ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2020
Beyond insurance: race-based disparities in the use of metabolic and bariatric surgery for the management of severe pediatric obesity.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 52 citations in OpenAlex.
- GLP-1 receptor agonist medications for weight loss: Sociodemographic patterns of awareness, use, and access in a U.S. national cohort.Annals of epidemiology · 2026Article
- Outcomes of Metabolic and Bariatric Surgery Among Adolescents and Young Adults in Southern Louisiana.Obesity surgery · 2026Article
- Impact of the COVID-19 pandemic on racial disparities in adolescent bariatric surgery: an MBSAQIP analysis.Surgical endoscopy · 2026Article
- Global Variability in Children and Adolescent Metabolic Bariatric Surgery Guidelines: A Worldwide IFSO Survey.Obesity surgery · 2026Article
- Prevalence and Predictors of Guideline Concordant Pediatric Obesity Care: A Narrative Review.Current obesity reports · 2026Review
- Surgical Intervention for Adolescent Obesity: Evolution of the Scientific Agenda from 1980 to the Present.Obesity surgery · 2026Review
- Are Glucagon-Like Peptide 1 Receptor Agonists and Bariatric Surgery the Answer to Childhood Obesity?Current atherosclerosis reports · 2025Review
- Navigating barriers and facilitators to lifestyle changes after bariatric surgery among Emirati adolescents: a qualitative study.Frontiers in public health · 2025Article
- Applying an Equity Lens to Pediatric Obesity: Clinical, Environmental, and Policy Considerations for Clinicians.Pediatric clinics of North America · 2024Review
- Metabolic and Bariatric Surgery in Children: Current Practices and Outcomes.Current obesity reports · 2024Review
- Endocrine Health and Health Care Disparities in the Pediatric and Sexual and Gender Minority Populations: An Endocrine Society Scientific Statement.The Journal of clinical endocrinology and metabolism · 2023Article
- Disparities in Access and Quality of Obesity Care.Gastroenterology clinics of North America · 2023Review
- Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023Observational
- Self-worth and developmental outcomes in young adults after pediatric bariatric surgery.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Observational
- Psychosocial predictors of problematic eating in young adults who underwent adolescent bariatric surgery.Obesity science & practice · 2022Article
- Impact of the COVID-19 Pandemic on Metabolic and Bariatric Surgery Utilization and Safety in the United States.Obesity surgery · 2022Article
- Medicine, structural racism, and systems.Social science & medicine (1982) · 2022Article
- Insurance Coverage of Pediatric Bariatric Surgery: a Cross-Sectional Analysis of the USA.Obesity surgery · 2022Article
- Racial Disparities in Obesity Treatment Among Children and Adolescents.Current obesity reports · 2021Review
- Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.Obesity surgery · 2021Article
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundIt is unknown whether previously noted racial disparities in the use of metabolic and bariatric surgery (MBS) for the management of pediatric obesity could be mitigated by accounting for primary insurance.
objectivesTo examine utilization of pediatric MBS across race and insurance in the United States.
settingRetrospective cross-sectional study.
methodsThe National Inpatient Sample was used to identify patients 12 to 19 years old undergoing MBS from 2015 to 2016, and these data were combined with national estimates of pediatric obesity obtained from the 2015 to 2016 National Health and Nutrition Examination Survey. Severe obesity was defined as class III obesity, or class II obesity plus hypertension, dyslipidemia, or type 2 diabetes.
resultsA total of 1,659,507 (5.0%) adolescents with severe obesity were identified, consisting of 35.0% female, 38.0% white, and 45.0% privately insured adolescents. Over the same time period, 2535 MBS procedures were performed. Most surgical patients were female (77.5%), white (52.8%), and privately insured (57.5%). Black and Hispanic adolescents were less likely to undergo MBS than whites (odds ratio .50, .46, respectively; P < .001 both), despite adjusting for primary insurance. White adolescents covered by Medicaid were significantly more likely to undergo MBS than their privately insured counterparts (odds ratio 1.66; P < .001), while the opposite was true for black and Hispanic adolescents (odds ratio .29, .75, respectively; P < .001 both).
conclusionsPediatric obesity disproportionately affects racial minorities, yet MBS is most often performed on white adolescents. Medicaid insurance further decreases the use of MBS among nonwhite adolescents, while paradoxically increasing it for whites, suggesting expansion of government-sponsored insurance alone is unlikely to eliminate this race-based disparity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.