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In specific populations, including those at risk of falls or foot ulcers, indoor footwear is an important aspect of preventative care. This study aims to describe the indoor footwear worn most over the previous year in a sample representative of the Australian inpatient population, and to explore the sociodemographic, medical, foot condition and foot treatment history factors associated with the indoor footwear worn.
This was a secondary analysis of data collected from inpatients admitted to five hospitals across Queensland, Australia. Sociodemographic information, medical history, foot conditions and foot treatment history were collected as explanatory variables. Outcomes included the self-reported type of indoor footwear (from 16 standard footwear types) worn most in the year prior to hospitalisation, and the category in which the self-reported footwear type was defined according to its features: ‘protective’, ‘non-protective’ and ‘no footwear’. Multivariate analyses determined explanatory variables independently associated with each type and category.
Protective footwear was worn by 11% of participants (including 4% walking shoes, 4% running shoes, 2% oxford shoes), and was independently associated with education above year 10 level (OR 1.78, p = 0.028) and having had foot treatment by a specialist physician (5.06, p = 0.003). Most participants (55%) wore non-protective footwear (including 21% slippers, 15% thongs/flip flops, 7% backless slippers), which was associated with older age (1.03, p < 0.001). No footwear was worn by 34% of participants (30% barefoot, 3% socks only). Those of older age (0.97, p < 0.001) and those in the most disadvantaged socioeconomic group (0.55, p = 0.019) were less likely to wear no footwear (socks or barefoot).
Only one in nine people in a large representative inpatient population wore a protective indoor footwear most of the time in the previous year. Whilst having education levels above year 10 and having received previous foot treatment by a specialist physician were associated with wearing protective footwear indoors, the presence of a range of other medical and foot conditions were not. These findings provide information to enable clinicians, researchers and policymakers to develop interventions aimed at improving indoor footwear habits that may help prevent significant health burdens such as falls and foot ulcers.
Additional file 1: Table S1. Characteristics and univariate analysis for those participants mostly wearing three categories indoor footwear types of no footwear, unprotective footwear and protective footwear. (DOCX 78 kb)
Additional file 2: Table S2. Characteristics and univariate analysis for those participants mostly wearing the indoor footwear types of barefoot, slippers, thongs/flip flops. (DOCX 78 kb)
Additional file 3: Table S3. Characteristics and univariate analysis for those participants mostly wearing the indoor footwear types of backless slippers, moccasins, walking shoes. (DOCX 78 kb)
Additional file 4: Table S4. Characteristics and univariate analysis for those participants mostly wearing the indoor footwear types of sandals, running shoes, socks only. (DOCX 77 kb)
McPoil TG Jr. Footwear. Phys Ther. 1988;68(12):1857–65. CrossRef
Nicholls E, Robinson V, Farndon L, Vernon W. A good fit?‘bringing the sociology of footwear to the clinical encounter in podiatry services: a narrative review. JFAR. 2018;11(1):9.
Tehan PE, Morpeth T, Williams AE, Dalbeth N, Rome K. “Come and live with my feet and you’ll understand” – a qualitative study exploring the experiences of retail footwear in women with rheumatoid arthritis. JFAR. 2019;12(1):15.
Menant JC, Steele JR, Menz HB, Munro BJ, Lord SR. Optimizing footwear for older people at risk of falls. J Rehabil Res Dev. 2008;45(8):1167–81. CrossRef
van Netten JJ, Lazzarini PA, Armstrong DG, Bus SA, Fitridge R, Harding K, et al. Diabetic foot Australia guideline on footwear for people with diabetes. JFAR. 2018;11(1):2.
Davis A, Murphy A, Haines TP. "Good for older ladies, not me": how elderly women choose their shoes. JAPMA. 2013;103(6):465–70.
Munro BJ, Steele JR. Household-shoe wearing and purchasing habits. A survey of people aged 65 years and older. JAPMA. 1999;89(10):506–14.
Bowen C, Ashburn A, Cole M, Donovan-Hall M, Burnett M, Robison J, et al. A survey exploring self-reported indoor and outdoor footwear habits, foot problems and fall status in people with stroke and Parkinson's. JFAR. 2016;9:39.
