Socioeconomic and Racial Disparities in Bariatric Surgery
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)...
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| Veröffentlicht in: | Obesity surgery 2020-06, Vol.30 (6), p.2445-2449 |
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| container_title | Obesity surgery |
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| creator | Hecht, Leah M. Pester, Bethany Braciszewski, Jordan M. Graham, Amy E. Mayer, Kara Martens, Kellie Hamann, Aaron Carlin, Arthur M. Miller-Matero, Lisa R. |
| description | 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. |
| doi_str_mv | 10.1007/s11695-020-04394-7 |
| format | Article |
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N
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N
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Future research should explore policy solutions to improve access, while qualitative work may help with understanding racial disparities in bariatric surgery.</description><subject>Bariatric Surgery</subject><subject>Brief Communication</subject><subject>European Continental Ancestry Group</subject><subject>Gastrointestinal surgery</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Race</subject><subject>Racial differences</subject><subject>Socioeconomic Factors</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kE1PxCAQhonRuOvHH_BgmnjxUh2gFDjq-plsYuLqmVBKDZtuWaE97L8X7aqJB7kMZJ55mTwInWC4wAD8MmJcSpYDgRwKKouc76Ap5iDSk4hdNAVZQi4koRN0EOMSgOCSkH00oVgSXopyiuTCG-et8Z1fOZPprs6etXG6zW5cXOvgemdj5rrsOt11HxKzGMKbDZsjtNfoNtrjbT1Er3e3L7OHfP50_zi7mueGctbnLC3UEA6cU0KLWtBC4ErXtWVNgStWWQZghBECuORVLcASwQnhxpTG1IzRQ3Q-5q6Dfx9s7NXKRWPbVnfWD1ERSjmUIp2Env1Bl34IXdouUVIUJLFFoshImeBjDLZR6-BWOmwUBvUpVo1iVRKrvsQqnoZOt9FDtbL1z8i3yQTQEYip1SVBv3__E_sB5oWBGw</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Hecht, Leah M.</creator><creator>Pester, Bethany</creator><creator>Braciszewski, Jordan M.</creator><creator>Graham, Amy E.</creator><creator>Mayer, Kara</creator><creator>Martens, Kellie</creator><creator>Hamann, Aaron</creator><creator>Carlin, Arthur M.</creator><creator>Miller-Matero, Lisa R.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7044-7831</orcidid></search><sort><creationdate>20200601</creationdate><title>Socioeconomic and Racial Disparities in Bariatric Surgery</title><author>Hecht, Leah M. ; Pester, Bethany ; Braciszewski, Jordan M. ; Graham, Amy E. ; Mayer, Kara ; Martens, Kellie ; Hamann, Aaron ; Carlin, Arthur M. ; Miller-Matero, Lisa R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-5170f270773234d83481badde5f41b5be500c8c880797bd80e287227cc6ccd553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Bariatric Surgery</topic><topic>Brief Communication</topic><topic>European Continental Ancestry Group</topic><topic>Gastrointestinal surgery</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Race</topic><topic>Racial differences</topic><topic>Socioeconomic Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hecht, Leah M.</creatorcontrib><creatorcontrib>Pester, Bethany</creatorcontrib><creatorcontrib>Braciszewski, Jordan M.</creatorcontrib><creatorcontrib>Graham, Amy E.</creatorcontrib><creatorcontrib>Mayer, Kara</creatorcontrib><creatorcontrib>Martens, Kellie</creatorcontrib><creatorcontrib>Hamann, Aaron</creatorcontrib><creatorcontrib>Carlin, Arthur M.</creatorcontrib><creatorcontrib>Miller-Matero, Lisa R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hecht, Leah M.</au><au>Pester, Bethany</au><au>Braciszewski, Jordan M.</au><au>Graham, Amy E.</au><au>Mayer, Kara</au><au>Martens, Kellie</au><au>Hamann, Aaron</au><au>Carlin, Arthur M.</au><au>Miller-Matero, Lisa R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic and Racial Disparities in Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>30</volume><issue>6</issue><spage>2445</spage><epage>2449</epage><pages>2445-2449</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31927686</pmid><doi>10.1007/s11695-020-04394-7</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-7044-7831</orcidid></addata></record> |
| fulltext | fulltext |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bariatric Surgery Brief Communication European Continental Ancestry Group Gastrointestinal surgery Healthcare Disparities Humans Medicine Medicine & Public Health Obesity, Morbid - surgery Race Racial differences Socioeconomic Factors Surgery |
| title | Socioeconomic and Racial Disparities in Bariatric Surgery |
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