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- Title
Perceived Barriers in the Decision for Bariatric and Metabolic Surgery: Results from a Representative Study in Germany.
- Authors
Luck-Sikorski, C.; Jung, F.; Dietrich, A.; Stroh, C.; Riedel-Heller, S. G.
- Abstract
Background: Attitudes of the general public may be an influencing factor for low surgery rates: When skepticism is high, support for individuals wanting or needing to undergo surgery may diminish. This study assesses the relevance of barriers to metabolic surgery. Methods: The study was conducted using a representative sample of the German population (n = 1007). Participants were asked to imagine that they would have to decide for or against metabolic surgery and rate how this decision would be influenced by a number of reasons given to them (Likert scale). Results are presented by weight status. Results: The barrier found most irrelevant is that surgery could be considered cheating across all weight groups. About a fourth of the sample state that not knowing enough about surgery (28.5%), being afraid of surgery (28.3%), and potential negative consequences after surgery (24.5%) are reasons against metabolic surgery that were rated extremely relevant. Having obesity was a significant predictor of endorsement in two variables: feeling like cheating (lower probability for relevance, OR = 0.58, p = 0.025) and a lack of knowledge (lower probability for relevance, OR = 0.59, p = 0.031). Conclusions: In summary, the public's view of weight loss surgery lacks information about post-surgical consequences. It is important to address these points in the public and in social networks of patients as they may be pre- or antecedent of surgery stigma.
- Subjects
GERMANY; BARIATRIC surgery; LIKERT scale
- Publication
Obesity Surgery, 2019, Vol 29, Issue 12, p3928
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-04082-1