Evidence map›Paper›PMID 36882787›Full record

ArticleBMC public health2023

'A radical operation' - a thematic analysis of newspaper framing of bariatric surgery in adolescents.

Sander Lefere, Kato Verghote, Ruth De Bruyne, Veerle Provoost, Priya P Satalkar

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sander LefereHepatology Research Unit, Department Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium. sander.lefere@ugent.be.
Kato VerghoteDepartment Moral Sciences and Empirical (Bio) Ethics Research, Bioethics Institute Ghent, Ghent University, Ghent, Belgium.
Ruth De BruynePediatric Gastroenterology, Hepatology and Nutrition, Department Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Veerle ProvoostDepartment Moral Sciences and Empirical (Bio) Ethics Research, Bioethics Institute Ghent, Ghent University, Ghent, Belgium.
Priya P SatalkarDepartment Moral Sciences and Empirical (Bio) Ethics Research, Bioethics Institute Ghent, Ghent University, Ghent, Belgium.

Funding

Research Foundation - Flanders 12R0321N
6 · The paper itself

Abstract

backgroundObesity in adolescents is a growing public health issue. Bariatric surgery is an effective, yet controversial treatment option for adolescents. The moral acceptability of this procedure by health-care professionals as well as the general public can be influenced by its portrayal in the news media. Our objective was to analyze how newspaper articles portrayed adolescent bariatric surgery, with attention to the language used and moral arguments made.

methodsUsing an inductive thematic analysis approach, we analyzed 26 UK and 12 US newspaper articles (2014-2022) on adolescent bariatric surgery for implicit or explicit moral evaluations and use of normative language. Coding was performed after immersive reading, assisted by NVivo. Themes were identified and refined iteratively through consecutive auditing cycles to enrich the depth and rigor of our analysis.

resultsThe major themes identified related to (1) defining the burden of adolescent obesity, (2) sparking moral outrage, (3) sensation-seeking, and (4) raising ethical issues. The articles employed moral language, specifically non-neutral and negative discourse regarding surgery. Blame was attributed to adolescents or their parents. Sensationalist wording often reinforced the normative content, drawing the attention of the reader and contributing to stigmatization of adolescents with severe obesity as lacking will power and being lazy. Further moral issues that stood out were the challenges in obtaining an informed consent, and the unequal access to surgery for socially disadvantaged groups.

conclusionsOur findings provide insights into how adolescent bariatric surgery is represented in the print news media. Despite frequent citing of experts and studies on the efficacy, safety and unmet need for bariatric surgery, obesity and surgery in adolescents are often stigmatized and sensationalized, with (prospective) patients depicted as looking for an easy way out in the form of a solution brought by others (health systems, society, tax payers). This may increase the stigma surrounding adolescent obesity, and therefore limit the acceptability of specific treatments such as bariatric surgery.

Indexed as

Bariatric SurgeryObesity, MorbidPediatric ObesityAdolescentDissent and DisputesHumansProspective StudiesChildhood obesityHealth disparitiesNews mediaSensationalismStigma

Identifiers

PMID36882787
PMCPMC9993750

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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.