title: The effect of socioeconomic and individual factors on acceptance levels of bariatric surgery among Chinese patients.
abstract: BACKGROUND
  The prevalence of obesity has been increasing over the past years in China. Bariatric surgery is an effective treatment that has been gradually accepted by obese patients. This study explored the effect of different factors on the acceptance levels of bariatric surgery.
  
  
  METHODS
  A total of 186 obese patients (body mass index [BMI] ≥ 32 kg/m(2)) answered a questionnaire, including questions about their marital status, income level, education level, health insurance, and obesity-associated co-morbidities; 84 of these patients underwent bariatric surgery. The data was analyzed using the χ(2) test.
  
  
  RESULTS
  Univariate analyses found that age, BMI, gluttonous behavior, income level, health insurance, medications, and weight loss expectations were correlated with the acceptance of bariatric surgery. Multivariate analyses found that BMI (P = .034) and weight loss expectations (P = .001) were positively correlated with the acceptance of bariatric surgery. Patients with gluttonous behavior accepted bariatric surgery (P = .003). However, income levels (P<.001) and health insurance (P = .001) were negatively correlated with the acceptance of bariatric surgery.
  
  
  CONCLUSIONS
  Obesity was more prevalent in families of low social status and income levels; this group requires medical assistance, and education is still necessary for obese individuals of high social status and income levels.
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, People's Republic of China.
authors.forename: Hui
authors.initials: H
authors.lastname: Liang
authors.affiliation: Department of Endocrinology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu People's Republic of China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, People's Republic of China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Miao
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, People's Republic of China.
authors.forename: Honghao
authors.initials: H
authors.lastname: Wu
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, People's Republic of China.
authors.forename: Simei
authors.initials: S
authors.lastname: Yang
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, People's Republic of China. Electronic address: guanweii@hotmail.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Guan
mesh_terms: D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery / Q000191:economics / Q000706:statistics & numerical data*; D015992:Body Mass Index; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000191:economics*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000191:economics / Q000453:epidemiology / Q000601:surgery*; D015995:Prevalence; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Bariatric surgery; Obesity; Socioeconomic factors