Inpatient Bariatric Surgery Among Eligible Black and White Men and Women in the United States, 1999-2010
Inpatient Bariatric Surgery Among Eligible Black and White Men and Women in the United States, 1999-2010
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DOI：
10.1038/ajg.2012.365
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发表时间：
2013-08-01
影响因子：
9.8
通讯作者：
Wright, Robert U.
中科院分区：
文献类型：
--
作者：
Mainous, Arch G., III;Johnson, Sharleen P.;Wright, Robert U.
目的：我们研究了全国的趋势，在减肥手术的成年人，重点是在利用的差异，种族和访问healthcare.METHODS：我们分析了合格的对象减肥手术在全国医院出院调查和全国健康和营养检查调查1999-2010。主要结果的措施包括人口为基础的估计和比较的黑人和白人符合手术与那些谁实际收到it.RESULTS：一个较高的比例比白色妇女和黑人比白色男子有资格进行减肥手术。但符合条件的白色女性和男性接受减肥手术的比例高于黑人女性和男性。69.8%符合条件的白色女性和72.9%接受减肥手术的白色女性拥有私人医疗保险，而黑人女性的这一比例为49.9%和71.1%。符合条件的白色男性和接受减肥手术的白色男性中有71.4%和75.9%拥有私人医疗保险，而黑人男性的这一比例为52.4%和74.7%。在男性的资格和手术率低于女性的同一种族，并发现在相同的方向为women.CONCLUSIONS：符合条件的白人接受减肥手术在更高的水平比符合条件的黑人，显然部分是因为在保险范围的差异。
OBJECTIVES: We examined national trends in bariatric surgery for adults, focusing on differences in utilization by race and access to health care.METHODS: We analyzed subjects eligible for bariatric surgery in the National Hospital Discharge Survey and the National Health and Nutrition Examination Survey for 1999-2010. Primary outcome measures included population-based estimates and comparison of blacks and whites eligible for surgery with those who actually received it.RESULTS: A higher percentage of black than white women and of black than white men were eligible for bariatric surgery. But a higher proportion of eligible white women and men than black women and men received bariatric surgery. 69.8% of eligible white women and 72.9% of white women who received bariatric surgery had private health insurance, compared with 49.9% and 71.1% of black women. 71.4% of eligible white men and 75.9% of white men who received bariatric surgery had private health insurance, compared with 52.4% and 74.7% of black men. Among men eligibility and surgery rates were lower than for women of the same race, and significant differences were found by race in the same directions as for women.CONCLUSIONS: Eligible whites received bariatric surgery at higher levels than eligible blacks, apparently partly because of differences in insurance coverage.