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Disparities exist in bariatric surgery rates in underserved populations with obesity and diabetes. It is vital to improve surgery access to this population to promote health equity.Many harm-reduction services are provided through mobile programs (e.g., vans traveling to various locations), and such services are particularly important for reaching people who use substances who are socially and economically marginalized. Mobile harm reduction is not, however, a given but is shaped by the environment within which it occurs. Based on peer-re