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The cut-point for inadequate literacy is roughly analogous to the 4th grade reading level.
RESULTS: Of the 3280 participants, 553 (16.9%) had inadequate reading literacy and 688 (21.0%) had inadequate writing literacy.
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The reading level is young adult.
Forty-four of the 78 false-negative patients (56%) had marginal rather than inadequate reading ability.
Furthermore, cancer prevention and control messages are often written at too high a reading level for individuals with marginal literacy skills, and health professionals often overestimate the health literacy skills of patients, possess inadequate awareness about health literacy issues, and do not routinely use recommended communication strategies [ 67, 68].
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Third-grade reading levels.
1. Read image to be attacked, read level of resolution, read standard deviation, read 2.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com