Socioeconomic disparities in eligibility and access to bariatric surgery: a national population-based analysis
Socioeconomic disparities in eligibility and access to bariatric surgery: a national population-based analysis
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DOI：
10.1016/j.soard.2009.07.003
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发表时间：
2010-01-01
影响因子：
3.1
通讯作者：
Sebesta, James
中科院分区：
文献类型：
--
作者：
Martin, Matthew;Beekley, Alec;Sebesta, James
背景资料：使用2个全国代表性数据库分析病态肥胖患者人群的社会经济学及其对减肥手术的影响。减肥手术是一种改变生活和潜在的挽救生命的干预病态肥胖。在符合条件的患者中接受减肥手术治疗可能会受到各种社会经济因素的不利影响。方法：从2005-2006年全国健康与营养检查调查中确定了全国减肥合格人群，并与成人非合格人群进行了比较。合格的队列，然后进行了比较，谁经历了减肥手术的患者在2006年全国住院Sample，和关键的社会经济差异进行了鉴定和analyzed.Results：共有22,151,116人被确定为符合条件的减肥手术使用美国国立卫生研究院的标准。与不合格组相比，肥胖合格组的家庭收入明显较低，教育水平较低，获得医疗保健的机会较少，非白人比例较高（所有P
Background: To analyze the socioeconomics of the morbidly obese patient population and the impact on access to bariatric surgery using 2 nationally representative databases. Bariatric surgery is a life-changing and potentially life-saving intervention for morbid obesity. Access to bariatric surgical care among eligible patients might be adversely affected by a variety of socioeconomic factors.Methods: The national bariatric eligible population was identified from the 2005-2006 National Health and Nutrition Examination Survey and compared with the adult noneligible population. The eligible cohort was then compared with patients who had undergone bariatric surgery in the 2006 Nationwide Inpatient Sample, and key socioeconomic disparities were identified and analyzed.Results: A total of 22,151,116 people were identified as eligible for bariatric surgery using the National Institutes of Health criteria. Compared with the noneligible group, the bariatric eligible group had significantly lower family incomes, lower education levels, less access to healthcare, and a greater proportion of nonwhite race (all P