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The problem, however, is not as bad as it seems because it can be assumed that literacy skills are higher among employed migrants compared to unemployed migrants, and the size of the group of employed migrants with insufficient literacy skills is relatively small compared to the labour force as a whole.
The reasons for non-participation were: refusal (n = 18) and insufficient literacy (n = 3).
We will exclude service users who have insufficient literacy in English to use the DA or who lack capacity to provide informed consent.
Women were excluded from the study if they had not received information about their familial lifetime risk during the counselling session, had lost both breasts due to previous surgery, had distant metastases, or if they had an insufficient literacy in the Dutch language.
6 There are no data on health literacy levels in England; however, the 2011 national skills survey has shown that 15% of the adult population (=5 million people) are 'functionally illiterate' 7 (ie, have insufficient literacy skills to achieve their potential in life and society 8).
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At least 1 in 10 (12%) respondents showed insufficient health literacy and almost 1 in 2 (47%) had limited (insufficient or problematic) health literacy.
Patients with a mean score of <4 within any domain were defined as having insufficient health literacy.
Patients with insufficient health literacy (n = 351; 48%) were more likely to report being overweight or obese, and less likely to exercise adequately.
Having insufficient health literacy increased a patient's chance of receiving advice on diet, physical activity or weight management, and referral to and attendance at lifestyle modification programs.
Few (5%, n = 37) of all patients reported being referred to lifestyle modification program and of those around three-quarters had insufficient health literacy.
People with insufficient health literacy also commonly experience difficulties navigating health services, they delay accessing health services and tend not to seek preventive health care [ 4].
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insufficient depth-coverage
insufficient glue
insufficient access
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insufficient staff
insufficient fare
insufficient product
insufficient evidence
insufficient emotion
insufficient credit
insufficient information
insufficient money
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