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Risk Factors for Peripheral Artery D...

Blake, Darnell L.,

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Risk Factors for Peripheral Artery Disease-Related Amputations Among Black Americans /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Risk Factors for Peripheral Artery Disease-Related Amputations Among Black Americans // Darnell L Blake.
Author:	Blake, Darnell L.,
Description:	1 electronic resource (128 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-08, Section: A.
Contained By:	Dissertations Abstracts International86-08A.
Subject:	Public health. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31839704
ISBN:	9798302863416

Risk Factors for Peripheral Artery Disease-Related Amputations Among Black Americans /
Blake, Darnell L.,

Risk Factors for Peripheral Artery Disease-Related Amputations Among Black Americans /Darnell L Blake. - 1 electronic resource (128 pages)

Source: Dissertations Abstracts International, Volume: 86-08, Section: A.

Evidence suggests that Black Americans (BAs) are at a significantly higher risk of peripheral artery disease (PAD)-related amputations. This study aimed to examine risk factors for non-traumatic lower extremity amputation (NTLEA) among BAs with PAD addressing a significant knowledge gap regarding racial disparities in PAD outcomes. Grounded in Bandura's social cognitive theory, which posits the interplay among personal factors, environmental influences, and behavior, this study examines how age, gender, income, and comorbidities like cardiovascular disease, kidney disease, and diabetes influence NTLEA across various insurance types (private, Medicaid, Medicare, self-pay). This quantitative cross-sectional study used the 2020 National Inpatient Sample, 1% of which were BAs with PAD (n = 9,731). Of these, 2,140 underwent NTLEA. Logistic regression showed significant disparities. Women were less likely to experience NTLEA than men (OR = 0.60, 95% CI: 0.54-0.66, p < 0.001). Kidney disease (OR = 1.19, 95% CI: 1.08-1.32, p = 0.001) and diabetes mellitus (OR = 6.73, 95% CI: 1.21-37.52, p = 0.030) increased the risk of NTLEA while age had no significant effect on NTLEA. Health insurance type modified the associations: private insurance increased NTLEA odds among those with kidney disease (OR = 2.39, 95% CI: 1.2-4.77, p = 0.014), while Medicare decreased it for those with cardiovascular conditions (OR = 0.67, 95% CI: 0.51-0.88, p = 0.004). These findings highlight the urgent need to reevaluate healthcare policies and interventions to mitigate disparities. Findings can be used to create tailored healthcare solutions based on insurance type and comorbidity profiles to foster positive social change and promote equitable health outcomes for BAs with PAD.

English

ISBN: 9798302863416Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

African Americans

Risk Factors for Peripheral Artery Disease-Related Amputations Among Black Americans /
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