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Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China
From year to year, the proportion of people living with overweight and obesity in China rises, along with the prevalence of diseases linked to obesity. Although bariatric surgery is gaining popularity, there are still several issues with its promotion compared to Western nations. Since less develope...
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Published in: | BMC surgery 2024-03, Vol.24 (1), p.82-82, Article 82 |
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description | From year to year, the proportion of people living with overweight and obesity in China rises, along with the prevalence of diseases linked to obesity. Although bariatric surgery is gaining popularity, there are still several issues with its promotion compared to Western nations. Since less developed places in China are more widespread due to disparities in the development of different regions, there has been little exploration of the factors that might be related to acceptance of bariatric surgery in these regions.
Patients who visited the Department of Gastrointestinal Surgery at the North Sichuan Medical College Affiliated Hospital from 2018 to 2022 and had obesity or other relevant metabolic problems were surveyed using a questionnaire. The relationship between demographic factors, socioeconomic status, and acceptance of bariatric surgery was analyzed.
Of 334 patients, 171 had bariatric surgery. BMI, education level, marriage history, medical insurance, family support, and a history of type 2 diabetes were all linked to having bariatric surgery, according to a univariate analysis. In a multivariate analysis, BMI (P = 0.02), education (P = 0.02), family support (P |
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Patients who visited the Department of Gastrointestinal Surgery at the North Sichuan Medical College Affiliated Hospital from 2018 to 2022 and had obesity or other relevant metabolic problems were surveyed using a questionnaire. The relationship between demographic factors, socioeconomic status, and acceptance of bariatric surgery was analyzed.
Of 334 patients, 171 had bariatric surgery. BMI, education level, marriage history, medical insurance, family support, and a history of type 2 diabetes were all linked to having bariatric surgery, according to a univariate analysis. In a multivariate analysis, BMI (P = 0.02), education (P = 0.02), family support (P<0.001), medical insurance coverage (P<0.001), and history of type 2 diabetes (P = 0.004) were all positively associated with a willingness to have bariatric surgery. Among 163 non-bariatric patients with obesity, 15.3% were not opposed to surgery but preferred trying medication first, 54.6% leaned towards medical therapy, and 30% were hesitant. Additionally, a majority of patients (48.55%) often lacked adequate knowledge about weight reduction therapy. Age, height, gender, smoking, drinking, family history of type 2 diabetes, education, and marital status did not significantly differ (P > 0.05).
Many patients are concerned about the safety of surgical treatment and the possibility of regaining weight. Due to the relatively high cost of bariatric surgery, they tend to choose medical treatment. To enhance the acceptance of bariatric surgery in underdeveloped regions of China, it is crucial to focus on disseminating knowledge about bariatric surgery, offer pertinent health education to the community, and foster support from patients' families. The government should pay more attention to obesity and provide support in the form of medical insurance.</description><identifier>ISSN: 1471-2482</identifier><identifier>EISSN: 1471-2482</identifier><identifier>DOI: 10.1186/s12893-024-02373-8</identifier><identifier>PMID: 38443901</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Access to information ; Bariatric Surgery ; Body weight ; Care and treatment ; China ; China - epidemiology ; Comparative analysis ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 ; Economic factors ; Education ; Factors ; Family ; Gastrointestinal surgery ; Genetics ; Health insurance ; Health services ; Humans ; Hypertension ; Insurance ; Insurance coverage ; Medical treatment ; Metabolic disorders ; Metabolic syndrome ; Multivariate analysis ; Obesity ; Obesity - complications ; Obesity - surgery ; Overweight ; Patients ; Questionnaires ; Regression analysis ; Social support ; Socioeconomics ; Surgery ; Type 2 diabetes ; Weight control ; Weight reduction</subject><ispartof>BMC surgery, 2024-03, Vol.24 (1), p.82-82, Article 82</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c515t-f690ee2ca246820ce3d9564a199fd776aabe222e4408c6658b834266bea51d8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913241/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2956861860?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38443901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kong, Xiangxin</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Li, Ruoer</creatorcontrib><creatorcontrib>Yang, Lei</creatorcontrib><creatorcontrib>Xian, Yin</creatorcontrib><creatorcontrib>He, Ming</creatorcontrib><creatorcontrib>Song, Ke</creatorcontrib><creatorcontrib>Jia, Aimei</creatorcontrib><creatorcontrib>Sun, Qin</creatorcontrib><creatorcontrib>Ren, Yixing</creatorcontrib><title>Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China</title><title>BMC surgery</title><addtitle>BMC Surg</addtitle><description>From year to year, the proportion of people living with overweight and obesity in China rises, along with the prevalence of diseases linked to obesity. Although bariatric surgery is gaining popularity, there are still several issues with its promotion compared to Western nations. Since less developed places in China are more widespread due to disparities in the development of different regions, there has been little exploration of the factors that might be related to acceptance of bariatric surgery in these regions.
