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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
Main Authors: Kong, Xiangxin, Zhang, Yuan, Li, Ruoer, Yang, Lei, Xian, Yin, He, Ming, Song, Ke, Jia, Aimei, Sun, Qin, Ren, Yixing
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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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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&lt;0.001), medical insurance coverage (P&lt;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 &gt; 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. 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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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