Assessment of the State of Bariatric Surgery in Canada: Prospective and Retrospective Approaches

Abstract

s / Can J Diabetes 39 (2015) S38eS74 S69 on the rise over the last 2 decades in Canada. What is troublesome is that these conditions are influenced by a small set of wellestablished, modifiable causes such as an unhealthy diet, and lack of physical activity. Community-based health education interventions seem to have better impact on increasing men’s health literacy and motivation for healthy lifestyle. However, few studies have explored the effectiveness of these interventions among Canadian men. Objectives: 1) to assess the acceptability and feasibility of a community-based intervention aiming to promote healthy practices among men; and 2) to develop a set of recommendations to support men-sensitive healthcare decision making. Methods: Qualitative study using semi-structured interviews with 15 health professionals and 3 focus groups with overweight/ obese men. Verbatim were analyzed using a thematic content analysis. Results/Conclusion: Men-sensitive interventions need to include: 1) health information that is easily retrievable, actionoriented and delivered in simple and concise terms; 2) involve peers, friends and family; 3) shared decision making, comprehensiveness of care, informational continuity, support and humanity practices; 4) awareness campaign and information to address prejudice related to hegemonic masculinity; 5) interventions must be easily integrated into daily life, thus suggesting the inclusion of workplaces and flexible hours; and 6) healthcare managers and Health professionals continuing educational sessions on men’s health needs and expectations. We propose a men-sensitive educational intervention to guide future interventions and research on weight control and management in men.