Characteristics among adult patients with diabetes who received a foot exam by a health care provider in the past year: An analysis of NHANES 2011–2016

Peraj, Elizabet; Subhani, Maham R.; Jeong, Janet; Vaknin, Oren S.; Twarog, John P.

doi:10.1016/j.pcd.2018.11.004

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…Proteinuria significantly improved risk discrimination of LEA beyond demographic and other clinical factors. The American Diabetes Association recommends an annual foot evaluation for patients with diabetes ( 3 ), but the adherence to this recommendation is still suboptimal ( 5 ). Our results indicate that providers should be particularly cognizant of PAD patients with diabetes with elevated proteinuria and encourage annual foot monitoring and optimal PAD management.…”

mentioning

confidence: 99%

Proteinuria and Risk of Lower-Extremity Amputation in Patients With Peripheral Artery Disease

et al. 2019

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mentioning

confidence: 99%

Proteinuria and Risk of Lower-Extremity Amputation in Patients With Peripheral Artery Disease

et al. 2019

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“…For example, distrust in providers and healthcare system perpetuates disproportionately lower rates of routine healthcare use and treatment adherence, particularly by racial and ethnic minority groups (Kang et al, 2016). Past research has found that Asian and Latinx adults with diabetes in the United States were less likely to have received a foot exam by a healthcare provider in the past year than non-Hispanic white adults (Peraj et al, 2019). Therefore, macro-level factors and the role of structural inequities and social disadvantage cannot be ruled out as potential confounders of the relationships between childhood trauma and diabetes care engagement in adults.…”

Section: Discussionmentioning

confidence: 99%

“…system perpetuates disproportionately lower rates of routine healthcare use and treatment adherence, particularly by racial and ethnic minority groups (Kang et al, 2016). Past research has found that Asian and Latinx adults with diabetes in the United States were less likely to have received a foot exam by a healthcare provider in the past year than non-Hispanic white adults (Peraj et al, 2019).…”

Section: S16mentioning

confidence: 99%

Adverse childhood event subtypes and routine diabetes care utilization among U.S. adults with Type 2 diabetes.

Hoadley¹,

Bass²,

Rubin³

2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Adverse childhood events (ACEs) have significant impacts on adulthood health, including greater risk of Type 2 diabetes (T2D). While there is a known connection to increased use of outpatient and emergency healthcare services, the potential role of ACEs in routine diabetes care utilization remains unclear. This study uses ACE subtypes to explain pathways to routine diabetes care utilization among adults with T2D. Method: Cross-sectional data were obtained from the 2019 Behavioral Risk Factor Surveillance System, a survey of a representative sample of U.S. adults. Eligible participants resided in a state that completed both the Adverse Childhood Experiences (ACEs) and Diabetes modules and were diagnosed with non-gestational diabetes (N = 9,904), of whom the majority were presumed to have T2D. Confirmatory factor analysis was used to test the measurement model for three ACE factors: household dysfunction, physical and emotional abuse, and sexual abuse. Structural equation modeling was used to relate factors to four routine diabetes care utilization outcomes. Results: Factor loadings were strong, and fit indices indicated good measurement model and full structural model fits. In the full structural equation model, household dysfunction was associated with decreased likelihood of meeting frequency recommendations for A1C testing (β = − 0.22, p , .05) and foot exams (β = −0.29, p , .01). Physical and emotional abuse were associated with greater likelihood of meeting A1C testing frequency recommendations (β = 0.21, p , .05). Conclusion: Specific types of ACEs may differentially relate to routine diabetes care utilization in adulthood. Clinical Impact StatementAdverse childhood experience types related differently to whether recommendations for four different types of routine diabetes care were met among U.S. adults with type 2 diabetes (T2D). Specifically, people with a history of childhood household dysfunction were less likely to meet ADA recommendations for A1C testing and foot exams from a medical provider. Findings highlight the potential significance of trauma-informed diabetes care to address disparities in diabetes self-management and engagement with routine diabetes care. However, future studies should discover why and how adverse childhood experiences relate to routine diabetes care use in adulthood to further optimize intervention strategies.

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“…The National Diet and Nutrition Survey (NHANES) data from roughly 2005 to 2015 were evaluated in the reference studies, which also used multivariate models and varying inclusion and exclusion criteria. [24] Although confounders were not taken into account in the current study, the findings describing the features of insufficient care that go along with it should be seen as exploratory. The results need to be confirmed and further context must be provided by a follow-up research.…”

Section: Inadequate Carementioning

confidence: 97%

Inadequate Care During the Management of Type-2 Diabetes Mellitus: Prevalence and Associated Characteristics

Ruidar¹,

Rizwan²,

Bashir³

et al. 2022

PJMHS

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Objective: The purpose of this study is to provide light on the reasons for and outcomes of inadequate treatment for type 2 diabetes. Study Design: Retrospective study Place and Duration: This Retrospective study was conducted at Fazaia Medical College Islamabad in the period from May, 2022 to October, 2022. Methods: Total 178 patients of T2 diabetes mellitus were presented. Age of the included cases were between 20-70 years. Informed written consent was obtained from all participants before to recording their demographic information, which included details such as comorbidities, body mass index (BMI), age, and smoking status. Lifestyle management, vaccination, pharmaceutical therapy, laboratory assessment, and physical examination are the five areas used to define inadequate care. SPSS 22.0 was used to analyze all data. Results: In all, ninety-eight (55.1%) cases were males and eighty (44.9%) cases were females. The mean age among patients was 53.13±5.44 years having mean BMI 26.11±6.76 kg/m2. Majority of the cases 78 (43.8%) were had poor socio-economic status. 45 (25.3%) cases were smokers and HTN was found in 76 (42.7%) cases. Frequency of inadequate life style management 44 (24.7%), inadequate immunization 60 (33.7%), inadequate pharmacological therapy 80 (44.9%), inadequate physical examination 72 (40.4%) and inadequate laboratory tests were 48 (26.96%). Overall inadequate care was found in 135 (75.8%) cases. Conclusion: Treatment of type 2 diabetes is plagued by widespread problems due to inadequate care. It was shown that over 75.8% of people experienced at least one form of subpar care out of a possible five. Systematic, medical professional, and individual variables were all linked to subpar care delivery. Keyboards: T2 DM, Adherence and Compliance, Diabetes Care

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Characteristics among adult patients with diabetes who received a foot exam by a health care provider in the past year: An analysis of NHANES 2011–2016

Cited by 7 publications

References 16 publications

Proteinuria and Risk of Lower-Extremity Amputation in Patients With Peripheral Artery Disease

Proteinuria and Risk of Lower-Extremity Amputation in Patients With Peripheral Artery Disease

Adverse childhood event subtypes and routine diabetes care utilization among U.S. adults with Type 2 diabetes.

Inadequate Care During the Management of Type-2 Diabetes Mellitus: Prevalence and Associated Characteristics

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