Waaijman R, Keukenkamp R, de Haart M, Polomski WP, Nollet F, Bus SA. Adherence to wearing prescription custom-made footwear in patients with diabetes at high risk for plantar foot ulceration. Diabetes Care. 2013;36(6):1613–8. CrossRef
Gelbard R, Inaba K, Okoye OT, Morrell M, Saadi Z, Lam L, et al. Falls in the elderly: a modern look at an old problem. Am J Surg. 2014;208(2):249–53. CrossRef
Vass C, Edwards C, Smith A, Sahota O, Drummond A. What do patients wear on their feet? A service evaluation of footwear in elderly patients. Int J Ther Rehab. 2015;22:21–8. CrossRef
Reiber GE, Smith DG, Wallace CM, Vath CA, Sullivan K, Hayes S, et al. Footwear used by individuals with diabetes and a history of foot ulcer. J Rehabil Res Dev. 2002;39(5):615. PubMed
Vernon W, Borthwick AM, Walker J, Hardy B, Dunning D, Denton C, et al. Expert group criteria for the recognition of healthy footwear. Br J Podiatr. 2007;10(4):127–33.
Lazzarini PA, Hurn SE, Kuys SS, Kamp MC, Ng V, Thomas C, et al. Direct inpatient burden caused by foot-related conditions: a multisite point-prevalence study. BMJ Open. 2016;6(6):e010811. CrossRef
Lazzarini PA, Hurn SE, Kuys SS, Kamp MC, Ng V, Thomas C, et al. The silent overall burden of foot disease in a representative hospitalised population. Int Wound J. 2017;14:716–28. CrossRef
Baker, IDI. National Evidence-Based Guideline on Prevention, Identification and Management of Foot Complications in Diabetes (Part of the Guidelines on Management of Type 2 Diabetes). Edited by Baker IDI. Melbourne, Australia: Commonwealth of Australia; 2011.
Lazzarini PA, Ng V, Kinnear EM, Kamp MC, Kuys SS, Hurst C, et al. The Queensland high risk foot form (QHRFF)–is it a reliable and valid clinical research tool for foot disease? JFAR. 2014;7(1):7.
Australian Bureau of Statistics (ABS). Information paper: an introduction to socio-economic indexes for areas (ABS Cat. No. 2039.0). Canberra: ABS, 2006. http://www.abs.gov.au/ausstats/abs@.nsf/mf/2039.0/. (accessed 28 Aug 2015).
Australian Bureau of Statistics (ABS). Australian Standard Geographical Classification (ABS Cat No. 1216.0). Canberra: ABS, 2011. http://www.abs.gov.au/ausstats/abs@.nsf/mf/1216.0. (accessed 28 Aug 2015).
Schaper NC. Diabetic foot ulcer classification system for research purposes: a progress report on criteria for including patients in research studies. Diabetes Metab Res Rev. 2004;20(Suppl 1):S90–S5. CrossRef
Jeffcoate WJ, Bus SA, Game FL, Hinchliffe RJ, Price PE, Schaper NC, et al. Reporting standards of studies and papers on the prevention and management of foot ulcers in diabetes: required details and markers of good quality. Lancet Diabetes Endocrinol. 2016;4(9):781–8. CrossRef
Mills JL, Conte MS, Armstrong DG, Pomposelli FB, Schanzer A, Sidawy AN, et al. The society for vascular surgery lower extremity threatened limb classification system: risk stratification based on wound, ischemia, and foot infection (WIfI). J Vasc Surg. 2014;59(1):220–34. e2. CrossRef
Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. JFAR. 2009;2(1):10.
Hosmer Jr DW, Lemeshow S, Sturdivant RX. Applied logistic regression. 2nd edn. New York: Wiley; 2013.
Tabachnick BG, Fidell LS. Using multivariate statistics. 6 ed. Boston: Pearson; 2013.
Barwick A, van Netten JJ, Reed L, Lazzarini P. Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study JFAR 2018;11(1):19.
Keukenkamp R, Merkx MJ, Busch-Westbroek TE, Bus SAJJotAPMA. An explorative study on the efficacy and feasibility of the use of motivational interviewing to improve footwear adherence in persons with diabetes at high risk for foot ulceration. 2018;108(2):90–9.
Farndon L, Robinson V, Nicholls E, Vernon W. If the shoe fits: development of an on-line tool to aid practitioner/patient discussions about 'healthy footwear'. JFAR. 2016;9:17.
van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters EJJohc. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. 2013;18(sup1):172–84.
Davis A, Haines T, Williams CJFS. Do footwear styles cause falls or increase falls risk in healthy older adults? A systematic review. Footwear Science. 2019;11(1):13–23. CrossRef
Mazumdar S, Mazumdar S. How organizations interface with religion: a typology. J Manag Spiritual Religion. 2005;2(2):199–220. CrossRef
Kelsey JL, Procter-Gray E, Nguyen U-SD, Li W, Kiel DP, Hannan MT. Footwear and falls in the home among older individuals in the MOBILIZE Boston study. Footwear Science. 2010;2(3):123–9. CrossRef
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- BioMed Central