Background

Very little is known about motivations for bariatric surgery among African American Males [AAM], a group that rarely undergoes this treatment for obesity.

Methods

In 2016-17 patients affiliated with a large integrated healthcare system completed several baseline surveys via internet or phone. Surveys included a modified version of the Goals and Relative Weight Questionnaire (GRWQ), which examined 13 motivators/goals for surgery.Patients were instructed to rate each factor, using a Likert scale. We calculated descriptive statistics as well as Chi Square.

Results

Survey respondents included 319 males, of which were 135 White Males [WM] (42%), 131 Hispanic Males [HM] (41%), 45 African American Males [AAM] (14%), and 10 “Other” Males [OM] (3%). For AAM, the most important factors that impacted the decision to have surgery included: 1) “Improvement or resolution of health conditions” (97.3%), 2) “To Feel Better about myself” (88.3%), and 3) “Being able to do the things I want to do” (83.7%). When analyzing the data using Chi square: the following items were significant 13i, (to be able to play with children/grandchildren), 13k, (to do the things that the person wants to do), 13L (to feel better about myself), 13m (to improve relationship with partner/spouse), and 13O, (for others (they want the person to do so).

Conclusions

Improvement of health, was the most important factor. Other factors specific to AAM should be considered when coordinating care for this treatment population.