Evidence map›Paper›PMID 39976214›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2025

Association between alcohol sales and facial fracture rates: an ecological analysis.

Annamari Arpalahti, Johanna Snäll, Jussi Kanervo, Aleksi Haapanen, Anna Liisa Suominen, Johanna Uittamo

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Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Annamari ArpalahtiDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, FI-00290, Helsinki, Finland.ORCID 0000-0002-7389-9462
Johanna SnällDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, FI-00290, Helsinki, Finland.
Jussi KanervoDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, FI-00290, Helsinki, Finland.
Aleksi HaapanenDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, FI-00290, Helsinki, Finland.
Anna Liisa SuominenInstitute of Dentistry, University of Eastern Finland, FI-70211 Kuopio, Finland.
Johanna UittamoDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, FI-00290, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study aimed to evaluate national alcohol sales and their association with the number of maxillofacial fractures in Southern Finland.

methodsPatient data of all facial fracture patients admitted to tertiary trauma centers (Helsinki University Hospital, Helsinki, Finland) from January 2014 to October 2020 were reviewed retrospectively. Information on alcohol sales in Finland was obtained from the Finnish Institute for Health and Welfare.

resultsThe annual number of facial fractures increased, as did the number of facial fractures caused by interpersonal violence. Unexpectedly, we found a mostly inverse association between alcohol sales and facial fractures, although three months were associated positively: April, June, and November.

conclusionWe conclude that although the significance of alcohol use in the etymology of facial fractures has been unmistakably proven neither population-level alcohol use nor interpersonal violence as an injury mechanism explains the increase in facial fractures. However, there are some associations between the seasonality of alcohol consumption and facial fractures, suggesting the same predisposing factors in both. Further, certain groups of users, exceeding a threshold of alcohol use, appear to be responsible for the traumatic presentations in emergency units. Elucidating the associations between alcohol use and facial fractures requires an assessment of patient-specific factors, rather than population-level alcohol use, for a detailed understanding and justification of alcohol policy.

Indexed as

Alcohol DrinkingAlcoholic BeveragesCommerceFacial BonesSkull FracturesAdultAgedFemaleFinlandHumansMaleMiddle AgedRetrospective StudiesSeasonsViolenceYoung Adultalcohol salesfacial fracturesinterpersonal violence

Identifiers

PMID39976214
PMCPMC11840439

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