Patients who visited the Department of Gastrointestinal Surgery at the North Sichuan Medical College Affiliated Hospital from 2018 to 2022 and had obesity or other relevant metabolic problems were surveyed using a questionnaire. The relationship between demographic factors, socioeconomic status, and acceptance of bariatric surgery was analyzed.
Of 334 patients, 171 had bariatric surgery. BMI, education level, marriage history, medical insurance, family support, and a history of type 2 diabetes were all linked to having bariatric surgery, according to a univariate analysis. In a multivariate analysis, BMI (P = 0.02), education (P = 0.02), family support (P<0.001), medical insurance coverage (P<0.001), and history of type 2 diabetes (P = 0.004) were all positively associated with a willingness to have bariatric surgery. Among 163 non-bariatric patients with obesity, 15.3% were not opposed to surgery but preferred trying medication first, 54.6% leaned towards medical therapy, and 30% were hesitant. Additionally, a majority of patients (48.55%) often lacked adequate knowledge about weight reduction therapy. Age, height, gender, smoking, drinking, family history of type 2 diabetes, education, and marital status did not significantly differ (P > 0.05).
Many patients are concerned about the safety of surgical treatment and the possibility of regaining weight. Due to the relatively high cost of bariatric surgery, they tend to choose medical treatment. To enhance the acceptance of bariatric surgery in underdeveloped regions of China, it is crucial to focus on disseminating knowledge about bariatric surgery, offer pertinent health education to the community, and foster support from patients' families. The government should pay more attention to obesity and provide support in the form of medical insurance.</description><subject>Access to information</subject><subject>Bariatric Surgery</subject><subject>Body weight</subject><subject>Care and treatment</subject><subject>China</subject><subject>China - epidemiology</subject><subject>Comparative analysis</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2</subject><subject>Economic factors</subject><subject>Education</subject><subject>Factors</subject><subject>Family</subject><subject>Gastrointestinal surgery</subject><subject>Genetics</subject><subject>Health insurance</subject><subject>Health services</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Insurance</subject><subject>Insurance coverage</subject><subject>Medical treatment</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Multivariate analysis</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - surgery</subject><subject>Overweight</subject><subject>Patients</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Social support</subject><subject>Socioeconomics</subject><subject>Surgery</subject><subject>Type 2 diabetes</subject><subject>Weight control</subject><subject>Weight reduction</subject><issn>1471-2482</issn><issn>1471-2482</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIfsAf4IAiceGS4q84zglVK1oqVeICZ2tiT3a9ytqL7VTqv8fpltJFlWXZmnnv2TPzquoDJReUKvklUaZ63hAmyuYdb9Sr6pSKjjZMKPb62f2kOktpSwjtVNu-rU64EoL3hJ5W-QpMDjHVzo_TjN44v67zBusBooMcnanTHNcY7-scEfIOfa7D-ELagLfOQsZFq569xWjxDqewR1tD4aaFt9o4D--qNyNMCd8_nufVr6tvP1ffm9sf1zery9vGtLTNzSh7gsgMMCEVIwa57VspgPb9aLtOAgzIGEMhiDJStmpQXDApB4SWWmX4eXVz0LUBtnof3Q7ivQ7g9EMgxLWGmJ2ZUJt2FFYKNkiJwo5kwKEzcmAdtwMIvmh9PWjt52GH1pQ-RJiORI8z3m30OtxpSnrKmaBF4fOjQgy_Z0xZ71wyOE3gMcxJs54rplouVIF--g-6DXP0pVcF1Uoly_jJP9QaSgVlgKE8bBZRfVkGLTjtyIK6eAFVlsWdM8Hj6Er8iMAOBBNDShHHpyIp0Yvx9MF4uhhPPxhPLz_--Lw9T5S_TuN_ADYH1K4</recordid><startdate>20240305</startdate><enddate>20240305</enddate><creator>Kong, Xiangxin</creator><creator>Zhang, Yuan</creator><creator>Li, Ruoer</creator><creator>Yang, Lei</creator><creator>Xian, Yin</creator><creator>He, Ming</creator><creator>Song, Ke</creator><creator>Jia, Aimei</creator><creator>Sun, Qin</creator><creator>Ren, Yixing</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</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>7QO</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240305</creationdate><title>Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China</title><author>Kong, Xiangxin ; Zhang, Yuan ; Li, Ruoer ; Yang, Lei ; Xian, Yin ; He, Ming ; Song, Ke ; Jia, Aimei ; Sun, Qin ; Ren, Yixing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-f690ee2ca246820ce3d9564a199fd776aabe222e4408c6658b834266bea51d8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Access to information</topic><topic>Bariatric Surgery</topic><topic>Body weight</topic><topic>Care and treatment</topic><topic>China</topic><topic>China - epidemiology</topic><topic>Comparative analysis</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2</topic><topic>Economic factors</topic><topic>Education</topic><topic>Factors</topic><topic>Family</topic><topic>Gastrointestinal surgery</topic><topic>Genetics</topic><topic>Health insurance</topic><topic>Health services</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Insurance</topic><topic>Insurance