The 2003 National Assessment of Adult Literacy (NAAL) assessed the English literacy of adults in the United States for the first time since the 1992 National Adult Literacy Survey. The assessment was administered to more than 19,000 adults (ages 16 and older) in households and prisons. The tasks included on the assessment were designed to measure…

Understanding the health literacy of America's adults is important because so many aspects of finding health care and health information, and maintaining health, depend on understanding written information. Many reports have suggested that low health literacy is associated with poor communication between patients and health care providers and with…

This paper identifies issues in defining and reporting performance standards for the 2002 National Assessment of Adult Literacy (NAAL). The paper describes a continuum of conceptualizations of performance standards for adult literacy extending from "technical" conceptions of performance standards, as used in the psychometric literature,…

Anticipated demographic changes in the United States adult population in the decade between the National Adult Literacy Survey (NALS) of 1992 and the National Assessment of Adult Literacy (NAAL), which is scheduled for 2002, were reviewed. Next, the implications of those changes for the NALS and NAAL were analyzed. The analysis focused on births,…