• Dana Waltzman, Jill Daugherty, Kelly Sarmiento, and Scott Proescholdbell.
• Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Waltzman and Daugherty and Ms Sarmiento); and Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina (Mr Proescholdbell).
• J Head Trauma Rehabil. 2021 Jan 1; 36 (1): E40-E49.

ObjectiveBecause of the growing concern about the potential effects of traumatic brain injuries (TBIs) on a child's developing brain and the potential impact of lifetime depression and risk behaviors associated with TBI, further exploration is warranted.Setting And ParticipantsData (N = 4917) from the 2017 North Carolina Behavioral Risk Factors Surveillance System (BRFSS).DesignCross-sectional.Main MeasuresExamine whether a lifetime history of TBI with loss of consciousness (LOC) or having a history of TBI with LOC prior to 18 years of age was associated with a greater likelihood of lifetime depression, current binge drinking, and current cigarette and e-cigarette smoking.ResultsRespondents with a history of TBI with LOC had 2.1 (95% CI, 1.6-2.8) times higher odds of lifetime depression and 1.7 to 1.8 (95% CI, 1.02-2.97) times higher odds of all risk behaviors than those without a lifetime history of TBI with LOC. There were no statistical differences between age of first TBI with LOC and lifetime depression, binge drinking, cigarette smoking, and e-cigarette use after controlling for key demographics.ConclusionThese findings underscore the importance of increasing awareness among healthcare providers of the prevalence of lifetime depression and risk behaviors among individuals with a history of TBI and the need for improved screening and referrals to evidence-based services.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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