title: Perceived barriers to bariatric surgery among morbidly obese patients.
abstract: BACKGROUND
  Obesity has become a worldwide problem. Surgery has been shown to be a safe and effective therapy. We sought to identify those factors that patients regard as barriers to undergoing a bariatric surgical procedure.
  
  
  METHODS
  Morbidly obese patients were asked to complete a 2-page questionnaire during routine outpatient appointments or hospitalization for other reasons. Patients were enrolled from February 2007 to April 2008. The differences between groups were assessed using univariate analysis.
  
  
  RESULTS
  A total of 77 patients (41 women and 36 men) were enrolled. Their median age was 51 years, and 49% of the patients were white, followed by Hispanic (23%), and other ethnicities. Of the 77 patients, 9% were supermorbidly obese (body mass index >50 kg/m(2)), and 62% reported having used dieting to lose weight, with greater reports among the women (P = .01). White patients and those >55 years old were more likely to be using some type of weight loss program. Only 40% were physically active. African Americans reported greater rates of regular exercise (P <.01). Of the 77 patients surveyed, 8% had never heard of bariatric surgery. Finally, only 30% of our patient population considered themselves to be morbidly obese.
  
  
  CONCLUSIONS
  The results from the present survey have demonstrated that a lack of insurance coverage is not the main reason for patients not consulting a center to be evaluated for bariatric surgery. Perceived barriers and lack of knowledge exist in both the minds of the general public and physicians.
authors.affiliation: Department of Bariatric Surgery, Cleveland Clinic Florida, Weston, Florida 33331, USA.
authors.forename: Bianca B
authors.initials: BB
authors.lastname: Afonso
authors.forename: Raul
authors.initials: R
authors.lastname: Rosenthal
authors.forename: Ka Ming
authors.initials: KM
authors.lastname: Li
authors.forename: Jorge
authors.initials: J
authors.lastname: Zapatier
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D003920:Diabetes Mellitus / Q000453:epidemiology; D015444:Exercise; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery; D011446:Prospective Studies; D012959:Socioeconomic Factors; D014481:United States; D015431:Weight Loss