Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia

Objective We aimed to assess the prevalences of foot ulcer and foot self-care practices, and identify associated factors in adult patients with diabetes attending a referral hospital in south-east Ethiopia. Methods We performed a cross-sectional study of 267 diabetic patients. Multivariable binary l...

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Main Authors: Wogene Negash, Tesfaye Assefa, Biniyam Sahiledengle, Anwar Tahir, Zegeye Regassa, Zegeye Feleke, Tadele Regasa, Yohannes Tekalegn, Ayele Mamo, Zinash Teferu, Damtew Solomon, Habtamu Gezahegn, Kebebe Bekele, Demisu Zenbaba, Alelign Tasew, Fikreab Desta, Daniel Atlaw, Tara Wilfong
Format: Article
Language:English
Published: SAGE Publishing 2022-10-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221129028
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author Wogene Negash
Tesfaye Assefa
Biniyam Sahiledengle
Anwar Tahir
Zegeye Regassa
Zegeye Feleke
Tadele Regasa
Yohannes Tekalegn
Ayele Mamo
Zinash Teferu
Damtew Solomon
Habtamu Gezahegn
Kebebe Bekele
Demisu Zenbaba
Alelign Tasew
Fikreab Desta
Daniel Atlaw
Tara Wilfong
author_facet Wogene Negash
Tesfaye Assefa
Biniyam Sahiledengle
Anwar Tahir
Zegeye Regassa
Zegeye Feleke
Tadele Regasa
Yohannes Tekalegn
Ayele Mamo
Zinash Teferu
Damtew Solomon
Habtamu Gezahegn
Kebebe Bekele
Demisu Zenbaba
Alelign Tasew
Fikreab Desta
Daniel Atlaw
Tara Wilfong
author_sort Wogene Negash
collection DOAJ
description Objective We aimed to assess the prevalences of foot ulcer and foot self-care practices, and identify associated factors in adult patients with diabetes attending a referral hospital in south-east Ethiopia. Methods We performed a cross-sectional study of 267 diabetic patients. Multivariable binary logistic regression was used to identify factors associated with diabetic foot ulcer and foot self-care practice. Results The prevalence of diabetic foot ulcer was 11.2% (95% confidence interval [CI] 7.42–15.05). One hundred and forty-four (53.9%; 47.9, 59.9) patients demonstrated good foot self-care. Living rurally (adjusted odds ratio 2.27; 95% CI: 1.86–6.97), lack of regular exercise (3.91; 1.51–10.10), peripheral neuropathy (2.77; 1.05–7.33) and foot calluses (5.69; 1.74–18.59) were associated with diabetic foot ulcer. Urban inhabitants (2.01; 1.09–3.69), patients with diabetes for >10 years (2.92; 1.48–5.77), women (2.95; 1.66–5.22), and patients with a glucometer at home (2.05; 1.09–3.85) were more likely to have good foot self-care practice. Conclusion The prevalence of diabetic foot ulcer was 11.2%. This prevalence is lower than those identified in other Ethiopian studies. However, patient awareness regarding foot self-care practice and risk reduction should be improved.
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spelling doaj.art-6790e8935c5744a9a6e6860b5fe40f792022-12-22T04:13:13ZengSAGE PublishingJournal of International Medical Research1473-23002022-10-015010.1177/03000605221129028Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east EthiopiaWogene NegashTesfaye AssefaBiniyam SahiledengleAnwar TahirZegeye RegassaZegeye FelekeTadele RegasaYohannes TekalegnAyele MamoZinash TeferuDamtew SolomonHabtamu GezahegnKebebe BekeleDemisu ZenbabaAlelign TasewFikreab DestaDaniel AtlawTara WilfongObjective We aimed to assess the prevalences of foot ulcer and foot self-care practices, and identify associated factors in adult patients with diabetes attending a referral hospital in south-east Ethiopia. Methods We performed a cross-sectional study of 267 diabetic patients. Multivariable binary logistic regression was used to identify factors associated with diabetic foot ulcer and foot self-care practice. Results The prevalence of diabetic foot ulcer was 11.2% (95% confidence interval [CI] 7.42–15.05). One hundred and forty-four (53.9%; 47.9, 59.9) patients demonstrated good foot self-care. Living rurally (adjusted odds ratio 2.27; 95% CI: 1.86–6.97), lack of regular exercise (3.91; 1.51–10.10), peripheral neuropathy (2.77; 1.05–7.33) and foot calluses (5.69; 1.74–18.59) were associated with diabetic foot ulcer. Urban inhabitants (2.01; 1.09–3.69), patients with diabetes for >10 years (2.92; 1.48–5.77), women (2.95; 1.66–5.22), and patients with a glucometer at home (2.05; 1.09–3.85) were more likely to have good foot self-care practice. Conclusion The prevalence of diabetic foot ulcer was 11.2%. This prevalence is lower than those identified in other Ethiopian studies. However, patient awareness regarding foot self-care practice and risk reduction should be improved.https://doi.org/10.1177/03000605221129028
spellingShingle Wogene Negash
Tesfaye Assefa
Biniyam Sahiledengle
Anwar Tahir
Zegeye Regassa
Zegeye Feleke
Tadele Regasa
Yohannes Tekalegn
Ayele Mamo
Zinash Teferu
Damtew Solomon
Habtamu Gezahegn
Kebebe Bekele
Demisu Zenbaba
Alelign Tasew
Fikreab Desta
Daniel Atlaw
Tara Wilfong
Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
Journal of International Medical Research
title Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
title_full Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
title_fullStr Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
title_full_unstemmed Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
title_short Prevalences of diabetic foot ulcer and foot self-care practice, and associated factors in adult patients with diabetes in south-east Ethiopia
title_sort prevalences of diabetic foot ulcer and foot self care practice and associated factors in adult patients with diabetes in south east ethiopia
url https://doi.org/10.1177/03000605221129028
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