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. 2002 Sep;92(9):1478–1480. doi: 10.2105/ajph.92.9.1478

TABLE 1.

—Medical Literacy as Assessed by the Rapid Estimate of Adult Literacy in Medicine (REALM) in the 1997/98 Baltimore STD and Behavior Survey

Grade Range Estimatesa
Characteristics n (unweighted) ≤ Grade 3 (n = 50), % Grades 4–6 (n = 65), % Grades 7–8 (n = 162), % ≥ Grade 9 (n = 715), % Pb
    Totals 992 5.0 6.6 16.3 72.1
Race/ethnicity
    African American 562 8.4 7.3 21.2 63.1 < .001
    Non–African American 415 2.5 5.1 11.0 81.4
Sex
    Male 406 8.5 6.8 18.2 66.4 < .01
    Female 586 4.2 6.1 17.3 72.4
Age, y
    18–25 266 7.1 4.6 21.5 66.9 .822
    26–35 465 6.1 7.0 16.6 70.3
    36–45 248 6.3 7.5 16.2 70.1
Self-reported education
    Some high school or less 221 15.6 15.0 30.4 38.9 < .001
    Finished high school or equivalent 297 5.7 7.2 22.6 64.5
    Some college or 2-year degree 285 3.7 3.4 10.6 82.3
    Finished college or postgraduate degree 173 0.4 0.5 5.0 94.2
Self-reported income, $
    ≤ 5000 109 18.4 14.6 19.8 47.2 < .001
    5000–10 000 101 9.6 14.9 24.4 51.1
    10 001–20 000 175 6.5 4.1 29.9 59.5
    20 001–30 000 187 2.0 9.1 14.7 74.2
    30 001–50 000 214 2.3 3.8 15.4 78.5
    ≥ 50 000 143 2.0 1.5 4.3 92.2

Notes. Sample ns are unweighted. Percentages are weighted to adjust for differing probabilities of selection and nonresponse to align our estimates with 1997 Census tabulations by race/ethnicity, age, and gender (Bureau of the Census, SU-98–1). Row percentages total to 100%.

aGrade range estimates based on number of correct responses out of a possible 66. 0–18: grade 3 or below; 19–44: grades 4 through 6; 45–60: grades 7 through 8; 61–66: grade 9 and above.

bP values based on χ2 test with statistical adjustment for complex sample design.