Abstract
Despite the greater prevalence of obesity, African American (AA) adults represent a minority of bariatric surgerypatients. The aim of this study was to determine variables associated with attrition among AA patients seekingbariatric surgery. We performed a retrospective analysis of a consecutive series of AA patients with obesity referredfor surgery and who initiated the preoperative work-up as per insurance requirements. The sample was thendivided between those undergoing surgery and those who did not receive surgery. The multivariable logisticregression analysis showed that male patients (OR 0.53 95% CI 0.28-0.98) and those with public insurance (OR0.56, 95% CI 0.37 - 0.83) were significantly less likely to undergo surgery. The use of telehealth was stronglyassociated with receiving surgery (OR 3.53, 95% CI 2.36 - 5.29). Our results might help developing targetedstrategies to reduce attrition rates among AA patients with obesity seeking bariatric surgery.
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