Disparities in bariatric surgery utilization in underserved diabetes populations

Emily E. Johnson; Brandi M. White; Kit N. Simpson

doi:10.1353/hpu.2020.0040

Disparities in bariatric surgery utilization in underserved diabetes populations

Emily E. Johnson, Brandi M. White, Kit N. Simpson

Health and Clinical Sciences

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	530-537
Number of pages	8
Journal	Journal of Health Care for the Poor and Underserved
Volume	31
Issue number	2
DOIs	https://doi.org/10.1353/hpu.2020.0040
State	Published - May 2020

Bibliographical note

Funding Information:
Funding Support: This publication was partially supported by the South Carolina Clinical & Translational Research (SCTR) Institute, with an academic home at the Medical University of South Carolina, through NIH—NCATS Grant Number UL1 TR001450. Data analytic support for the study was provided through support for the CEDAR core funded by the MUSC Office of the Provost.

Funding Information:
This publication was partially supported by the South Carolina Clinical & Translational Research (SCTR) Institute, with an academic home at the Medical University of South Carolina, through NIH-NCATS Grant Number UL1 TR001450. Data analytic support for the study was provided through support for the CEDAR core funded by the MUSC Office of the Provost.

Publisher Copyright:
© Meharry Medical College.

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1353/hpu.2020.0040

Cite this

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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.",

author = "Johnson, {Emily E.} and White, {Brandi M.} and Simpson, {Kit N.}",

note = "Funding Information: Funding Support: This publication was partially supported by the South Carolina Clinical & Translational Research (SCTR) Institute, with an academic home at the Medical University of South Carolina, through NIH—NCATS Grant Number UL1 TR001450. Data analytic support for the study was provided through support for the CEDAR core funded by the MUSC Office of the Provost. Funding Information: This publication was partially supported by the South Carolina Clinical & Translational Research (SCTR) Institute, with an academic home at the Medical University of South Carolina, through NIH-NCATS Grant Number UL1 TR001450. Data analytic support for the study was provided through support for the CEDAR core funded by the MUSC Office of the Provost. Publisher Copyright: {\textcopyright} Meharry Medical College.",

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Disparities in bariatric surgery utilization in underserved diabetes populations

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

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