The Experiences and Concerns Expressed by Women Before and After Undergoing Bariatric Surgery: A Qualitative Content Analysis of Online Forum Posts

Abstract

Obesity is a public health concern of epidemic proportions. Health burdens stem from obesity, including type 2 diabetes mellitus and cardiovascular disease. Bariatric surgery is the most effective intervention in treating severe obesity and related diseases, involving the removal, or rerouting, of the stomach and small intestine to facilitate weight loss. Existing literature cites that bariatric surgery has several biopsychosocial implications, with preoperative evaluation and education considered essential for success. There is limited qualitative research examining the gender specific outcomes of bariatric surgery. Further, there is lack of research investigating engagement in online peer support before and after surgery. Hence, to address this gap in literature, the present study aimed to answer the research question: "What are the experiences and concerns expressed by women on an online forum before and after undergoing bariatric surgery?" An online search identified the online forum Bariatric Pal and sub-forum The Gals Room, of which 289 forum posts were selected and analysed using conventional qualitative content analysis. From the analysis, five overarching categories were developed: Connection with Forum Community, Life After Bariatric Surgery, Physical Symptoms and Experiences, Healthcare Concerns and Experiences, and Psychological Experiences. Findings provide knowledge into the health and psychosocial outcomes of bariatric surgery for women related to reproductive health, body image, and interpersonal relationships. Within these findings, lack of preoperative education for women is evident. Further, findings outline the importance of online peer support engagement. Further research is needed to inform better preoperative education and postoperative support. Keywords: bariatric surgery, women, online peer support