Prevalence and Predictors of Self-Reported Sexual Abuse in Severely Obese Patients in a Population-Based Bariatric Program

Autor: Raj Padwal, Christian F. Rueda-Clausen, Konrad Fassbender, Scott Klarenbach, Sumit R. Majumdar, Arya M. Sharma, Daniel W. Birch, Shahzeer Karmali, Linda J. McCargar, Danielle L. Gabert
Rok vydání: 2013
Předmět:
Male
Cross-sectional study
Health Status
Endocrinology
Diabetes and Metabolism
Bariatric Surgery
Comorbidity
Alberta
Body Mass Index
0302 clinical medicine
Risk Factors
Weight loss
Odds Ratio
Prevalence
030212 general & internal medicine
2. Zero hunger
education.field_of_study
Middle Aged
Obesity
Morbid
Alcoholism
Treatment Outcome
Female
medicine.symptom
Research Article
Adult
lcsh:Internal medicine
medicine.medical_specialty
Article Subject
Population
030209 endocrinology & metabolism
03 medical and health sciences
Weight Loss
medicine
Humans
lcsh:RC31-1245
Psychiatry
education
Poverty
Chi-Square Distribution
business.industry
Sex Offenses
Odds ratio
medicine.disease
Cross-Sectional Studies
Logistic Models
Sexual abuse
Multivariate Analysis
Self Report
Sex offense
business
Body mass index
Demography
Zdroj: Journal of Obesity
Journal of Obesity, Vol 2013 (2013)
ISSN: 2090-0716
2090-0708
DOI: 10.1155/2013/374050
Popis: Background. Sexual abuse may be associated with poorer weight loss outcomes following bariatric treatment. Identifying predictors of abuse would enable focused screening and may increase weight management success.Methods. We analyzed data from 500 consecutively recruited obese subjects from a population-based, regional bariatric program. The prevalence of self-reported sexual abuse was ascertained using a single interview question. Health status was measured using a visual analogue scale (VAS). Multivariable logistic regression was performed to identify sexual abuse predictors.Results. The mean age was 43.7 y (SD 9.6), 441 (88.2%) were females, 458 (91.8%) were white, and the mean body mass index (BMI) was 47.9 kg/m2(SD 8.1). The self-reported prevalence of past abuse was 21.8% (95% CI 18.4–25.4%). Abused subjects had worse health status (VAS score 53.1 (SD 21.2) versus 58.0 (SD 20.1),P=0.03). BMI was not associated with abuse (P>0.5). Age, sex, BMI, and covariate-adjusted independent predictors of abuse included alcohol addiction (adjusted odds ratio 15.8; 95% CI 4.0–62.8), posttraumatic stress disorder (4.9; 2.5–9.5), borderline personality (3.8; 1.0–13.8), depression (2.4; 1.3–4.3), and lower household income (3.4; 1.6–7.0).Conclusions. Abuse was common amongst obese patients managed in a population-based bariatric program; alcohol addiction, psychiatric comorbidities, and low-income status were highly associated with sexual abuse.
Databáze: OpenAIRE
Externí odkaz: