INTRODUCTION: According to the American Diabetes Association (ADA), patients with diabetes should receive annual foot exams from a HCP to identify and reduce risk factors for ulcers and other complications. Little is known regarding factors that may increase or decrease the likelihood of having an annual foot examination by a health care provider (HCP). METHODS: Cross-sectional analysis of 1830 patients age 20 years and older with a previous diagnosis of diabetes. Patients selected for inclusion in NHANES receive an in-home interview and then undergo a comprehensive physical at a CDC mobile examination center. The adjusted odds ratios for a patient having received a foot exam from a HCP in the past year were conducted using appropriate weighting variables assessed with logistic regression analysis. RESULTS: Both Hispanic Americans with diabetes [aOR 0.62 (0.47, 0.82)] and Asian Americans with diabetes [aOR 0.65 (0.44, 0.97)] were significantly less likely to have had a foot exam by a HCP in the last year, when compared to non-Hispanic White Americans. CONCLUSIONS: Hispanic Americans and Asian Americans with diabetes were significantly less likely to have had a foot exam by a HCP in the last year.
INTRODUCTION: According to the American Diabetes Association (ADA), patients with diabetes should receive annual foot exams from a HCP to identify and reduce risk factors for ulcers and other complications. Little is known regarding factors that may increase or decrease the likelihood of having an annual foot examination by a health care provider (HCP). METHODS: Cross-sectional analysis of 1830 patients age 20 years and older with a previous diagnosis of diabetes. Patients selected for inclusion in NHANES receive an in-home interview and then undergo a comprehensive physical at a CDC mobile examination center. The adjusted odds ratios for a patient having received a foot exam from a HCP in the past year were conducted using appropriate weighting variables assessed with logistic regression analysis. RESULTS: Both Hispanic Americans with diabetes [aOR 0.62 (0.47, 0.82)] and Asian Americans with diabetes [aOR 0.65 (0.44, 0.97)] were significantly less likely to have had a foot exam by a HCP in the last year, when compared to non-Hispanic White Americans. CONCLUSIONS: Hispanic Americans and Asian Americans with diabetes were significantly less likely to have had a foot exam by a HCP in the last year.