Social and geographical inequalities in the choice of foot therapy as preventive care: A nationwide registry study on Danish people with diabetes
Diabetic foot ulcers are a serious complication of diabetes with high costs and adverse sequelae, such as lower-extremity amputations. International guidelines recommend that all people with diabetes should have their feet inspected at least once a year. This study is aimed at determining whether socioeconomic factors influence the probability of having the feet inspected by a chiropodist on a nationally representative sample of people with diabetes. We estimate a logit model for the choice determinants of foot inspections among people with diabetes. Of all people with diabetes, 73% have not had their feet inspected by a chiropodist. The results indicate social and geographical inequality with regard to diabetic foot care. Especially for ethnic minorities, people with low income and people living in rural and remote areas. The findings are robust to a series of sensitivity analyses.
Published: Online October 2019.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.