Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study

Abstract Background Footwear can have both a positive and negative impact on lower limb health and mobility across the lifespan, influencing the risk of foot pain, ulceration, and falls in those at risk. Choice of footwear can be influenced by disease as well as sociocultural factors, yet few studie...

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Main Authors: Alex L. Barwick, Jaap J. van Netten, Lloyd F. Reed, Peter A. Lazzarini
Format: Article
Language:English
Published: BMC 2018-05-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13047-018-0260-7
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author Alex L. Barwick
Jaap J. van Netten
Lloyd F. Reed
Peter A. Lazzarini
author_facet Alex L. Barwick
Jaap J. van Netten
Lloyd F. Reed
Peter A. Lazzarini
author_sort Alex L. Barwick
collection DOAJ
description Abstract Background Footwear can have both a positive and negative impact on lower limb health and mobility across the lifespan, influencing the risk of foot pain, ulceration, and falls in those at risk. Choice of footwear can be influenced by disease as well as sociocultural factors, yet few studies have investigated the types of footwear people wear and the profiles of those who wear them. The aim of this study was to investigate the prevalence and factors associated with outdoor footwear type worn most often in a representative inpatient population. Methods This study was a secondary data analysis of a cohort of 733 inpatients that is highly representative of developed nations’ hospitalised populations; 62 ± 19 years, 55.8% male, and 23.5% diabetes. Socio-demographic, medical history, peripheral arterial disease, peripheral neuropathy, foot deformity, foot ulcer history, amputation history and past foot treatment variables were collected. Participants selected the footwear type they mostly wore outside the house in the previous year from 16 types of footwear. Multivariate logistic regression identified independent factors associated with outdoor footwear types selected. Results The most common outdoor footwear types were: running shoes (20%), thongs/flip flops (14%), walking shoes (14%), sandals (13%) and boots (11%). Several socio-demographic, medical history and foot-related factors were independently associated (Odds Ratio; 95% Confidence Interval)) with different types of footwear. Running shoes were associated with male sex (2.7; 1.8–4.1); thongs with younger age (0.95 for each year; 0.94–0.97), being female (2.0; 1.2–3.1) and socio-economic status (3.1; 1.2–7.6); walking shoes with arthritis (1.9; 1.2–3.0); sandals with female sex (3.8; 2.3–6.2); boots with male sex (9.7; 4.3–21.6) and inner regional (2.6; 1.3–5.1) and remote (3.4; 1.2–9.5) residence (all, p < 0.05). Conclusions We profiled the types of outdoor footwear worn most in a large diverse inpatient population and the factors associated with wearing them. Sex was the most consistent factor associated with outdoor footwear type. Females were more likely to wear thongs and sandals and males boots and running shoes. Overall, this data gives insights into the socio-demographic, medical and other health factors that are related to footwear choice in a large diverse population primarily of older age.
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spelling doaj.art-c43f1e6bc11e4865b65eee60188f71692024-02-02T20:23:52ZengBMCJournal of Foot and Ankle Research1757-11462018-05-011111810.1186/s13047-018-0260-7Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional studyAlex L. Barwick0Jaap J. van Netten1Lloyd F. Reed2Peter A. Lazzarini3School of Health and Human Sciences, Southern Cross UniversitySchool of Clinical Sciences, Queensland University of TechnologySchool of Clinical Sciences, Queensland University of TechnologySchool of Clinical Sciences, Queensland University of TechnologyAbstract Background Footwear can have both a positive and negative impact on lower limb health and mobility across the lifespan, influencing the risk of foot pain, ulceration, and falls in those at risk. Choice of footwear can be influenced by disease as well as sociocultural factors, yet few studies have investigated the types of footwear people wear and the profiles of those who wear them. The aim of this study was to investigate the prevalence and factors associated with outdoor footwear type worn most often in a representative inpatient population. Methods This study was a secondary data analysis of a cohort of 733 inpatients that is highly representative of developed nations’ hospitalised populations; 62 ± 19 years, 55.8% male, and 23.5% diabetes. Socio-demographic, medical history, peripheral arterial disease, peripheral neuropathy, foot deformity, foot ulcer history, amputation history and past foot treatment variables were collected. Participants selected the footwear type they mostly wore outside the house in the previous year from 16 types of footwear. Multivariate logistic regression identified independent factors associated with outdoor footwear types selected. Results The most common outdoor footwear types were: running shoes (20%), thongs/flip flops (14%), walking shoes (14%), sandals (13%) and boots (11%). Several socio-demographic, medical history and foot-related factors were independently associated (Odds Ratio; 95% Confidence Interval)) with different types of footwear. Running shoes were associated with male sex (2.7; 1.8–4.1); thongs with younger age (0.95 for each year; 0.94–0.97), being female (2.0; 1.2–3.1) and socio-economic status (3.1; 1.2–7.6); walking shoes with arthritis (1.9; 1.2–3.0); sandals with female sex (3.8; 2.3–6.2); boots with male sex (9.7; 4.3–21.6) and inner regional (2.6; 1.3–5.1) and remote (3.4; 1.2–9.5) residence (all, p < 0.05). Conclusions We profiled the types of outdoor footwear worn most in a large diverse inpatient population and the factors associated with wearing them. Sex was the most consistent factor associated with outdoor footwear type. Females were more likely to wear thongs and sandals and males boots and running shoes. Overall, this data gives insights into the socio-demographic, medical and other health factors that are related to footwear choice in a large diverse population primarily of older age.http://link.springer.com/article/10.1186/s13047-018-0260-7FootwearInpatientSexArthritisNeuropathyDiabetes
spellingShingle Alex L. Barwick
Jaap J. van Netten
Lloyd F. Reed
Peter A. Lazzarini
Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
Journal of Foot and Ankle Research
Footwear
Inpatient
Sex
Arthritis
Neuropathy
Diabetes
title Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
title_full Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
title_fullStr Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
title_full_unstemmed Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
title_short Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study
title_sort independent factors associated with wearing different types of outdoor footwear in a representative inpatient population a cross sectional study
topic Footwear
Inpatient
Sex
Arthritis
Neuropathy
Diabetes
url http://link.springer.com/article/10.1186/s13047-018-0260-7
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