Linear regression models the relationship between a response (Y) and explanatory (X) variable using a straight line. It estimates coefficients (β0, β1) that minimize the sum of squared errors between observed and predicted Y values. β1 represents the slope - a positive value indicates a positive association between X and Y, while a negative value indicates a negative association. The example analyzes the relationship between math scores (Y) and LSD concentration (X) in volunteers, estimating a negative slope coefficient, significant at the 5% level.