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Abstract
<p class="first" id="P1">Severe obesity affects nearly 20 million adults in the United
States and is associated
with significant morbidity and mortality. Bariatric surgery is the most effective
treatment for weight loss and resolution of obesity-related co-morbidities. Of adults
with severe obesity, <1% undergo bariatric surgery annually. Both contextual (health
system, clinicians, and community) and individual factors contribute to the underutilization
of bariatric surgery. In this review, we summarize potential barriers to undergoing
bariatric surgery within the framework of Andersen’s Behavioral Model of Health Services
Use.
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