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Mortality from traumatic brain injury after reduction of alcohol prices: a population-based study from northern Finland.
Scand J Public Health. 2013 Jul; 41(5):524-30.SJ

Abstract

AIMS

Traumatic brain injury (TBI) is the leading cause of death after trauma, and alcohol is a major risk factor for TBI. In Finland, alcohol taxes were cut by one third in 2004. This resulted in a marked increase of alcohol consumption. We investigated whether increased alcohol consumption influenced the number of fatal TBIs.

METHODS

All (n = 318) fatal TBIs were identified from medico-legal reports during the years 1999, 2006 and 2007 among the residents of Oulu Province, Finland. Mortality rates were compared before and after alcohol price reduction. Alcohol involvement based on the presence of alcohol in body fluids and/or alcohol-related diseases recorded in death certificates.

RESULTS

The proportion of alcohol-related TBI deaths of all TBI deaths increased (from 1999 to 2007) among middle-aged people from 48% to 91% (p = 0.001) but decreased among young adults from 74% to 41% (p = 0.015). The overall TBI mortality rate did not increase. Fatal TBIs due to falls were significantly more commonly alcohol-related in 2006-2007 than in 1999 (p = 0.003) and accumulated among middle-aged people.

CONCLUSIONS

After the price reduction, alcohol-related fatal TBIs increased most among middle-aged people, and they were frequently caused by fall accidents. The reduction of alcohol prices did not increase the total number of fatal TBIs. Middle-aged and elderly subjects with TBI should be routinely asked for alcohol drinking and those with hazardous drinking habits should be guided for alcohol intervention.

Authors+Show Affiliations

Department of Neurology, Oulu University Hospital, Finland. jpuljula@paju.oulu.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23503192

Citation

Puljula, Jussi, et al. "Mortality From Traumatic Brain Injury After Reduction of Alcohol Prices: a Population-based Study From Northern Finland." Scandinavian Journal of Public Health, vol. 41, no. 5, 2013, pp. 524-30.
Puljula J, Lesonen S, Kortelainen ML, et al. Mortality from traumatic brain injury after reduction of alcohol prices: a population-based study from northern Finland. Scand J Public Health. 2013;41(5):524-30.
Puljula, J., Lesonen, S., Kortelainen, M. L., Juvela, S., & Hillbom, M. (2013). Mortality from traumatic brain injury after reduction of alcohol prices: a population-based study from northern Finland. Scandinavian Journal of Public Health, 41(5), 524-30. https://doi.org/10.1177/1403494813481644
Puljula J, et al. Mortality From Traumatic Brain Injury After Reduction of Alcohol Prices: a Population-based Study From Northern Finland. Scand J Public Health. 2013;41(5):524-30. PubMed PMID: 23503192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mortality from traumatic brain injury after reduction of alcohol prices: a population-based study from northern Finland. AU - Puljula,Jussi, AU - Lesonen,Saara, AU - Kortelainen,Marja-Leena, AU - Juvela,Seppo, AU - Hillbom,Matti, Y1 - 2013/03/15/ PY - 2013/3/19/entrez PY - 2013/3/19/pubmed PY - 2013/8/16/medline KW - alcohol consumption KW - alcohol prices KW - cause of death KW - mortality KW - traumatic brain injury SP - 524 EP - 30 JF - Scandinavian journal of public health JO - Scand J Public Health VL - 41 IS - 5 N2 - AIMS: Traumatic brain injury (TBI) is the leading cause of death after trauma, and alcohol is a major risk factor for TBI. In Finland, alcohol taxes were cut by one third in 2004. This resulted in a marked increase of alcohol consumption. We investigated whether increased alcohol consumption influenced the number of fatal TBIs. METHODS: All (n = 318) fatal TBIs were identified from medico-legal reports during the years 1999, 2006 and 2007 among the residents of Oulu Province, Finland. Mortality rates were compared before and after alcohol price reduction. Alcohol involvement based on the presence of alcohol in body fluids and/or alcohol-related diseases recorded in death certificates. RESULTS: The proportion of alcohol-related TBI deaths of all TBI deaths increased (from 1999 to 2007) among middle-aged people from 48% to 91% (p = 0.001) but decreased among young adults from 74% to 41% (p = 0.015). The overall TBI mortality rate did not increase. Fatal TBIs due to falls were significantly more commonly alcohol-related in 2006-2007 than in 1999 (p = 0.003) and accumulated among middle-aged people. CONCLUSIONS: After the price reduction, alcohol-related fatal TBIs increased most among middle-aged people, and they were frequently caused by fall accidents. The reduction of alcohol prices did not increase the total number of fatal TBIs. Middle-aged and elderly subjects with TBI should be routinely asked for alcohol drinking and those with hazardous drinking habits should be guided for alcohol intervention. SN - 1651-1905 UR - https://www.unboundmedicine.com/medline/citation/23503192/Mortality_from_traumatic_brain_injury_after_reduction_of_alcohol_prices:_a_population_based_study_from_northern_Finland_ L2 - https://journals.sagepub.com/doi/10.1177/1403494813481644?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -