A qualitative study of potential challenges to accessing bariatric surgery for ethnic minority patients in the UK

Dachi, Sekesai Violet (2021). A qualitative study of potential challenges to accessing bariatric surgery for ethnic minority patients in the UK. University of Birmingham. M.Phil.

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With no signs of the amelioration of global obesity rates and this being a significant risk for numerous diseases, including type 2 diabetes mellitus and cardiovascular disease, individuals of South Asian and Black heritage have been shown to be disproportionately affected by these illnesses compared to white Europeans. Bariatric surgery has proven to be the only weight loss intervention that leads to significant and long-term weight loss, and in the UK, is encompassed within the weight management Tier pathway. However, the few existing published studies identify the underrepresentation of ethnic minorities within the Tier pathway and ultimately undergoing bariatric surgery. The aim of this MPhil research project was to explore the potential challenges in accessing bariatric surgery that may lead to underrepresentation of ethnic minorities.

Six focus groups were conducted with ethnic minority adults, and individual interviews were conducted with three health care professionals along the weight management Tier pathway.

Main themes emerging from focus groups participants included personal factors, healthcare factors, and socio-cultural factors. Main themes emerging from interviews conducted with health care professionals included system structural factors, social factors, and governance factors.

Significant barriers were identified within the weight management Tier pathway, preventing ethnic minorities from accessing bariatric surgery. Unless these are addressed and suitably amended, it is likely that ethnic minorities will continue to be underrepresented within the Tier pathway and in the uptake of bariatric surgery.

Type of Work: Thesis (Masters by Research > M.Phil.)
Award Type: Masters by Research > M.Phil.
Licence: All rights reserved
College/Faculty: Colleges (2008 onwards) > College of Life & Environmental Sciences
School or Department: School of Sport, Exercise and Rehabilitation Sciences
Funders: Other
Other Funders: RCN Foundation Professional Bursary Scheme, Florence Nightingale Foundation Research Scholarship
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
URI: http://etheses.bham.ac.uk/id/eprint/11833


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