Kilian Carolin, Liebig Moritz, Manthey Jakob
Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Drug Alcohol Rev. 2025 Feb;44(2):555-562. doi: 10.1111/dar.13985. Epub 2024 Dec 3.
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.
In this cross-sectional study, we developed and applied a brief nine-item questionnaire on alcohol health literacy in an adult convenience sample (n = 391; February to April 2023). The association of educational attainment with 'insufficient' alcohol health literacy was tested in adjusted logistic regression models.
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-risk drinking limits for women and women during pregnancy, only few correctly identified all alcohol-related health conditions, especially respiratory and infectious diseases. Respondents with low education were 1.35 (risk ratio [RR], 95% confidence interval 1.09-1.50, p = 0.014) times more likely to have been classified as having insufficient alcohol health literacy than high-educated respondents. There was no statistically significant difference between respondents with medium versus high education (RR = 1.22, 95% confidence interval 0.99-1.43, p = 0.060).
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.
酒精健康素养对于消费者做出明智决策至关重要，但在公共卫生研究中受到的关注有限。因此，我们试图衡量德国的酒精健康素养及其教育分布情况。
在这项横断面研究中，我们针对成人便利样本（n = 391；2023年2月至4月）编制并应用了一份包含九个项目的酒精健康素养简短问卷。在调整后的逻辑回归模型中测试了教育程度与“酒精健康素养不足”之间的关联。
在我们的样本中，47.8%的男性和41.1%的女性被记录为酒精健康素养不足。虽然大多数受访者正确识别了关于酒精的常见误解和错误观念，并能够明确女性和孕妇的低风险饮酒限量，但只有少数人正确识别了所有与酒精相关的健康状况，尤其是呼吸系统和传染病。低学历受访者被归类为酒精健康素养不足的可能性是高学历受访者的1.35倍（风险比[RR]，95%置信区间1.09 - 1.50，p = 0.014）。中等学历与高学历受访者之间没有统计学上的显著差异（RR = 1.22，95%置信区间0.99 - 1.43，p = 0.060）。
酒精健康素养方面的教育差距对一项基本基于消费者明智选择前提的政策依据提出了质疑。提高酒精健康素养的策略必须确保覆盖所有人群，例如，通过在酒精容器上提供健康警示标签。
