Residential Address Amplifies Health Disparities and Risk of Infection in Individuals With Diabetic Foot Ulcers
Authors' conclusion
We found significant differences in neighborhood characteristics driving a higher risk for DFU infection in comparisons with the grouping of individuals with diabetes overall, including increased risk for individuals with Hispanic and/or foreign-born immigration status. These data strongly support the need to incorporate SDOH, particularly ethnic and immigration status, into triage algorithms for DFU risk stratification to prevent severe diabetic foot complications and move beyond biologic-only determinants of health.
Study context
- Population
- Individuals with diabetes seen between 2013 and 2017 (EHR, 4.3 million people overall); 8,351 developed DFU144,564 with diabetes
- Participants
- 2,252 vs 144,564
- Exposure
- Individuals with DFU infection vs population with diabetes overall
- DFU infectionn = 2,252
- Diabetes overalln = 144,564reference
- Outcome
- DFU infection, associated with social determinants of health (SDOH)
Methodological detailselectronic health record data, geolocated neighborhood data
- Electronic health record data
- Geolocated neighborhood data
Main finding
As reported in the abstract
Association of neighborhood Hispanic and/or foreign-born concentration with DFU infection (multiple logistic regression)
Odds ratio
1.11
P = 0.015
Observational data: associations, not effects.
Original publication
Residential Address Amplifies Health Disparities and Risk of Infection in Individuals With Diabetic Foot Ulcers. Diabetes Care. Published 19 January 2024. doi:10.
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