According to the World Health Organization, 4 million people die each year from obesity-related causes. Studies have shown that obesity surgery is an effective and life-saving intervention for obese patients. However, the vast majority of people who are eligible for surgery never go on to surgery.
A team of researchers at Pennsylvania State Medical College considers patients’ potential for weight loss surgery and identifies variables that may help explain why qualified people are not taking full advantage of weight loss surgery. bottom.Studies have shown that Psychological factors, With social determinants of health-Race, etc. Food security Level of Education — Plays an important role in whether patients proceed with surgical treatment of obesity.
This study analyzed data from preoperative psychological assessments of weight loss surgery in 1,234 adults. Patience, Surgery from 2017 to early 2020. Patients themselves, quality of life, medical history, mental health Eating habits by self-questioning. The majority of patients were female (946) and white (862). Of the survey participants, 23% received benefits through the Federal Supplemental Nutrition Assistance Program (SNAP).
Researchers have found that blacks, Hispanics, and other minority groups are less likely to undergo surgery than white patients. In addition to racial disparity, both educational and financial factors influenced the likelihood of a patient undergoing surgery.In addition, with education Economic factors It can affect nutritional and dietary behaviors that contribute to obesity and overall health. Researchers found that patients who received SNAP and those who were less educated were less likely to undergo surgery than those who did not receive SNAP and those who received college education.
In addition to identifying social determinants of health that may contribute to a patient’s chances of undergoing surgery, researchers also looked at psychological factors. They said depression and anxiety were common among candidates for weight loss surgery. The findings show that patients with high levels of depression and anxiety are less likely to proceed with surgery. Based on these findings, researchers recommend careful monitoring of depression and anxiety in postoperative patients to reduce the risk of self-harm and suicide.
According to researchers, the results give a deeper understanding of the obstacles that some patients face when undergoing weight loss surgery. They said there was an urgent need to identify ways to overcome barriers from a public health perspective. Weight loss surgery For all who are subject to surgery, and those who are affected by these important mental health concerns and social determinants of health.
“Future research is needed to develop interventions to overcome treatment barriers and progression gaps. Surgery, And more upstream factors such as overall patient referrals. ” Melissa Bat, a researcher with a PhD in public health, said.
Jocelyn Simmers; Ph.D. in Vernon Chinchiriri Statistics; Dr. Andrea Rigby; Dr. Anrogers of Penn State University of Medicine contributed to this study.
Melissa Butt et al, Predictor of Surgical Interventions for Those Seeking Weight Loss Surgery, Surgery for obesity and related diseases (2021). DOI: 10.1016 / j.soard.2021.06.003
Courtesy of Pennsylvania State Medical College
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Mental Health and Economic Factors Affect Patients’ Path to Weight Loss Surgery
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