title: Health literacy, alcohol expectancies, and alcohol use behaviors in teens.
abstract: OBJECTIVE
  Alcohol expectancies are developed, in part, through exposure to health messages, the understanding of which may be influenced by health literacy. This study explores the relationships among health literacy, alcohol expectancies, and alcohol use behaviors in teens.
  
  
  METHODS
  We studied alcohol use behaviors in the past six months in youths aged 14-19 recruited from two adolescent medicine clinics. We assessed covariate-adjusted bivariate relationships between HL, expectancies, and four measures of alcohol use and tested health literacy as a moderator of the relationship between expectancies and use.
  
  
  RESULTS
  Of the 293 study teens, 45 percent reported use of alcohol in the past six months. Use behaviors were positively associated with higher health literacy and positive expectancies. Our moderation model suggested that health literacy moderates the relationship between expectancies and use, with the expectancy/use relationship being significantly stronger in higher literacy teens.
  
  
  CONCLUSIONS
  Findings suggest that health literacy can influence alcohol expectancies and behaviors.
  
  
  CONCLUSIONS
  Health literacy should be explicitly considered in the design of alcohol prevention messages.
authors.affiliation: Department of Pediatrics, The Ohio State University College of Medicine, Columbus, USA; The Research Institute at Nationwide Children's Hospital, Columbus, USA. Electronic address: Deena.Chisolm@NationwideChildrens.org.
authors.forename: Deena J
authors.initials: DJ
authors.lastname: Chisolm
authors.affiliation: Department of Health Policy, Management, and Behavior, University of Albany School of Public Health, Rensselaer, USA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Manganello
authors.affiliation: Department of Pediatrics, The Ohio State University College of Medicine, Columbus, USA; The Research Institute at Nationwide Children's Hospital, Columbus, USA.
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Kelleher
authors.affiliation: Department of Psychiatry, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Marshal
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000428:Alcohol Drinking; D000435:Alcoholic Intoxication / Q000523:psychology*; D063425:Binge Drinking / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008297:Male; D009820:Ohio; D010414:Pennsylvania; D055815:Young Adult
keywords: Adolescence; Alcohol expectancies; Alcohol use; Health literacy
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