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Incidence of self-reported brain injury and the relationship with substance abuse: findings from a longitudinal community survey

Tait, Robert; Butterworth, Peter; Anstey, Kaarin

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BACKGROUND: Traumatic or serious brain injury (BI) has persistent and well documented adverse outcomes, yet 'mild' or 'moderate' BI, which often does not result in hospital treatment, accounts for half the total days of disability attributed to BI. There are currently few data available from community samples on the incidence and correlates of these injuries. Therefore, the study aimed to assess the 1) incidence of self-reported mild (not requiring hospital admission) and moderate (admitted to...[Show more]

dc.contributor.authorTait, Robert
dc.contributor.authorButterworth, Peter
dc.contributor.authorAnstey, Kaarin
dc.date.accessioned2010-09-15T06:39:24Z
dc.date.accessioned2010-12-20T06:04:03Z
dc.date.available2010-09-15T06:39:24Z
dc.date.available2010-12-20T06:04:03Z
dc.identifier.citationBMC Public Health 10.171 (2010)
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/10440/1097
dc.identifier.urihttp://digitalcollections.anu.edu.au/handle/10440/1097
dc.description.abstractBACKGROUND: Traumatic or serious brain injury (BI) has persistent and well documented adverse outcomes, yet 'mild' or 'moderate' BI, which often does not result in hospital treatment, accounts for half the total days of disability attributed to BI. There are currently few data available from community samples on the incidence and correlates of these injuries. Therefore, the study aimed to assess the 1) incidence of self-reported mild (not requiring hospital admission) and moderate (admitted to hospital)) brain injury (BI), 2) causes of injury 3) physical health scores and 4) relationship between BI and problematic alcohol or marijuana use. METHODS: An Australian community sequential-cohort study (cohorts aged 20-24, 40-44 and 60-64 years at wave one) used a survey methodology to assess BI and substance use at baseline and four years later. RESULTS: Of the 7485 wave one participants, 89.7% were re-interviewed at wave two. There were 56 mild (230.8/100000 person-years) and 44 moderate BI (180.5/100000 person-years) reported between waves one and two. Males and those in the 20-24 year cohort had increased risk of BI. Sports injury was the most frequent cause of BI (40/100) with traffic accidents being a greater proportion of moderate (27%) than mild (7%) BI. Neither alcohol nor marijuana problems at wave one were predictors of BI. BI was not a predictor of developing substance use problems by wave two. CONCLUSIONS: BI were prevalent in this community sample, though the incidence declined with age. Factors associated with BI in community samples differ from those reported in clinical samples (e.g. typically traumatic brain injury with traffic accidents the predominate cause). Further, detailed evaluation of the health consequences of these injuries is warranted.
dc.format11 pages
dc.publisherBioMed Central Ltd
dc.rights© 2010 Tait et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceBMC Public Health
dc.source.urihttp://www.biomedcentral.com/content/pdf/1471-2458-10-171.pdf
dc.source.urihttp://www.biomedcentral.com/1471-2458/10/171
dc.subjectKeywords: addiction; adult; article; Australia; brain injury; cannabis smoking; cohort analysis; drinking behavior; female; human; incidence; longitudinal study; male; middle aged; self report; Adult; Alcohol Drinking; Australia; Brain Injuries; Cohort Studies; Fem
dc.titleIncidence of self-reported brain injury and the relationship with substance abuse: findings from a longitudinal community survey
dc.typeJournal article
local.identifier.citationvolume10
dcterms.dateAccepted2010-03-29
dc.date.issued2010-03-29
local.identifier.absfor111714
local.identifier.ariespublicationu4661714xPUB4
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationTait, Robert, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationAnstey, Kaarin, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationButterworth, Peter, College of Medicine, Biology and Environment, ANU
dc.relationThe Commonwealth of Australia, Department of Health and Ageing
local.bibliographicCitation.issue171
local.bibliographicCitation.startpage11
local.identifier.doi10.1186/1471-2458-10-171
dc.date.updated2016-02-24T11:17:10Z
local.identifier.scopusID2-s2.0-77951699197
local.identifier.thomsonID000277114700001
CollectionsANU Research Publications

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