Evidence map›Paper›PMID 37616019›Full record

ArticleEuropean journal of public health2023

Adolescent alcohol and cannabis use as risk factors for head trauma in the Northern Finland Birth Cohort study 1986.

Maarit K Koivisto, Jussi Puljula, Jonna M Levola, Antti Mustonen, Jouko Miettunen, Anni-Emilia Alakokkare, Solja Niemelä

Open access · goldAbstract read
In one paragraph

Article in European journal of public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Maarit K KoivistoDepartment of Psychiatry, University of Turku, Turku, Finland.ORCID 0000-0002-5804-3367
Jussi PuljulaDepartment of Neurology, Lapland Central Hospital, Rovaniemi, Finland.
Jonna M LevolaDepartment of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-4707-1485
Antti MustonenFaculty of Medicine and Health Technology, University Consortium of Seinäjoki, Tampere University, Tampere, Finland.ORCID 0000-0002-3259-2122
Jouko MiettunenCenter for Life Course Health Research, University of Oulu, Oulu, Finland.
Anni-Emilia AlakokkareDepartment of Psychiatry, University of Turku, Turku, Finland.
Solja NiemeläDepartment of Psychiatry, University of Turku, Turku, Finland.
University of Turku · FILapland Central Hospital · FIOulu University Hospital · FITampere University · FIUniversity of Helsinki · FI

Funding

Juho Vainio Foundation 202100414The Päivikki and Sakari Sohlberg FoundationUniversity of Turku
6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the associations between cannabis use and frequency of alcohol intoxication in adolescence with the risk of traumatic brain injury and craniofacial fractures in early adulthood. Hypothesis was that using alcohol and cannabis in adolescence could increase the risk for head traumas.

methodsData from the Northern Finland Birth Cohort 1986 (n = 9432 individuals) were used to investigate the prospective association between the self-reported frequency of alcohol intoxication (n = 6472) and cannabis use (n = 6586) in mid-adolescence and register-based, head trauma diagnoses by ages 32-33 years. To test the robustness of these associations, the statistical models were adjusted for a range of other confounders such as illicit drug use, previous head trauma and self-reported mental health problems.

resultsIn multivariate analyses, cannabis use was statistically significantly associated with a greater risk of traumatic brain injury among females [hazard ratio (HR) 1.9, 95% confidence interval (CI) 1.1-3.2, P = 0.024). Frequent alcohol intoxication was a statistically significant independent risk factor for both traumatic brain injury (HR 2.6, 95% CI 1.7-3.9, P < 0.001) and craniofacial fractures (HR 2.7, 95% CI 1.6-4.8, P < 0.001) among males.

conclusionsCannabis use in adolescence appears to associate independently with elevated risk for traumatic brain injury among females, and frequent alcohol intoxication in adolescence seems to associate with elevated risk of both traumatic brain injury and craniofacial fractures among males.

Indexed as

Alcoholic IntoxicationBrain Injuries, TraumaticCannabisCraniocerebral TraumaAdolescentAdultCohort StudiesFemaleFinlandHumansMaleRisk Factors

Identifiers

PMID37616019
PMCPMC10710361
OpenAlexW4386115923

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.