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IJHSR. 2015; 5(4): 181-189

Knowledge and Practice of Foot Care amongst Diabetics in India: Comparison between Urban and Rural Setting- A Reality Check.

Pothiraj Pitchai, Juhika Joshi.

Diabetes is now an epidemic affecting both developed as well as developing countries. This study aims at comparing knowledge & practice of foot care and association of demographic factors with it in Indian population of urban and rural settings.
Methodology: The cross-sectional study was conducted in Raigad and Thane district. Self-made Foot care Knowledge questionnaire, Nottingham Assessment of Functional Foot-care Questionnaire (NAFF) were administered. Descriptive analysis was done. Level of knowledge and practice of foot care were calculated as absolute frequencies and were reported as overall percentages. Mann-Whitney Test and Kruskal-Wallis Test were used to find out association between demographic factors with it.
Results: Of 100 subjects, 58% in urban and 8% in rural had good knowledge of diabetic foot care. Majority of both 68% of urban and 90% of rural diabetics were not aware how often one should check footwear for damage. 6% of urban 48%rural diabetics had a poor practice score. Majority of diabetics were not aware to inspect feet that include 64% of urban and 82% of rural diabetics. Moreover 4% of urban and 36% of rural diabetics walk outside with bare feet. Socioeconomic and education had an influence in knowledge and foot care practice among rural diabetics.
Conclusion: Knowledge and practice of foot care in rural diabetics were less than urban. Education and Socioeconomic status were significantly associated with rural populations. Intensive Foot care educational program need to be adhered to overcome these deficiencies

Key words: Diabetic foot care, knowledge, Practice, Urban, rural, India.

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