“…We observed lower health literacy levels relative to other studies that used this measure (Adams et al, 2009; Darlow et al, 2012; Weiss et al, 2005), likely due to the characteristics of our sample. Lower rates of health literacy have been observed among racial/ethnic minority groups, including blacks (Cha et al, 2014; Darlow et al, 2012; Huizinga et al, 2008; Rothman et al, 2006), and those of low socioeconomic position (Adams et al, 2009; Barber et al, 2009; Cha et al, 2014; Huizinga et al, 2008; Rothman et al, 2006; Shah, West, Bremmeyr, & Savoy-Moore, 2010). These findings are particularly concerning given the lack of efficacious weight management treatment options for black females (Osei-Assibey, Kyrou, Adi, Kumar, & Matyka, 2010), a demographic who has the highest prevalence of overweight or obesity (82%) among any racial/ethnic group in the U.S. (Ogden et al, 2014).…”