{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:45:52Z","timestamp":1787701552617,"version":"build-2784847793"},"reference-count":64,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,9,10]],"date-time":"2012-09-10T00:00:00Z","timestamp":1347235200000},"content-version":"vor","delay-in-days":193,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>The objective of this study was to assess the impact of patient\u2010provider race concordance on weight\u2010related counseling among visits by obese patients. We hypothesized that race concordance would be positively associated with weight\u2010related counseling. We used clinical encounter data obtained from the 2005\u20132007 National Ambulatory Medical Care Surveys (NAMCS). The sample size included 2,231 visits of black and white obese individuals (ages 20 and older) to their black and white physicians from the specialties of general\/family practice and general internal medicine. Three outcome measures of weight\u2010related counseling were explored: weight reduction, diet\/nutrition, and exercise. Logistic regression was used to model the outcome variables of interest. Wald tests were used to statistically compare whether physicians of each race provided counseling at different rates for obese patients of different races. We did not observe a positive association between patient\u2013physician race concordance and weight\u2010related counseling. We found that visits by black obese patients to white doctors had a lower odds of exercise counseling as compared to visits by white obese patients to white doctors (odds ratio (OR) = 0.54; 95% confidence interval (CI): 0.31, 0.95), and visits by black obese patients to black physicians had lower odds of receiving weight\u2010reduction counseling than visits among white obese patients seeing black physicians (OR = 0.34; 95% CI: 0.13, 0.90). Black obese patients receive less exercise counseling than white obese patients in visits to white physicians and may be less likely than white obese patients to receive weight\u2010reduction counseling in visits to black physicians.<\/jats:p>","DOI":"10.1038\/oby.2010.330","type":"journal-article","created":{"date-parts":[[2011,1,13]],"date-time":"2011-01-13T18:29:11Z","timestamp":1294943351000},"page":"562-570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Impact of Patient\u2013Doctor Race Concordance on Rates of Weight\u2010Related Counseling in Visits by Black and White Obese Individuals"],"prefix":"10.1002","volume":"20","author":[{"given":"Sara N.","family":"Bleich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan E.","family":"Simon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,10]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.17.2028"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.5.w822"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2014"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.2.199"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/1047-2797(95)00095-X"},{"key":"e_1_2_8_7_2","first-page":"833","article-title":"Prevalence of diabetes and impaired fasting glucose in adults\u2010United States, 1999\u20132000","volume":"52","author":"Centers for Disease Control and Prevention (CDC)","year":"2003","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.02.018"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-139-11-200312020-00009"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.01.020"},{"key":"e_1_2_8_11_2","volume-title":"National Healthcare Disparities Report","author":"Agency for Healthcare Quality and Research","year":"2009"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.2307\/3343378"},{"key":"e_1_2_8_13_2","first-page":"937","article-title":"Race of physician and satisfaction with care among African\u2010American patients","volume":"94","author":"LaVeist TA","year":"2002","journal-title":"J Natl Med Assoc"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.6.583"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2005.0054"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30443.x"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.9.997"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.2307\/3090205"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.10.1713"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/13557850802227031"},{"key":"e_1_2_8_21_2","unstructured":"StrumpfEC.Racial\/ethnic disparities in primary care: the role of physician\u2010patient concordance.Social Science Research Network. Working paper series. no. 1655959<http:papers.ssrn.comsol3papers.cfmabstract_id1655959> (2010)."