“…17 Substance use (including alcohol) has been identified as a risk factor for reoccurring head injuries in early adulthood. 18,[23][24][25][26] Population-based studies are needed not only to describe and track the epidemiological pattern of injury, but also to examine the relationship between TBIs and substance use problems in adolescence, to inform injury prevention and educational efforts, as well as clinical recovery and rehabilitation strategies. Thus, the aim of our study is to describe population-based estimates of the prevalence of TBI and the associations between TBI and substance misuse among a nonclinical population of adolescents.…”