Kavita Chandwani, Instructor in Surgery Research1, Shinil K Shah, Assistant Professor1, Anil D Kulkarni, Professor in Surgery1, Dejian Lai, Professor2, Erik B Wilson, Professor and Vice Chair in Surgery1. 1University of Texas Health Science Center, McGovern Medical School, 2University of Texas Health Science Center, School of Public Health
Background: About 10% of adult women are reported to have morbid obesity, yet, only a percentage of that population undergo bariatric surgery. Bariatric surgery is the most effective evidence-based treatment for morbid obesity and prevention and treatment of its comorbidities. The proposed study, a part of ongoing analysis, characterizes bariatric surgery eligible (BE) women and compares them with those not eligible for the surgery.
Methods: The population of reproductive age BE women was identified from the 2013-2014 National Health and Nutrition Examination Survey. Demographic, psychological and reproductive variables in BE and non-BE adult women who participated in the survey, were analyzed using chi-square test.
Results: About 15.6% (6.58 million) of 20-44 years old BE women (mean age 32.03 years) were identified. Of these, BE women had lower family incomes (34.7%, 40.6% and 24.7% of BE vs 23.3%, 31.4.6% and 45.3% of non-BE women belonged to low-, middle- and high- family incomes, respectively, p .026). Major depression was observed in 8.6% of BE vs 1.3% in non-BE women, p < .02.
About 22% of BE women had education less than high school (HS) (vs. 13.6% non-BE), 19.4% of BE women attended HS (vs. 18 % non-BE) and 58.3% of BE women had more than HS education (vs. 68.4% non-BE) (p .103). 22% of BE women were Non-Hispanic Black, 57% of BE women were Non-Hispanic White, and 4.6% of BE women were Mexican/Other Hispanics (vs. 10.8%, 58.9%, and 3.4% respectively, in non-BE women, p .08); 33 % of BE women and 22% of non-BE women had no insurance coverage, but the difference was not statistically significant. Infertility was observed in 25.4% of BE as opposed to 11.9% in non-BE women (p .06).
Conclusion: Significant differences between BE and non-BE women of reproductive age were prevalent based on sociodemographic factors, namely, income and insurance coverage and marginally significant differences were observed in race/ethnicity and education. Significantly higher prevalence of major depression and trends for infertility observed in BE women emphasize a need for better understanding of the demographic, psychological and reproductive factors in reproductive age BE women. Based on such information tailored interventions can help increase their access to bariatric surgery and prevent future morbidity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80036
Program Number: P575
Presentation Session: Poster (Non CME)
Presentation Type: Poster
