Socioeconomic and Racial Disparities in Bariatric Surgery

被引：59

作者：

Hecht, Leah M. ^{[1
,2
,3
]}

Pester, Bethany ^{[1
,3
]}

Braciszewski, Jordan M. ^{[3
]}

Graham, Amy E. ^{[1
]}

Mayer, Kara ^{[1
,2
]}

Martens, Kellie ^{[1
,2
]}

Hamann, Aaron ^{[1
,2
]}

Carlin, Arthur M. ^{[2
,4
]}

Miller-Matero, Lisa R. ^{[1
,3
]}

机构：

[1] Henry Ford Hlth Syst, Behav Hlth, 1 Ford Pl,3A, Detroit, MI 48202 USA

[2] Henry Ford Hlth Syst, Dept Surg, Detroit, MI USA

[3] Henry Ford Hlth Syst, Ctr Hlth Policy & Hlth Serv Res, Detroit, MI 48202 USA

[4] Wayne State Univ, Detroit, MI USA

来源：

OBESITY SURGERY | 2020年 / 30卷 / 06期

关键词：

Bariatric surgery; Socioeconomic factors; Income; Insurance type; Weight loss; WEIGHT-LOSS; AFRICAN-AMERICAN; INSURANCE STATUS; GASTRIC BYPASS; OUTCOMES; PREDICTORS; OBESITY;

D O I：

10.1007/s11695-020-04394-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The purpose of this study was to examine the associations among race and socioeconomic factors (receiving social security disability, insurance type, and income) with undergoing bariatric surgery and weight loss outcomes in a racially diverse, urban cohort of bariatric surgery candidates (N = 314). Patients with private insurance and who identified as Caucasian were more likely to undergo bariatric surgery. Income significantly predicted percentage of excess weight loss 1 year after surgery, although this was no longer significant when accounting for race. Race and socioeconomic factors should be considered during psychosocial evaluations to support patients at risk of surgical attrition and poorer weight loss outcomes. Future research should explore policy solutions to improve access, while qualitative work may help with understanding racial disparities in bariatric surgery.

引用

页码：2445 / 2449

页数：5

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