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Foot examination coverage and inequalities among adults with diabetes in Brazil

Author

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  • Guerra-Chagime, Raydel
  • Ortigoza, Analía
  • aortigoz@eue.unt.edu.ar
  • Gerez, Lucía
  • lugagerez@eue.unt.edu.ar

Abstract

Introduction: Periodic foot examination prevents diabetic foot ulcers and amputations, yet its population coverage and socioeconomic distribution in Brazil are poorly documented. Methods: Cross-sectional analysis of the 2013 and 2019 Brazilian National Health Survey. Adults aged 18 years or older with self-reported diabetes were included. Coverage of foot examination by a health professional was estimated with design-based methods and inequalities were quantified by income, race/color, region and health service use. Survey-weighted Poisson regression estimated adjusted prevalence ratios. Results: Overall coverage of ever having the feet examined reached 46.8% (95% CI 45.13-48.52). Coverage differed by income quintile, race/color, region and health service use, and the absolute difference between the richest and poorest quintiles was 19.9 percentage points in 2019. Conclusions: Foot examination coverage among Brazilian adults with diabetes is incomplete and unequal, with lower coverage concentrated in socioeconomically disadvantaged groups.

Suggested Citation

  • Guerra-Chagime, Raydel & Ortigoza, Analía & aortigoz@eue.unt.edu.ar & Gerez, Lucía & lugagerez@eue.unt.edu.ar, 2024. "Foot examination coverage and inequalities among adults with diabetes in Brazil," SAP Podiatry, South American Publishing.
    • Handle: RePEc:cwf:podart:pod2024108
    DOI: 10.62486/pod2024108
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