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Age was borderline significant with people with low health literacy being slightly younger than people with adequate health literacy (difference in mean age between groups 2.22 years).
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These literacy differences appear to contribute to racial disparities in dementia risk [ 35, 36].
The video questionnaire has been described as being sensitive to language, culture, or literacy differences [ 37, 38].
This study has revealed some large health literacy differences across nine domains of health literacy in adults using health services in Victoria.
Health literacy differences between older and younger adults in our study may alternatively be explained by cohort effects, such as by potentially differential educational experiences between generations.
The ISAAC video questionnaire was described as a sensitive tool for language, culture, or literacy differences to assess asthma symptoms [ 26, 35].
The response framework will consider several issues of context including the specific purposes and target groups of the participating organisations; socio-economic and demographic differences; and health literacy differences (which in a realist framework should be considered part of the context rather than a mechanism or outcome).
Looking more closely at vocational and non-vocational qualifications at ISCED levels 3 and 4, we find substantial literacy skill differences in two-thirds of the countries.
Future research needs to apply methods such as these to ascertain the perceptions of workers with varying levels of literacy and differences in cultural experiences and to determine their effectiveness in promoting safe work practices.
Low levels of financial literacy (knowing the difference between an ISA and an iPod, and so on) are part of this problem.
Scribner and Cole's modest conclusion — "Literacy makes some difference to some skills in some contexts" — convinced some people that the literate mind was not so different from the oral one after all.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com