in San Antonio, Texas"],"prefix":"10.1177","volume":"17","author":[{"given":"Thankam","family":"Sunil","sequence":"first","affiliation":[{"name":"The University of Texas at San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Limon","sequence":"additional","affiliation":[{"name":"The University of Texas at San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyssa","family":"Ochoa","sequence":"additional","affiliation":[{"name":"San Antonio Vascular and Endovascular Clinic, San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,21]]},"reference":[{"key":"bibr1-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2253"},{"key":"bibr2-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016369114780"},{"key":"bibr3-1540415319828267","volume-title":"National diabetes statistics report: Estimates of diabetes and its burden in the United States, 2017","author":"Centers for Disease Control and Prevention","year":"2017"},{"key":"bibr4-1540415319828267","unstructured":"Centers for Disease Control and Prevention. (2017b). About diabetes. Retrieved from https:\/\/www.cdc.gov\/diabetes\/basics\/diabetes.html"},{"key":"bibr5-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1177\/000312240807300201"},{"key":"bibr6-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1080\/14659890500436430"},{"key":"bibr7-1540415319828267","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.7.1591"},{"key":"bibr8-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1177\/014572178701300310"},{"key":"bibr9-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"bibr10-1540415319828267","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.5.1435"},{"key":"bibr11-1540415319828267","unstructured":"Metropolitan Health District San Antonio. (2014). Diabetes in Bexar County 2014. Retrieved from https:\/\/www.sanantonio.gov\/Portals\/0\/Files\/health\/HealthyLiving\/FactSheet-Diabetes-English.pdf"},{"key":"bibr12-1540415319828267","unstructured":"Office of Disease Prevention and Health Promotion. (2017). Diabetes. Retrieved from https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/diabetes"},{"key":"bibr13-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-8727(02)00175-7"},{"key":"bibr14-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-8727(02)00260-X"},{"key":"bibr15-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-11-138"},{"key":"bibr16-1540415319828267","volume-title":"Texas hospital inpatient discharge public use data file","author":"Texas Department of State Health Services, Center for Health Statistics","year":"2016"},{"key":"bibr17-1540415319828267","unstructured":"University Health System. (2017). Diabetes statistics. Retrieved from http:\/\/www.universityhealthsystem.com\/services\/diabetes\/diabetes-statistics"},{"key":"bibr18-1540415319828267","unstructured":"U.S. Census Bureau. (2016). Quick facts: Bexar County, Texas. Retrieved from https:\/\/www.census.gov\/quickfacts\/fact\/table\/bexarcountytexas\/LND110210"},{"key":"bibr19-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2010.07.002"},{"key":"bibr20-1540415319828267","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600203"},{"key":"bibr21-1540415319828267","unstructured":"World Health Organization. (2005, November 11). World diabetes day: Too many people are losing lower limbs unnecessarily to diabetes [Press release]. Geneva, Switzerland: Author. Retrieved from http:\/\/www.who.int\/mediacentre\/news\/releases\/2005\/pr61\/en\/"},{"key":"bibr22-1540415319828267","unstructured":"World Health Organization. (2017a). The top 10 causes of death. 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