Socioeconomic and Racial Disparities in Bariatric Surgery
- PDF / 248,686 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 18 Downloads / 181 Views
BRIEF COMMUNICATION
Socioeconomic and Racial Disparities in Bariatric Surgery Leah M. Hecht 1,2,3 & Bethany Pester 1,3 & Jordan M. Braciszewski 3 & Amy E. Graham 1 & Kara Mayer 1,2 & Kellie Martens 1,2 & Aaron Hamann 1,2 & Arthur M. Carlin 2,4 & Lisa R. Miller-Matero 1,3
# Springer Science+Business Media, LLC, part of Springer Nature 2020
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. Keywords Bariatric surgery . Socioeconomic factors . Income . Insurance type . Weight loss
Introduction Understanding the factors that influence attrition and postsurgical weight loss among bariatric surgery candidates will assist in optimizing patient outcomes. Race and socioeconomic factors (i.e., insurance type and income [1–3]), have been linked to outcomes for those pursuing bariatric surgery. Specifically, the majority of those who undergo bariatric surgery have private insurance (e.g., non-government funded insurance) [1, 3] and a higher median income [2]. Additionally, there are approximately three million individuals receiving social security disability (SSD) who are eligible for bariatric surgery [4], yet it is unknown whether individuals receiving this benefit are more or less likely to undergo surgery. Lower rates of bariatric surgery utilization are observed among ethnic monitories of lower SES [5], yet paradoxically, those who meet eligibility criteria to pursue bariatric surgery (i.e., BMI
* Lisa R. Miller-Matero [email protected] 1
Behavioral Health, Henry Ford Health System, 1 Ford Place, 3A, Detroit, MI 48202, USA
2
Department of Surgery, Henry Ford Health System, Detroit, USA
3
Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, USA
4
Wayne State University, Detroit, USA
in the morbidly obese range with medical comorbidities) are more likely to be of lower education, lower income, nonCaucasian, and underinsured [2]. Further, those who complete surgery are more than 1.5 times likely to be Caucasian [3]. However, the degree to which race and socioeconomic factors collaboratively impact bariatric surgery rates is unknown as studies have examined these factors independently. In addition to predicting who undergoes surgery, socioeconomi
Data Loading...
