{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:50:08Z","timestamp":1782399008918,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009614","name":"University of Rhode Island","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009614","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp; Practice"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Metabolic and Bariatric Surgery (MBS) is underutilized among Hispanic\u2010Latino adults despite higher obesity rates and related comorbidities. Although barriers such as cost, language, and limited provider referrals are documented, sociocultural and psychological perceptions about obesity and obesity care remain less understood. This study aimed to explore the beliefs, experiences, and information sources influencing perceptions of obesity, obesity treatment, and patient\u2010provider communication, and how these factors relate to MBS decision\u2010making in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured, in\u2010depth interviews were conducted with 14 Hispanic\u2010Latino adults in Rhode Island who met the eligibility criteria for MBS. Interviews were transcribed, reviewed, and thematically analyzed using an inductive approach to identify patterns in obesity perceptions, treatment beliefs, and healthcare communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants expressed fear, skepticism, and misinformation about MBS, shaped by stigma, cultural values, and personal beliefs. Many viewed MBS as a last resort and cited concerns about complications or long\u2010term effects. Participants often relied on informal sources\u2014such as family and friends\u2014for obesity treatment information rather than healthcare providers. Communication with providers about obesity treatment options was often limited or non\u2010specific.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings highlight the need for culturally tailored bilingual education and improved patient\u2010provider communication to increase MBS awareness and trust. Addressing these gaps may help reduce disparities in obesity care access among Hispanic\u2010Latino adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70156","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:30:37Z","timestamp":1781793037000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions of Obesity and Treatment Decision\u2010Making Among Hispanic\u2010Latino Adults: Barriers to Metabolic and Bariatric Surgery"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3210-3106","authenticated-orcid":false,"given":"Viviane","family":"Fornasaro\u2010Donahue","sequence":"first","affiliation":[{"name":"Department of Psychology University of Rhode Island  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9505-6178","authenticated-orcid":false,"given":"Ceren","family":"Gunsoy","sequence":"additional","affiliation":[{"name":"Department of Psychology, Behavioral Sciences University of Rhode Island  Kingston Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4114-7266","authenticated-orcid":false,"given":"Kathleen J.","family":"Melanson","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Human Energy Balance Laboratory University of Rhode Island  Kingston Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:106273"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2024.01.012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2020.06.009"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"L.Zhang J.Scott L.Shi et\u00a0al. \u201cChanges in Utilization and Peri\u2010Operative Outcomes of Bariatric Surgery in Large U.S. Hospital Database 2011\u20132014 \u201dPLoS One12 no.10(2017):e0186306 https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0186306.","DOI":"10.1371\/journal.pone.0186306"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23638"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v11.i19.4504"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/542736"},{"issue":"2","key":"e_1_2_9_9_1","first-page":"397","article-title":"Review: Weight\u2010Loss Interventions With Hispanic Populations","volume":"17","author":"Lindberg N. 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