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. 2015 Jul 15;32(14):1130-4.
doi: 10.1089/neu.2014.3619. Epub 2015 Apr 28.

Associations between a History of Traumatic Brain Injuries and Current Cigarette Smoking, Substance Use, and Elevated Psychological Distress in a Population Sample of Canadian Adults

Gabriela Ilie  1   2 , Edward M Adlaf  3 , Robert E Mann  3 , Anca Ialomiteanu  3 , Hayley Hamilton  3 , Jürgen Rehm  3 , Mark Asbridge  4 , Michael D Cusimano  1   2
Affiliations

Associations between a History of Traumatic Brain Injuries and Current Cigarette Smoking, Substance Use, and Elevated Psychological Distress in a Population Sample of Canadian Adults

Gabriela Ilie et al. J Neurotrauma. .

Abstract

This study describes the prevalence of reported history of traumatic brain injury (TBI) and its association with reports of current substance use, cigarette smoking, and psychological distress among Canadian adults in a population sample. A cross-sectional sample of 1999 Ontario adults 18-93 years of age were surveyed by telephone in 2011 as part of the Center for Addiction and Mental Health's ongoing representative survey of adult mental health and substance use in Ontario, Canada. Loss of consciousness for at least 5 min or at least one overnight hospitalization resulting from symptoms associated with the TBI injury represented minimum criteria for TBI. An estimated 16.8% (95% confidence interval, 14.8, 19.0) of adults reported a TBI in their lifetime. Men had higher prevalence of TBI than women. Adults who reported a history of TBI had higher odds of reported past-year daily smoking (adjusted odds ratio [AOR] = 2.15), using cannabis (AOR = 2.80) and nonmedical opioids (AOR = 2.90), as well as screened significantly for recent elevated psychological distress (AOR = 1.97) in the past few weeks, compared to adults without a history of TBI. Co-occurrence of a history of TBI with current elevated psychological distress and substance use warrants vigilance among medical practitioners to assess the possibility of a history of TBI during reviews of the history leading to the occurrence of these conditions.

Keywords: adults; psychological distress; substance use; traumatic brain injury.

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References

    1. Faul M., Xu L., Wald M.M., & Coronado V.G. (2010). Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths: 2002–2006. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control: Atlanta, GA
    1. Finkelstein E., Corso P., and Miller T. (2006). The Incidence and Economic Burden of Injuries in the United States. Oxford University Press: New York
    1. Gustavsson A., Svensson M., Jacobi F., Allgulander C., Alonso J., Beghi E., Dodel R., Ekman M., Faravelli C., Fratiglioni L., Gannon B., Jones D.H., Jennum P., Jordanova A., Jönsson L., Karampampa K., Knapp M., Kobelt G., Kurth T., Lieb R., Linde M., Ljungcrantz C., Maercker A., Melin B., Moscarelli M., Musayev A., Norwood F., Preisig M., Pugliatti M., Rehm J., Salvador-Carulla L., Schlehofer B., Simon R., Steinhausen H.C., Stovner L.J., Vallat J.M., Van den Bergh P., van Os J., Vos P., Xu W., Wittchen H.U., Jönsson B., and Olesen J. (2011). Cost of disorders of the brain in Europe 2010. Eur. Neuropsychopharmacol. 21, 718–779 - PubMed
    1. Dean P.J.A., and Steer A. (2013). Long-term effects of mild traumatic brain injury on cognitive performance. Front. Hum. Neurosci. 7, 1–11 - PMC - PubMed
    1. Wehman P., Targett P., West M., and Kregel J. (2005). Productive work and employment for persons with traumatic brain injury: what have we learned after 20 years? J. Head Trauma Rehabil. 20, 115–127 - PubMed

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