• 1
    Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012;307:491-497.
  • 2
    Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation 2012;125:e2-e220.
  • 3
    US Department of Health and Human Services. Healthy people 2020: improving the health of Americans. Washington, DC: December 2, 2010.
  • 4
    Moyer VA. Screening for and management of obesity in adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med 2012;157:373-378.
  • 5
    Centers for Medicare and Medicaid Services. Decision Memo for Intensive Behavioral Therapy for Obesity (CAG-00423N). 2011. Available at: (Accessed December 6, 2011).
  • 6
    Post RE, Mainous AG III, Gregorie SH, Knoll ME, Diaz VA, Saxena SK. The influence of physician acknowledgment of patients' weight status on patient perceptions of overweight and obesity in the United States. Arch Intern Med 2011;171:316-321.
  • 7
    Agency for Healthcare Research and Quality. 2010 National Healthcare Quality Report. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, 2010 AHRQ Pub. No. 11-0004.
  • 8
    Bleich SN, Pickett-Blakely O, Cooper LA. Physician practice patterns of obesity diagnosis and weight-related counseling. Patient Educ Couns 2011;82:123-129.
  • 9
    Peek ME, Tang H, Alexander GC, Chin MH. National prevalence of lifestyle counseling or referral among African-Americans and whites with diabetes. J Gen Intern Med 2008;23:1858-1864.
  • 10
    Lebrun LA, Chowdhury J, Sripipatana A, Nair S, Tomoyasu N, Ngo-Metzger Q. Overweight/obesity and weight-related treatment among patients in U.S. federally supported health centers. Obes Res Clin Pract 2012, in press.
  • 11
    National Center for Health Statistics. Public Use Microdata File Documentation, National Ambulatory Medical Care Survey, 2006. Hyattsville, MD: National Technical Information Service; 2008.
  • 12
    Gilchrist VJ, Stange KC, Flocke SA, McCord G, Bourguet CC. A comparison of the National Ambulatory Medical Care Survey (NAMCS) measurement approach with direct observation of outpatient visits. Med Care 2004;42:276-280.
  • 13
    Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res 1974;9:208-220.
  • 14
    Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc 1973;51:95-124.
  • 15
    Phillips KA, Morrison KR, Andersen R, Aday LA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res 1998;33 ( 3 Part 1):571-596.
  • 16
    Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995;36:1-10.
  • 17
    Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373-383.
  • 18
    de Groot V, Beckerman H, Lankhorst GJ, Bouter LM. How to measure comorbidity. A critical review of available methods. J Clin Epidemiol 2003;56:221-229.
  • 19
    Oaxaca R. Male-female wage differentials in urban labor markets. Int Econ Rev 1973;14:693-709.
  • 20
    Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Board on Health Policy, Institute of Medicine; 2002.
  • 21
    Ma J, Urizar GG Jr, Alehegn T, Stafford RS. Diet and physical activity counseling during ambulatory care visits in the United States. Prev Med 2004;39:815-822.
  • 22
    Timmins CL. The impact of language barriers on the health care of Latinos in the United States: a review of the literature and guidelines for practice. J Midwifery Womens Health 2002;47:80-96.
  • 23
    Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latinos less satisfied with communication by health care providers? J Gen Intern Med 1999;14:409-417.
  • 24
    Frohlich KL, Potvin L. Transcending the known in public health practice: the inequality paradox: the population approach and vulnerable populations. Am J Public Health 2008;98:216-221.
  • 25
    Rosas LG, Stafford RS. Practical research strategies for reducing social and racial/ethnic disparities in obesity. Int J Obes Suppl 2012;2:S16-S22.
  • 26
    Kehler D, Christensen B, Lauritzen T, Christensen MB, Edwards A, Bech Risor M. Cardiovascular-risk patients' experienced benefits and unfulfilled expectations from preventive consultations: a qualitative study. Qual Prim Care 2008;16:315-325.
  • 27
    Fortin N, Lemieux T, Firpo S. Decomposition methods in economics, 2010. Available at: Accessed on December 31, 2012.
  • 28
    Hargraves JL, Hadley J. The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. Health Serv Res 2003;38:809-829.
  • 29
    Patient Protection and Affordable Care Act, Pub. L. No. 111-148 Stat. 124 STAT. 119 (March 23, 2010).
  • 30
    Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med 2003;138:24-32.
  • 31
    Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff (Millwood) 2009;28:w822-w831.
  • 32
    Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403.
  • 33
    Knowler WC, Fowler SE, Hamman RF, et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet 2009;374:1677-1686.
  • 34
    Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA 2002;288:1775-1779.
  • 35
    Ostbye T, Yarnall KS, Krause KM, Pollak KI, Gradison M, Michener JL. Is there time for management of patients with chronic diseases in primary care? Ann Fam Med 2005;3:209-214.
  • 36
    Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med 1995;24:546-552.
  • 37
    Chang MH, Valdez R, Ned RM, et al. Influence of familial risk on diabetes risk-reducing behaviors among U.S. Adults without diabetes. Diabetes Care 2011;34:2393-2399.
  • 38
    Forrest CB, Whelan EM. Primary care safety-net delivery sites in the United States: a comparison of community health centers, hospital outpatient departments, and physicians' offices. JAMA 2000;284:2077-2083.
  • 39
    Huffman MD, Capewell S, Ning H, Shay CM, Ford ES, Lloyd-Jones DM. Cardiovascular health behavior and health factor changes (1988-2008) and projections to 2020: results from the national health and nutrition examination surveys. Circulation 2012;125:2595-2602.
  • 40
    Rosenthal TC. The medical home: growing evidence to support a new approach to primary care. J Am Board Fam Med 2008;21:427-440.