Bauman Viviana, Apostolopoulos Andreana N, Hasse Gwendolyn, Parkman Thomas J, Ross Kathryn M
Department of Clinical and Health Psychology University of Florida Gainesville Florida USA.
College of Public Health and Health Professions University of Florida Gainesville Florida USA.
Obes Sci Pract. 2021 May 22;7(6):797-802. doi: 10.1002/osp4.515. eCollection 2021 Dec.
Obesity disproportionately affects rural populations; however, there is limited research examining disparities in bariatric surgery outcomes between patients from rural versus urban areas. This study aimed to compare the demographic characteristics of patients undergoing bariatric surgery from rural versus urban bariatric areas and to explore differences in weight-loss outcomes between these groups. A retrospective chart review identified a sample of 170 patients (52 rural, 118 urban) who underwent Roux-en-Y gastric bypass or vertical sleeve gastrectomy procedures over a 1-year period. Data collected included age, race, gender, insurance status, surgery type, height, and pre- and postoperative weights at 3 and 6 months. Significant differences in race, ethnicity, and surgery type were observed between rural/urban patients (s < 0.05). Patients from rural areas demonstrated significantly greater percent total weight losses at 3 months ( = 0.018; however, there were no significant differences between groups at 6 months ( > 0.05). The results suggest that patients from rural counties experience postoperative weight-loss outcomes comparable to those of their urban counterparts.
肥胖对农村人口的影响尤为严重；然而，针对农村和城市地区患者在减肥手术效果方面的差异进行研究的却很有限。本研究旨在比较农村和城市减肥地区接受减肥手术患者的人口统计学特征，并探讨这些群体在减肥效果上的差异。一项回顾性病历审查确定了170名患者的样本（52名农村患者，118名城市患者），他们在1年时间内接受了Roux-en-Y胃旁路手术或垂直袖状胃切除术。收集的数据包括年龄、种族、性别、保险状况、手术类型、身高以及术后3个月和6个月时的术前和术后体重。农村/城市患者在种族、民族和手术类型方面存在显著差异（P<0.05）。农村地区的患者在3个月时总体体重减轻百分比显著更高（P=0.018）；然而，两组在6个月时没有显著差异（P>0.05）。结果表明，农村县的患者术后减肥效果与城市患者相当。
