{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T15:40:49Z","timestamp":1785685249252,"version":"3.56.0"},"reference-count":18,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2006,6,13]]},"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Low literacy is highly prevalent among UK adults. This study assessed functional health literacy among family planning clinic clients and whether this was associated with sexual health knowledge and behaviours. It also assessed the readability of patient leaflets.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>505 female family planning clinic attendees aged 16\u201335 years were interviewed about their sexual behaviour and knowledge. Their reading age was assessed using a validated test (REALM). The readability of leaflets on contraception supplied to clinic users was measured.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>All respondents had a reading age of 12 years and above, 221 (43.8%) between 12 and 14 years and 284 (56.2%) greater than 14 years. Those in the lower literacy group were significantly more likely to have been aged under 16 years at time of first sexual intercourse, and significantly less likely to know the most fertile time of the menstrual cycle, to identify sexually transmitted infections and to know that sexual infections can be transmitted through oral and anal sex. The reading age of information leaflets in the clinics ranged from 11 to 17 years. Thus, clients with a reading level of 12\u201314 years would have difficulty in understanding some of the leaflets.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Functional health literacy is related to sexual behaviour and knowledge. Written information should be prepared with this in mind and other routes of communication considered.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118906778586778","type":"journal-article","created":{"date-parts":[[2006,10,5]],"date-time":"2006-10-05T20:32:27Z","timestamp":1160080347000},"page":"235-240","source":"Crossref","is-referenced-by-count":26,"title":["Low literacy: a hidden problem in family planning clinics"],"prefix":"10.1136","volume":"32","author":[{"given":"Jeanne","family":"Rutherford","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avril","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Holman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"MacDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Jarrett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Bigrigg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2006,10,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1001\/archfami.5.6.329","article-title":"The healthcare experience of patients with low literacy","volume":"5","author":"Baker, D.","year":"1996","unstructured":"Baker D. The healthcare experience of patients with low literacy. Arch Fam Med 1996; 5: 329\u2013334.","journal-title":"Arch Fam Med"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1056\/NEJM199707243370411","article-title":"Communicating with patients who cannot read","volume":"337","author":"Weiss, B.D.; Coyne, C.","year":"1997","unstructured":"Weiss BD, Coyne C. Communicating with patients who cannot read. N Engl J Med 1997; 337: 272\u2013274.","journal-title":"N Engl J Med"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1046\/j.1365-2648.1997.19970251040.x","article-title":"Assessing literacy for patient teaching: perspectives of adults with low literacy skills","volume":"25","author":"Brez, S.M.; Taylor, M.","year":"1997","unstructured":"Brez SM, Taylor M. Assessing literacy for patient teaching: perspectives of adults with low literacy skills. J Adv Nurs 1997; 25: 1040\u20131047.","journal-title":"J Adv Nurs"},{"issue":"3","key":"ref_4","article-title":"Literacy and contraception: exploring the link","volume":"88","author":"Parker, R.M.; Williams, M.V.; Baker, D.W.; Nurss, JR","year":"1996","unstructured":"Parker RM, Williams MV, Baker DW, Nurss JR. Literacy and contraception: exploring the link. Obstet Gynecol 1996; 88(3 Suppl.): 72S\u201377S. 5 Scottish Executive. Adult Literacy Skills in the Labour Market: A Literature Review. Edinburgh, UK: Scottish Executive, 2001. http:\/\/www.scotland.gov.uk\/library3\/lifelong\/alrlr-00.asp [Accessed 30 May 2006].","journal-title":"Obstet Gynecol; Scottish Executive. 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Reading skills and family planning knowledge and practices in a low-income managed care population. Obstet Gynecol 1999; 93: 239\u2013244.","journal-title":"Obstet Gynecol"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1843","DOI":"10.1016\/S0140-6736(01)06885-4","article-title":"Sexual behaviour in Britain: early sexual experience","volume":"358","author":"al","year":"2001","unstructured":"Wellings K, Nanchahal K, Macdowall W, et al. Sexual behaviour in Britain: early sexual experience. Lancet 2001; 358: 1843\u20131850.","journal-title":"Lancet"},{"key":"ref_15","article-title":"Readers\u2019 contributions invited for a new Journal section entitled \u2018A Better Way of Working\u2019","unstructured":"Readers\u2019 contributions invited for a new Journal section entitled \u2018A Better Way of Working\u2019"},{"key":"ref_16","article-title":"Launching in the January 2007 issue, the Journal proposes publishing a new section entitled \u2018A Better Way of Working\u2019, the purpose of which is to disseminate service delivery suggestions likely to be of interest and relevance to the Journal\u2019s readership","unstructured":"Launching in the January 2007 issue, the Journal proposes publishing a new section entitled \u2018A Better Way of Working\u2019, the purpose of which is to disseminate service delivery suggestions likely to be of interest and relevance to the Journal\u2019s readership."},{"key":"ref_17","article-title":"Readers are invited to submit suggestions based on their own personal experience for consideration by the Journal Editor. Contributions should not exceed 250\u2013500 words and should be written in a standardised format responding to the following four questions: Why was change needed? How did you go about implementing change? What advice would you give to others who might be considering a similar course of action? How did you show that the change had occurred?","unstructured":"Readers are invited to submit suggestions based on their own personal experience for consideration by the Journal Editor. Contributions should not exceed 250\u2013500 words and should be written in a standardised format responding to the following four questions: Why was change needed? How did you go about implementing change? What advice would you give to others who might be considering a similar course of action? How did you show that the change had occurred?"},{"key":"ref_18","article-title":"All contributions should be submitted via the Journal\u2019s online submission system","volume-title":"or alternatively they may be e-mailed to the Journal Editorial","unstructured":"All contributions should be submitted via the Journal\u2019s online submission system at http:\/\/jfprhc.allentrack.net or alternatively they may be e-mailed to the Journal Editorial Office at journal@ffprhc.org.uk."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118906778586778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:29:54Z","timestamp":1757100594000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118906778586778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10]]},"references-count":18,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2006,10,1]]},"published-print":{"date-parts":[[2006,10]]}},"alternative-id":["10.1783\/147118906778586778"],"URL":"https:\/\/doi.org\/10.1783\/147118906778586778","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10]]}}}