The effects of socioeconomic and individual factors on acceptance levels of bariatric surgery among Chinese patients

doi:10.3877/cma.j.issn.2095-9605.2015.01.004

Abstract

Abstract:

Objective

To explore the influence factors on the acceptance levels of bariatric surgery and also improve the acceptance and common knowledge of bariatric surgery in Chinese patients.

Methods

Clinical data of 230 obese patients who were received by weight loss clinic of the First Affiliated Hospital of Nanjing Medical University from May 2009 to May 2012 were analyzed, and 186 obese patients(BMI≥32 kg/m²) were willing to provide all kinds of data about their ages, marital status, income level,education background, medical insurance, bad habits, history of weight loss, causes of weight loss failure,weight loss expectation. Eighty-four of these patients underwent bariatric surgery. The data was analyzed by Logistic Regression test.

Results

In general situation, population with higher BMI was easier to accept bariatric surgery; on the other hand, people with lower height was more willing to accept bariatric surgery;gluttonous behavior which was seen as a common bad habits for obese patients were strong positive correlated to acceptance of bariatric surgery; in economic situation, income levels and insurance levels were negative correlated to acceptance of bariatric surgery; in weight loss expectations, people with higher expectations of weight loss had higher acceptance of bariatric surgery; in resources of weight loss education, all indexes were not statistical different between surgical group and non-surgical group, but the item of introduction from patients will need more samples to make sure if it is correlated to acceptance of bariatric surgery.

Conclusions

In mainland of China, we need to strengthen advocacy and educational work for obese people with higher economic level, and the people with low economic levels will need more medical assistance.

Key words: Bariatric surgery, Obesity, Socioeconomic factors

Hui Liang, Wei Guan, Qing Cao, Huan Liu, Honghao Wu. The effects of socioeconomic and individual factors on acceptance levels of bariatric surgery among Chinese patients[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2015, 01(01): 11-15.

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