PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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<0.001), medical insurance coverage (P<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 > 0.05).
CONCLUSIONS: 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. The government should pay more attention to obesity and provide support in the form of medical insurance.
METHODS: 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.
RESULTS: 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<0.001), medical insurance coverage (P<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 > 0.05).
CONCLUSIONS: 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. The government should pay more attention to obesity and provide support in the form of medical insurance.
摘要：
背景：每年，中国超重和肥胖人口比例上升，以及与肥胖相关的疾病的流行。虽然减肥手术越来越受欢迎，与西方国家相比，它的推广还有几个问题。由于中国欠发达地区由于不同地区的发展差异而更加广泛，对于这些地区接受减肥手术可能相关的因素几乎没有探索.
方法：对2018-2022年在川北医学院附属医院胃肠外科就诊并存在肥胖或其他相关代谢问题的患者进行问卷调查。人口因素之间的关系，社会经济地位,并对减肥手术的接受程度进行了分析。
结果：在334名患者中，171人接受了减肥手术。BMI,教育水平,婚姻史,医疗保险,家庭支持,2型糖尿病的病史都与减肥手术有关，根据单变量分析。在多变量分析中，BMI（P=0.02），教育（P=0.02），家庭支持（P<0.001），医疗保险范围(P<0.001)，2型糖尿病病史（P=0.004）均与接受减肥手术的意愿呈正相关。在163名非肥胖肥胖患者中，15.3％的人不反对手术，但更喜欢先尝试药物治疗，54.6%倾向于药物治疗，30%的人犹豫不决。此外,大多数患者(48.55%)通常缺乏关于减重治疗的足够知识.年龄,高度,性别,吸烟,饮酒,2型糖尿病家族史,教育,婚姻状况差异无统计学意义(P>0.05)。
结论：许多患者担心手术治疗的安全性和体重恢复的可能性。由于减肥手术的费用相对较高，他们倾向于选择医疗。为了提高中国欠发达地区减肥手术的接受度，重点传播减肥手术知识至关重要，向社区提供相关的健康教育，并促进患者家属的支持。政府应该更加关注肥胖问题，并以医疗保险的形式提供支持。
方法：对2018-2022年在川北医学院附属医院胃肠外科就诊并存在肥胖或其他相关代谢问题的患者进行问卷调查。人口因素之间的关系，社会经济地位,并对减肥手术的接受程度进行了分析。
结果：在334名患者中，171人接受了减肥手术。BMI,教育水平,婚姻史,医疗保险,家庭支持,2型糖尿病的病史都与减肥手术有关，根据单变量分析。在多变量分析中，BMI（P=0.02），教育（P=0.02），家庭支持（P<0.001），医疗保险范围(P<0.001)，2型糖尿病病史（P=0.004）均与接受减肥手术的意愿呈正相关。在163名非肥胖肥胖患者中，15.3％的人不反对手术，但更喜欢先尝试药物治疗，54.6%倾向于药物治疗，30%的人犹豫不决。此外,大多数患者(48.55%)通常缺乏关于减重治疗的足够知识.年龄,高度,性别,吸烟,饮酒,2型糖尿病家族史,教育,婚姻状况差异无统计学意义(P>0.05)。
结论：许多患者担心手术治疗的安全性和体重恢复的可能性。由于减肥手术的费用相对较高，他们倾向于选择医疗。为了提高中国欠发达地区减肥手术的接受度，重点传播减肥手术知识至关重要，向社区提供相关的健康教育，并促进患者家属的支持。政府应该更加关注肥胖问题，并以医疗保险的形式提供支持。