},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00342-8"},{"key":"e_1_2_8_23_2","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1542\/peds.75.4.639","article-title":"White doctors and black patients: influence of race on the doctor\u2010patient relationship","volume":"75","author":"Levy DR","year":"1985","journal-title":"Pediatrics"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199512000-00002"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.2307\/3090184"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/12.1.63"},{"key":"e_1_2_8_27_2","volume-title":"National Healthcare Disparities Report","author":"Agency for Healthcare Quality and Research","year":"2008"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.13.1549"},{"issue":"2","key":"e_1_2_8_29_2","first-page":"51S","article-title":"Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults \u2014The Evidence Report. National Institutes of Health","volume":"6","author":"North American Association for the Study of Obesity (NAASO) and the National Heart Lung and Blood Institute","year":"1998","journal-title":"Obes Res"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-139-11-200312020-00012"},{"key":"e_1_2_8_31_2","unstructured":"National Center for Health Statistics.2005 NAMCS Micro\u2010data file documentation. <ftp:ftp.cdc.govpubHealth_StatisticsNCHSDataset_DocumentationNAMCSdoc05.pdf> (2006."},{"key":"e_1_2_8_32_2","volume-title":"National Ambulatory Medical Care Survey: 2005 Summary. Advance data from vital and health statistics. no 387","author":"Cherry DK","year":"2007"},{"key":"e_1_2_8_33_2","volume-title":"National Ambulatory Medical Care Survey: 2006 summary. National Health Statistics Reports. no 3","author":"Cherry DK","year":"2008"},{"key":"e_1_2_8_34_2","unstructured":"National Center for Health Statistics.2007 NAMCS micro\u2010data file documentation. <ftp:ftp.cdc.govpubHealth_StatisticsNCHSDataset_DocumentationNAMCSdoc07.pdf> (2007). Accessed 18 June 2010."},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0171"},{"key":"e_1_2_8_36_2","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/637829"},{"key":"e_1_2_8_37_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2000.91156.x"},{"key":"e_1_2_8_38_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.041806"},{"key":"e_1_2_8_39_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.603"},{"key":"e_1_2_8_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-3-40"},{"key":"e_1_2_8_41_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1995.1087"},{"key":"e_1_2_8_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-165"},{"key":"e_1_2_8_43_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-7599.2000.tb00289.x"},{"key":"e_1_2_8_44_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0800379"},{"key":"e_1_2_8_45_2","first-page":"750","article-title":"A qualitative study of GPs' views of treating obesity","volume":"55","author":"Epstein L.","year":"2005","journal-title":"Br J Gen Pract"},{"key":"e_1_2_8_46_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1124"},{"key":"e_1_2_8_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)31234-0"},{"key":"e_1_2_8_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-1104-8"},{"key":"e_1_2_8_49_2","first-page":"285","article-title":"Patient perceptions and weight loss of obese adults","volume":"27","author":"Levy BT","year":"1988","journal-title":"J Fam Pract"},{"key":"e_1_2_8_50_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1116"},{"key":"e_1_2_8_51_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0141"},{"key":"e_1_2_8_52_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.16.1576"},{"key":"e_1_2_8_53_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.15.2334"},{"key":"e_1_2_8_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.11.011"},{"key":"e_1_2_8_55_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200402000-00012"},{"key":"e_1_2_8_56_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.9.5.426"},{"key":"e_1_2_8_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00259-4"},{"key":"e_1_2_8_58_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30227.x"},{"key":"e_1_2_8_59_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.821"},{"key":"e_1_2_8_60_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.19.4.76"},{"key":"e_1_2_8_61_2","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","author":"Smedley B.","year":"2002"},{"key":"e_1_2_8_62_2","doi-asserted-by":"publisher","DOI":"10.1089\/154099903321154167"},{"key":"e_1_2_8_63_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199806000-00009"},{"key":"e_1_2_8_64_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000114916.95639.af"},{"key":"e_1_2_8_65_2","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500415"}],"container-title":["Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1038%2Foby.2010.330","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1038%2Foby.2010.330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1038\/oby.2010.330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T16:58:02Z","timestamp":1697561882000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1038\/oby.2010.330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":64,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.1038\/oby.2010.330"],"URL":"https:\/\/doi.org\/10.1038\/oby.2010.330","archive":["Portico"],"relation":{},"ISSN":["1930-7381","1930-739X"],"issn-type":[{"value":"1930-7381","type":"print"},{"value":"1930-739X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]},"assertion":[{"value":"2012-09-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}