Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland
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 influen...
Published in: | Scandinavian Journal of Public Health |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SAGE Publications
2013
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1177/1403494813481644 http://journals.sagepub.com/doi/pdf/10.1177/1403494813481644 http://journals.sagepub.com/doi/full-xml/10.1177/1403494813481644 |
id |
crsagepubl:10.1177/1403494813481644 |
---|---|
record_format |
openpolar |
spelling |
crsagepubl:10.1177/1403494813481644 2023-05-15T17:42:43+02:00 Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland Puljula, Jussi Lesonen, Saara Kortelainen, Marja-Leena Juvela, Seppo Hillbom, Matti 2013 http://dx.doi.org/10.1177/1403494813481644 http://journals.sagepub.com/doi/pdf/10.1177/1403494813481644 http://journals.sagepub.com/doi/full-xml/10.1177/1403494813481644 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Scandinavian Journal of Public Health volume 41, issue 5, page 524-530 ISSN 1403-4948 1651-1905 Public Health, Environmental and Occupational Health General Medicine journal-article 2013 crsagepubl https://doi.org/10.1177/1403494813481644 2022-08-12T11:31:55Z 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. Article in Journal/Newspaper Northern Finland SAGE Publications (via Crossref) Scandinavian Journal of Public Health 41 5 524 530 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Public Health, Environmental and Occupational Health General Medicine |
spellingShingle |
Public Health, Environmental and Occupational Health General Medicine Puljula, Jussi Lesonen, Saara Kortelainen, Marja-Leena Juvela, Seppo Hillbom, Matti Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
topic_facet |
Public Health, Environmental and Occupational Health General Medicine |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Puljula, Jussi Lesonen, Saara Kortelainen, Marja-Leena Juvela, Seppo Hillbom, Matti |
author_facet |
Puljula, Jussi Lesonen, Saara Kortelainen, Marja-Leena Juvela, Seppo Hillbom, Matti |
author_sort |
Puljula, Jussi |
title |
Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
title_short |
Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
title_full |
Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
title_fullStr |
Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
title_full_unstemmed |
Mortality from traumatic brain injury after reduction of alcohol prices: A population-based study from northern Finland |
title_sort |
mortality from traumatic brain injury after reduction of alcohol prices: a population-based study from northern finland |
publisher |
SAGE Publications |
publishDate |
2013 |
url |
http://dx.doi.org/10.1177/1403494813481644 http://journals.sagepub.com/doi/pdf/10.1177/1403494813481644 http://journals.sagepub.com/doi/full-xml/10.1177/1403494813481644 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Scandinavian Journal of Public Health volume 41, issue 5, page 524-530 ISSN 1403-4948 1651-1905 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1403494813481644 |
container_title |
Scandinavian Journal of Public Health |
container_volume |
41 |
container_issue |
5 |
container_start_page |
524 |
op_container_end_page |
530 |
_version_ |
1766144618802446336 |