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This is not surprising given that the majority of these earlier tools focus on numeracy and reading comprehension only.
Recently, the Health Literacy Measurement Scale (HeLMS) was developed to measure elements of health literacy beyond numeracy and reading comprehension and thereby overcome many of the perceived limitations of existing instruments [ 24].
In a recent community cohort study we observed that individuals with CLBP and those with no history of CLBP had functional health literacy scores which were similar and categorised as 'adequate' [ 21], when measured with the short-form Test of Functional Health Literacy in Adults (s-TOFHLA) - an instrument which measures only numeracy and reading comprehension within a healthcare context [ 22].
They also found that students, male or female, who performed well in both numeracy and reading in ninth grade were more likely to choose each of the Stem subjects than students who performed well only in numeracy.
Findings from this scoping exercise confirm our findings from preliminary scans that the majority of tools are heavily biased towards word recognition, numeracy and reading skills, rather than what this means in terms of health behaviours and service utilisation.
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EA was assessed at the ages of 22 to 29 years by knowledge, numeracy, and several reading tests.
The main instruments in PIAAC included a background questionnaire and cognitive assessments focused on literacy, numeracy, reading components and problem solving in technology-rich environments.3.3
Until recently, the tools available to measure health literacy have predominantly focused on numeracy skills, reading ability or language comprehension [ 26– 28], and have sought to produce a single summative health literacy score.
The U.S. Department of Education recently published the first results of the Program for International Assessment of Adult Competencies (PIAAC) with rankings for 23 countries in the areas of literacy, numeracy, reading skills and problem solving in technology-rich environments.
In Canada, data linkage of routinely-collected population level measures of numeracy, reading comprehension and writing skills with the EDI dataset was conducted [ 24].
She taught me numeracy and how to read.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com