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Prevalence and predictors of self-reported sexual abuse in severely obese patients in a population-based bariatric program
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نویسنده
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gabert d.l. ,majumdar s.r. ,sharma a.m. ,rueda-clausen c.f. ,klarenbach s.w. ,birch d.w. ,karmali s. ,mccargar l. ,fassbender k. ,padwal r.s.
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منبع
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journal of obesity - 2013 - دوره : 2013 - شماره : 0
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چکیده
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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. © 2013 danielle l. gabert et al.
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آدرس
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department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton, Canada, department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton, Canada, department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton, Canada, department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton, Canada, department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton, Canada, department of surgery and camis (center for the advancement of minimally invasive surgery),university of alberta,royal alexandra hospital,edmonton, Canada, department of surgery and camis (center for the advancement of minimally invasive surgery),university of alberta,royal alexandra hospital,edmonton, Canada, department of agricultural,food and nutritional sciences,university of alberta,edmonton, Canada, department of oncology,university of alberta,edmonton, Canada, department of medicine,university of alberta,edmonton,ab t6g 2b7,canada,alberta diabetes institute,edmonton,ab t6g 2b7,canada,walter c. mackenzie health sciences centre,8440-112th street,edmonton, Canada
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Authors
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