{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T04:06:54Z","timestamp":1770523614250,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T00:00:00Z","timestamp":1733184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Alcohol health literacy is critical for informed consumer decision making but has yet received limited attention in public health research. We therefore seek to measure alcohol health literacy and its educational distribution in Germany.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study, we developed and applied a brief nine\u2010item questionnaire on alcohol health literacy in an adult convenience sample (<jats:italic>n<\/jats:italic>\u2009=\u2009391; February to April 2023). The association of educational attainment with \u2018insufficient\u2019 alcohol health literacy was tested in adjusted logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Insufficient alcohol health literacy was recorded in 47.8% of men and 41.1% of women in our sample. While most respondents correctly identified common misconceptions and wrong beliefs about alcohol and were able to specify low\u2010risk drinking limits for women and women during pregnancy, only few correctly identified all alcohol\u2010related health conditions, especially respiratory and infectious diseases. Respondents with low education were 1.35 (risk ratio [RR], 95% confidence interval 1.09\u20131.50, <jats:italic>p<\/jats:italic>\u2009=\u20090.014) times more likely to have been classified as having insufficient alcohol health literacy than high\u2010educated respondents. There was no statistically significant difference between respondents with medium versus high education (RR\u2009=\u20091.22, 95% confidence interval 0.99\u20131.43, <jats:italic>p<\/jats:italic>\u2009=\u20090.060).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Educational gaps in alcohol health literacy question a policy rationale that is fundamentally based on the premise of informed consumer choice. Strategies to raise alcohol health literacy must ensure that they reach all population groups, for instance, by providing health warning labels on alcohol containers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13985","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:03:59Z","timestamp":1733270639000},"page":"555-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Education\u2010based differences in alcohol health literacy in Germany"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5913-6488","authenticated-orcid":false,"given":"Carolin","family":"Kilian","sequence":"first","affiliation":[{"name":"Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Institute for Mental Health Policy Research Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Liebig","sequence":"additional","affiliation":[{"name":"Institute for Interdisciplinary Addiction and Drug Research  Hamburg Germany"},{"name":"Department of Social Sciences, Faculty of Business, Economics and Social Sciences University of Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1231-3760","authenticated-orcid":false,"given":"Jakob","family":"Manthey","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Department of Psychiatry, Medical Faculty University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13757"},{"key":"e_1_2_10_3_1","volume-title":"GBD results [Internet]","author":"Institute for Health Metrics and Evaluation (IHME)","year":"2023"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-024-06707-w"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)33324-X"},{"key":"e_1_2_10_6_1","first-page":"35","article-title":"Social and cultural contexts of alcohol use: influences in a social\u2010ecological framework","volume":"28","author":"Sudhinaraset M","year":"2016","journal-title":"Alcohol Res"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00123-3"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-80"},{"key":"e_1_2_10_9_1","first-page":"e3","article-title":"Shaping alcohol health literacy: a systematic concept analysis and review","volume":"4","author":"Okan O","year":"2020","journal-title":"Health Lit Res Pract"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-023-00383-0"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agz013"},{"key":"e_1_2_10_12_1","volume-title":"Making the WHO European region SAFER: developments in alcohol control policies, 2010\u20132019 [Internet]","author":"World Health Organization","year":"2021"},{"key":"e_1_2_10_13_1","unstructured":"OrthB MerkelC.Der Alkoholkonsum Jugendlicher und junger Erwachsener in Deutschland. 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