Integrated Research and Treatment Center AdiposityDiseases (IFB), University of Leipzig, Leipzig, Germany.
SRH University of Applied Health Sciences, Neue Straße 28-30, 07548, Gera, Germany.
Obes Surg. 2019 Dec;29(12):3928-3936. doi: 10.1007/s11695-019-04082-1.
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.
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.
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).
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.
公众的态度可能是手术率低的一个影响因素：当怀疑态度高时，对希望或需要接受手术的个人的支持可能会减少。本研究评估了代谢手术障碍的相关性。
该研究使用德国代表性人群样本（n=1007）进行。要求参与者想象他们将不得不决定是否接受代谢手术，并根据他们给出的一些理由（李克特量表）来评估这一决定会受到多大程度的影响。结果按体重状况呈现。
发现最不相关的障碍是手术可能被视为欺骗，跨越所有体重组。大约四分之一的样本表示，对手术了解不足（28.5%）、害怕手术（28.3%）和手术后可能出现的负面后果（24.5%）是反对代谢手术的原因，被评为极其相关。肥胖是两个变量的显著预测因素：感觉像作弊（相关性降低，OR=0.58，p=0.025）和缺乏知识（相关性降低，OR=0.59，p=0.031）。
综上所述，公众对减肥手术的看法缺乏对手术后后果的了解。在公众和患者的社交网络中解决这些问题很重要，因为它们可能是手术耻辱的前兆或前提。
