C Luck-Sikorski1,2,3, F Jung4, A Dietrich5, C Stroh6, S G Riedel-Heller4. 1. Integrated Research and Treatment Center AdiposityDiseases (IFB), University of Leipzig, Leipzig, Germany. Claudia.luck-sikorski@srh.de. 2. SRH University of Applied Health Sciences, Neue Straße 28-30, 07548, Gera, Germany. Claudia.luck-sikorski@srh.de. 3. Department of General, Abdominal and Pediatric Surgery, SRH Municipal Hospital Gera, Strasse des Friedens, 122, Gera, Germany. Claudia.luck-sikorski@srh.de. 4. Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany. 5. Integrated Research and Treatment Center AdiposityDiseases (IFB), Department of Surgery, University of Leipzig, Leipzig, Germany. 6. Department of General, Abdominal and Pediatric Surgery, SRH Municipal Hospital Gera, Strasse des Friedens, 122, Gera, Germany.
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.
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.
Entities:
Keywords:
Attitudes; Bariatric surgery; Barriers; General public; Metabolic surgery
Authors: Franziska Ulrike Christine Else Jung; A Dietrich; C Stroh; S G Riedel-Heller; C Luck-Sikorski Journal: Obes Surg Date: 2017-10 Impact factor: 4.129
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