coverage</topic><topic>Medical treatment</topic><topic>Metabolic disorders</topic><topic>Metabolic syndrome</topic><topic>Multivariate analysis</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - surgery</topic><topic>Overweight</topic><topic>Patients</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Social support</topic><topic>Socioeconomics</topic><topic>Surgery</topic><topic>Type 2 diabetes</topic><topic>Weight control</topic><topic>Weight reduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kong, Xiangxin</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Li, Ruoer</creatorcontrib><creatorcontrib>Yang, Lei</creatorcontrib><creatorcontrib>Xian, Yin</creatorcontrib><creatorcontrib>He, Ming</creatorcontrib><creatorcontrib>Song, Ke</creatorcontrib><creatorcontrib>Jia, Aimei</creatorcontrib><creatorcontrib>Sun, Qin</creatorcontrib><creatorcontrib>Ren, Yixing</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>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research 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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</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>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content 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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kong, Xiangxin</au><au>Zhang, Yuan</au><au>Li, Ruoer</au><au>Yang, Lei</au><au>Xian, Yin</au><au>He, Ming</au><au>Song, Ke</au><au>Jia, Aimei</au><au>Sun, Qin</au><au>Ren, Yixing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China</atitle><jtitle>BMC surgery</jtitle><addtitle>BMC Surg</addtitle><date>2024-03-05</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>82</spage><epage>82</epage><pages>82-82</pages><artnum>82</artnum><issn>1471-2482</issn><eissn>1471-2482</eissn><abstract>From year to year, the proportion of people living with overweight and obesity in China rises, along with the prevalence of diseases linked to obesity. Although bariatric surgery is gaining popularity, there are still several issues with its promotion compared to Western nations. Since less developed places in China are more widespread due to disparities in the development of different regions, there has been little exploration of the factors that might be related to acceptance of bariatric surgery in these regions.
Patients who visited the Department of Gastrointestinal Surgery at the North Sichuan Medical College Affiliated Hospital from 2018 to 2022 and had obesity or other relevant metabolic problems were surveyed using a questionnaire. The relationship between demographic factors, socioeconomic status, and acceptance of bariatric surgery was analyzed.
Of 334 patients, 171 had bariatric surgery. BMI, education level, marriage history, medical insurance, family support, and a history of type 2 diabetes were all linked to having bariatric surgery, according to a univariate analysis. In a multivariate analysis, BMI (P = 0.02), education (P = 0.02), family support (P<0.001), medical insurance coverage (P<0.001), and history of type 2 diabetes (P = 0.004) were all positively associated with a willingness to have bariatric surgery. Among 163 non-bariatric patients with obesity, 15.3% were not opposed to surgery but preferred trying medication first, 54.6% leaned towards medical therapy, and 30% were hesitant. Additionally, a majority of patients (48.55%) often lacked adequate knowledge about weight reduction therapy. Age, height, gender, smoking, drinking, family history of type 2 diabetes, education, and marital status did not significantly differ (P > 0.05).
Many patients are concerned about the safety of surgical treatment and the possibility of regaining weight. Due to the relatively high cost of bariatric surgery, they tend to choose medical treatment. To enhance the acceptance of bariatric surgery in underdeveloped regions of China, it is crucial to focus on disseminating knowledge about bariatric surgery, offer pertinent health education to the community, and foster support from patients' families. The government should pay more attention to obesity and provide support in the form of medical insurance.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38443901</pmid><doi>10.1186/s12893-024-02373-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Access to information Bariatric Surgery Body weight Care and treatment China China - epidemiology Comparative analysis Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 Economic factors Education Factors Family Gastrointestinal surgery Genetics Health insurance Health services Humans Hypertension Insurance Insurance coverage Medical treatment Metabolic disorders Metabolic syndrome Multivariate analysis Obesity Obesity - complications Obesity - surgery Overweight Patients Questionnaires Regression analysis Social support Socioeconomics Surgery Type 2 diabetes Weight control Weight reduction |
title | Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China |
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