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Mortality of harmful drinkers increased after reduction of alcohol prices in northern Finland: a 10-year follow-up of head trauma subjects.
Neuroepidemiology. 2012; 39(3-4):156-62.N

Abstract

OBJECTIVE

Alcohol-related mortality may be influenced by the level of alcohol consumption. We investigated the effect of alcohol price reduction on mortality in a cohort of 827 subjects with head injury.

METHODS

We used the Finnish National Hospital Discharge Register to identify all diagnoses recorded during hospital and health center visits for survivors of the index injury during a follow-up of 10 years. Mortality data were gathered from death records obtained from the Official Cause-of-Death Statistics. Cox proportional hazards model was used to identify independent predictors for death. Kaplan-Meier survival curves were used to characterize the effect of alcohol price reduction on mortality of harmful and non-harmful drinkers.

RESULTS

Alcohol-related deaths increased after the reduction of alcohol prices on March 1, 2004. Subjects recorded as harmful drinkers during the follow-up period were significantly (p < 0.001) more likely than others to die after the price reduction. Older age (HR 1.06, 95% CI 1.05-1.07), moderate-to-severe brain injury (HR 2.39, 95% CI 1.59-3.60) and harmful drinking recorded after the index trauma (HR 2.59, 95% CI 1.62-4.62) were significant (p < 0.001) predictors for death.

CONCLUSION

We conclude that a political decision to lower the price of alcohol may cause a significant increase in the death rate of harmful drinkers.

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Authors+Show Affiliations

Vaaramo K
Department of Neurology, University of Oulu and Oulu University Hospital, Oulu, Finland.
Puljula J
No affiliation info available
Tetri S
No affiliation info available
Juvela S
No affiliation info available
Hillbom M
No affiliation info available

MeSH

AdolescentAdultAgedAlcohol DrinkingCentral Nervous System DepressantsChildChild, PreschoolCraniocerebral TraumaEthanolFemaleFinlandFollow-Up StudiesHumansInfantLife TablesMaleMiddle AgedProportional Hazards ModelsRegistriesYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22922602

Citation

Vaaramo, Kalle, et al. "Mortality of Harmful Drinkers Increased After Reduction of Alcohol Prices in Northern Finland: a 10-year Follow-up of Head Trauma Subjects." Neuroepidemiology, vol. 39, no. 3-4, 2012, pp. 156-62.
Vaaramo K, Puljula J, Tetri S, et al. Mortality of harmful drinkers increased after reduction of alcohol prices in northern Finland: a 10-year follow-up of head trauma subjects. Neuroepidemiology. 2012;39(3-4):156-62.
Vaaramo, K., Puljula, J., Tetri, S., Juvela, S., & Hillbom, M. (2012). Mortality of harmful drinkers increased after reduction of alcohol prices in northern Finland: a 10-year follow-up of head trauma subjects. Neuroepidemiology, 39(3-4), 156-62. https://doi.org/10.1159/000341241
Vaaramo K, et al. Mortality of Harmful Drinkers Increased After Reduction of Alcohol Prices in Northern Finland: a 10-year Follow-up of Head Trauma Subjects. Neuroepidemiology. 2012;39(3-4):156-62. PubMed PMID: 22922602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mortality of harmful drinkers increased after reduction of alcohol prices in northern Finland: a 10-year follow-up of head trauma subjects. AU - Vaaramo,Kalle, AU - Puljula,Jussi, AU - Tetri,Sami, AU - Juvela,Seppo, AU - Hillbom,Matti, Y1 - 2012/08/22/ PY - 2012/03/12/received PY - 2012/06/20/accepted PY - 2012/8/28/entrez PY - 2012/8/28/pubmed PY - 2013/2/13/medline SP - 156 EP - 62 JF - Neuroepidemiology JO - Neuroepidemiology VL - 39 IS - 3-4 N2 - OBJECTIVE: Alcohol-related mortality may be influenced by the level of alcohol consumption. We investigated the effect of alcohol price reduction on mortality in a cohort of 827 subjects with head injury. METHODS: We used the Finnish National Hospital Discharge Register to identify all diagnoses recorded during hospital and health center visits for survivors of the index injury during a follow-up of 10 years. Mortality data were gathered from death records obtained from the Official Cause-of-Death Statistics. Cox proportional hazards model was used to identify independent predictors for death. Kaplan-Meier survival curves were used to characterize the effect of alcohol price reduction on mortality of harmful and non-harmful drinkers. RESULTS: Alcohol-related deaths increased after the reduction of alcohol prices on March 1, 2004. Subjects recorded as harmful drinkers during the follow-up period were significantly (p < 0.001) more likely than others to die after the price reduction. Older age (HR 1.06, 95% CI 1.05-1.07), moderate-to-severe brain injury (HR 2.39, 95% CI 1.59-3.60) and harmful drinking recorded after the index trauma (HR 2.59, 95% CI 1.62-4.62) were significant (p < 0.001) predictors for death. CONCLUSION: We conclude that a political decision to lower the price of alcohol may cause a significant increase in the death rate of harmful drinkers. SN - 1423-0208 UR - https://www.unboundmedicine.com/medline/citation/22922602/Mortality_of_harmful_drinkers_increased_after_reduction_of_alcohol_prices_in_northern_Finland:_a_10_year_follow_up_of_head_trauma_subjects_ L2 - https://www.karger.com?DOI=10.1159/000341241 DB - PRIME DP - Unbound Medicine ER -