title: Tipping the scales: the effect of literacy on obese patients' knowledge and readiness to lose weight.
abstract: OBJECTIVE
  The purpose of this study was to determine the association between the literacy level of overweight/obese patients and their weight-loss knowledge, attitudes, and readiness.
  
  
  METHODS
  Structured patient interviews and a literacy screening instrument were administered in two primary care clinics at a university-based public hospital.
  
  
  RESULTS
  A convenience sample of 210 overweight or obese adult outpatients (body mass index > or =25 kg/m2 or > or =30 kg/m2, respectively) were enrolled. Mean respondent age was 52 years; 74% were female, and 76% were black. Two thirds of patients read below a 9th grade level. Half of patients across all literacy levels reported currently attempting weight loss. There was a significant relation between literacy level and weight-loss knowledge, attitudes, and readiness (P < 0.05).
  
  
  CONCLUSIONS
  Patients with low literacy were significantly less likely to understand the adverse health consequences of obesity and the need to lose weight and to report being ready to lose weight. Patient education and counseling for weight loss should be tailored for patients with low literacy skills.
authors.affiliation: Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
authors.forename: Estela M
authors.initials: EM
authors.lastname: Kennen
authors.forename: Terry C
authors.initials: TC
authors.lastname: Davis
authors.forename: Jian
authors.initials: J
authors.lastname: Huang
authors.forename: Herbert
authors.initials: H
authors.lastname: Yu
authors.forename: Donna
authors.initials: D
authors.lastname: Carden
authors.forename: Ricky
authors.initials: R
authors.lastname: Bass
authors.forename: Connie
authors.initials: C
authors.lastname: Arnold
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008145:Louisiana; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology*; D015431:Weight Loss