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Fatal traumatic brain injuries during 13 years of successive alcohol tax increases in Finland - a nationwide population-based registry study.
Sci Rep. 2019 04 01; 9(1):5419.SR

Abstract

We sought to investigate how increases in alcohol taxation and changes in alcohol consumption were associated with the incidence rate of fatal traumatic brain injuries (TBI) in Finland during the years 2004-2016. Nationwide, mandatory cause of death database covering all deaths in Finland was searched for all deaths related to TBIs (ICD-10: S06.X) in persons ≥16 years of age during 2004-2016. Study period included 28,657,870 person-years and 325,514 deaths of which 12,110 were TBI-related. Occurrence rates were standardized to European 2013 standard population. Data for alcohol consumption were obtained from the National Institute for Health and Welfare and for alcohol taxation from Ministry of Finance, Finland. Standardized incidence rate of TBI-related death was 22.0 (95% CI 21.61-22.38) per 100,000 person-years. Overall alcohol consumption decreased on average by 1.2% annually. Concurrently, the overall incidence rate of fatal TBIs decreased by 4.1% annually (by 4.3% in men and 2.4% in women). There was an association between overall alcohol consumption and TBI-related mortality rate (p < 0.001). Tax-rate increases of all beverage types were associated with decreased incidence rate of TBI-related death in men (p < 0.001), in women (p < 0.036) and overall (p < 0.001). In this population-based study, we report that during 13 years of successive alcohol tax increases, overall alcohol consumption has decreased in parallel with a reduction in the incidence rate of fatal TBIs in Finland.

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Authors+Show Affiliations

Posti JP
Division of Clinical Neurosciences, Department of Neurosurgery and Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland. jussi.posti@utu.fi.
Sankinen M
Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital and University of Turku, Turku, Finland.
Sipilä JOT
Division of Clinical Neurosciences, Department of Neurology, Turku University Hospital and University of Turku, Turku, Finland. Department of Neurology, Siun sote, North Karelia Central Hospital, Joensuu, Finland.
Ruuskanen JO
Division of Clinical Neurosciences, Department of Neurology, Turku University Hospital and University of Turku, Turku, Finland.
Rinne J
Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital and University of Turku, Turku, Finland.
Rautava P
Clinical Research Center, Turku University Hospital and University of Turku, Turku, Finland. Department of Public Health, University of Turku, Turku, Finland.
Kytö V
Heart Center, Turku University Hospital, Turku, Finland. Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.

MeSH

AdolescentAdultAgedAged, 80 and overAlcohol DrinkingBrain Injuries, TraumaticDatabases, FactualDeath CertificatesFemaleFinlandHumansIncidenceMaleMiddle AgedPopulation SurveillanceRegistriesRetrospective StudiesSurvival RateTaxesYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30931989

Citation

Posti, Jussi P., et al. "Fatal Traumatic Brain Injuries During 13 Years of Successive Alcohol Tax Increases in Finland - a Nationwide Population-based Registry Study." Scientific Reports, vol. 9, no. 1, 2019, p. 5419.
Posti JP, Sankinen M, Sipilä JOT, et al. Fatal traumatic brain injuries during 13 years of successive alcohol tax increases in Finland - a nationwide population-based registry study. Sci Rep. 2019;9(1):5419.
Posti, J. P., Sankinen, M., Sipilä, J. O. T., Ruuskanen, J. O., Rinne, J., Rautava, P., & Kytö, V. (2019). Fatal traumatic brain injuries during 13 years of successive alcohol tax increases in Finland - a nationwide population-based registry study. Scientific Reports, 9(1), 5419. https://doi.org/10.1038/s41598-019-41913-8
Posti JP, et al. Fatal Traumatic Brain Injuries During 13 Years of Successive Alcohol Tax Increases in Finland - a Nationwide Population-based Registry Study. Sci Rep. 2019 04 1;9(1):5419. PubMed PMID: 30931989.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal traumatic brain injuries during 13 years of successive alcohol tax increases in Finland - a nationwide population-based registry study. AU - Posti,Jussi P, AU - Sankinen,Matti, AU - Sipilä,Jussi O T, AU - Ruuskanen,Jori O, AU - Rinne,Jaakko, AU - Rautava,Päivi, AU - Kytö,Ville, Y1 - 2019/04/01/ PY - 2018/12/04/received PY - 2019/03/18/accepted PY - 2019/4/2/entrez PY - 2019/4/2/pubmed PY - 2020/10/6/medline SP - 5419 EP - 5419 JF - Scientific reports JO - Sci Rep VL - 9 IS - 1 N2 - We sought to investigate how increases in alcohol taxation and changes in alcohol consumption were associated with the incidence rate of fatal traumatic brain injuries (TBI) in Finland during the years 2004-2016. Nationwide, mandatory cause of death database covering all deaths in Finland was searched for all deaths related to TBIs (ICD-10: S06.X) in persons ≥16 years of age during 2004-2016. Study period included 28,657,870 person-years and 325,514 deaths of which 12,110 were TBI-related. Occurrence rates were standardized to European 2013 standard population. Data for alcohol consumption were obtained from the National Institute for Health and Welfare and for alcohol taxation from Ministry of Finance, Finland. Standardized incidence rate of TBI-related death was 22.0 (95% CI 21.61-22.38) per 100,000 person-years. Overall alcohol consumption decreased on average by 1.2% annually. Concurrently, the overall incidence rate of fatal TBIs decreased by 4.1% annually (by 4.3% in men and 2.4% in women). There was an association between overall alcohol consumption and TBI-related mortality rate (p < 0.001). Tax-rate increases of all beverage types were associated with decreased incidence rate of TBI-related death in men (p < 0.001), in women (p < 0.036) and overall (p < 0.001). In this population-based study, we report that during 13 years of successive alcohol tax increases, overall alcohol consumption has decreased in parallel with a reduction in the incidence rate of fatal TBIs in Finland. SN - 2045-2322 UR - https://www.unboundmedicine.com/medline/citation/30931989/Fatal_traumatic_brain_injuries_during_13_years_of_successive_alcohol_tax_increases_in_Finland___a_nationwide_population_based_registry_study_ DB - PRIME DP - Unbound Medicine ER -