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Understanding of social determinants of diabetes\u2010related foot disease has not been definitive in Australian studies. This study aimed to investigate the social determinants of diabetes\u2010related foot disease in NSW.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>The first wave of the 45 and Up Study survey data was linked with NSW Admitted Patient Data Collection, Emergency Department Data Collection, and Pharmaceutical Benefits Scheme data resulting in 28,210\u00a0individuals with diabetes aged 45\u2009years and older in NSW, Australia. Three outcome variables were used: diabetes\u2010related foot disease (DFD), diabetic foot ulcer (DFU), and diabetic foot infection (DFI). They were classified as binary, and survey logistic regression was used to determine the association between each outcome measure and associated factors after adjusting for sampling weights.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of DFD, DFU and DFI were 10.8%, 5.4% and 5.2%, respectively, among people with diabetes. Multivariate analyses revealed that the common factors associated with DFD, DFU and DFI were older age (75\u2009years or more), male, single status, background in English speaking countries, and coming from lower\u2010income households (less than AUD 20,000 per year). Furthermore, common lifestyle and health factors associated with DFD, DFU, and DFI were low physical activity (&lt;\u2009150\u2009min of moderate\u2010to\u2010vigorous physical activity per week), history of diabetes for over 15\u2009years, and having cardiovascular disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study showed that about 1\u00a0in 10 adults with diabetes aged 45\u2009years and older in NSW reported DFD. Interventions, including the provision of related health services aimed at reducing all forms of DFD in NSW, are recommended to target older individuals with a long history of diabetes, and coming from lower\u2010income households.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13047-021-00501-8","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T13:02:35Z","timestamp":1639659755000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Social determinants of diabetes\u2010related foot disease among older adults in New South Wales, Australia: evidence from a population\u2010based study"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1733-5216","authenticated-orcid":false,"given":"Moin Uddin","family":"Ahmed","sequence":"first","affiliation":[{"name":"Translational Health Research Institute School of Medicine Western Sydney University Campbelltown Campus, Locked Bag 1797 2571 Penrith NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wadad Kathy","family":"Tannous","sequence":"additional","affiliation":[{"name":"Department of Economics, Finance and Property School of Business Western Sydney University Parramatta Campus Locked Bag 1797 2571 Penrith NSW Australia"},{"name":"Translational Health Research Institute School of Medicine Western Sydney University Campbelltown Campus, Locked Bag 1797 2571 Penrith NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kingsley Emwinyore","family":"Agho","sequence":"additional","affiliation":[{"name":"School of Health Sciences Western Sydney University Campbelltown Campus Locked Bag 1797 2571 Penrith NSW Australia"},{"name":"Translational Health Research Institute School of Medicine Western Sydney University Campbelltown Campus, Locked Bag 1797 2571 Penrith NSW Australia"},{"name":"African Vision Research Institute (AVRI) University of KwaZulu\u2010Natal 4041 Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Henshaw","sequence":"additional","affiliation":[{"name":"School of Health Sciences Western Sydney University Campbelltown Campus Locked Bag 1797 2571 Penrith NSW Australia"},{"name":"ConvaTec Building 5, Brandon Business Park, 530 Springvale Rd 3150 Glen Waverley VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Turner","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences Podiatric Medicine Kelvin Grove Campus Queensland University of Technology 4059 Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Simmons","sequence":"additional","affiliation":[{"name":"Macarthur Clinical School Western Sydney University 2560 Campbelltown NSW Australia"},{"name":"Translational Health Research Institute School of Medicine Western Sydney University Campbelltown Campus, Locked Bag 1797 2571 Penrith NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"vanNettenJJ BusSA ApelqvistJ LipskyBA HinchliffeRJ GameF et al. 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