Disparities in Bariatric Surgery Utilization in Underserved Diabetes Populations.

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  • Author(s): Johnson EE; White BM; Simpson KN
  • Source:
    Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2020; Vol. 31 (2), pp. 530-537.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Johns Hopkins University Press Country of Publication: United States NLM ID: 9103800 Publication Model: Print Cited Medium: Internet ISSN: 1548-6869 (Electronic) Linking ISSN: 10492089 NLM ISO Abbreviation: J Health Care Poor Underserved Subsets: MEDLINE
    • Publication Information:
      Publication: 2004- : Baltimore, MD : Johns Hopkins University Press
      Original Publication: Nashville, TN : Institute on Health Care for the Poor and Underserved, Meharry Medical College, c1990-
    • Subject Terms:
      Bariatric Surgery* ; Diabetes Mellitus* ; Obesity, Morbid*; Female ; Health Promotion ; Humans ; Male ; United States/epidemiology ; Vulnerable Populations
    • Abstract:
      Introduction: Bariatric surgery is cost-effective for treating obesity and diabetes. There are higher rates of obesity and diabetes in medically-underserved populations, yet it is unclear if disparities in bariatric surgery utilization exist in this population.
      Methods: Bariatric surgery rates were calculated for underserved populations with obesity and diabetes using secondary data sets of four states in the diabetes belt (Florida, Georgia, Kentucky, South Carolina), a region in the southeast United States with higher rates of diabetes and obesity. Surgery rates were compared across states and demographic groups.
      Results: Males, Blacks, and patients in rural areas had lower rates of bariatric surgery compared to females, Whites, and patients in urban areas. Payer rates were mixed across states. Surprisingly, minorities in Florida had higher surgery rates.
      Discussion: Disparities exist in bariatric surgery rates in underserved populations with obesity and diabetes. It is vital to improve surgery access to this population to promote health equity.
    • Grant Information:
      UL1 TR001450 United States TR NCATS NIH HHS
    • Publication Date:
      Date Created: 20210107 Date Completed: 20210924 Latest Revision: 20210924
    • Publication Date:
      20221213
    • Accession Number:
      10.1353/hpu.2020.0040
    • Accession Number:
      33410788