Department of Surgery, South Auckland Clinical Campus, University of Auckland, Middlemore Hospital, 100 Hospital Road, Otahuhu, Auckland 2025, New Zealand.
Department of General Practice and Primary Care, University of Auckland, Tāmaki Campus, Morrin Road, Glen Innes, Auckland, New Zealand.
Obes Res Clin Pract. 2019 Sep-Oct;13(5):486-491. doi: 10.1016/j.orcp.2019.09.004. Epub 2019 Oct 5.
Bariatric surgery is the most effective intervention for alleviating obesity and its complications. Indigenous people worldwide experience higher rates of obesity and obesity disease burden. However, few studies exploring bariatric surgery among Indigenous peoples are published. In this study we aimed to explore the motivation of Māori women in coming forward for bariatric surgery.
Māori women who had bariatric surgery prior to December 31, 2014, were invited to participate in semi-structured interpersonal interviews. Kaupapa Māori research, an Indigenous Māori research methodology, informed this study. Interviews were recorded, transcribed and subject to inductive thematic analysis.
Twenty-nine Māori women participated in semi-structured interpersonal interviews. The majority of women reported that the presence of obesity-related disease alongside the desire for a better quality of life served as the greatest sources of motivation for having bariatric surgery. Whānau (family) were key for participants achieving the preoperative milestones needed to be accepted for bariatric surgery. Interpersonal experiences of fat-shaming and yo-yo dieting also impacted their choice to have surgery.
This study is one of the first to describe the motivations of Indigenous Māori women to have bariatric surgery. Our study conveys the importance of health, a desire to have a better quality of life and whānau in motivating Māori women to come forward for bariatric surgery.
减重手术是缓解肥胖及其并发症最有效的干预措施。全球范围内的原住民肥胖率和肥胖疾病负担更高。然而，发表的关于原住民人群减重手术的研究很少。在这项研究中，我们旨在探讨毛利妇女接受减重手术的动机。
邀请在 2014 年 12 月 31 日前接受过减重手术的毛利妇女参加半结构式人际访谈。毛利人研究方法（一种原住民毛利研究方法）为这项研究提供了信息。对访谈进行了录音、转录，并进行了归纳主题分析。
29 名毛利妇女参加了半结构式人际访谈。大多数女性报告说，肥胖相关疾病的存在以及对更高生活质量的渴望是接受减重手术的最大动力。家庭（家人）是参与者实现接受减重手术所需术前里程碑的关键。人际交往中的胖歧视和溜溜球节食经历也影响了她们选择手术的决定。
这项研究是首批描述原住民毛利妇女接受减重手术动机的研究之一。我们的研究传达了健康、对更好生活质量的渴望和家庭在激励毛利妇女接受减重手术方面的重要性。
