Race/Ethnicity and Community Participation Among Veterans and Service Members With Traumatic Brain Injury: A VA Traumatic Brain Injury Model Systems Study.
J Head Trauma Rehabil
; 36(6): 408-417, 2021.
Article
em En
| MEDLINE
| ID: mdl-33656479
ABSTRACT
OBJECTIVE:
To examine racial/ethnic disparities in community participation among veterans and active duty service members with traumatic brain injury (TBI).SETTING:
Five Department of Veterans Affairs (VA) TBI Model Systems (TBIMS) Polytrauma Rehabilitation Centers (PRCs).Participants:
Three hundred forty-two community-dwelling adults (251 White, 34 Black, and 57 Hispanic) with TBI enrolled in the VA TBIMS National Database who completed a 1-year follow-up interview. Mean age was 38.6 years (range, 19-84 years).DESIGN:
Cross-sectional analysis of a prospective observational cohort study. MainMeasures:
Community participation at 1 year postinjury assessed by 3 domains of the Participation Assessment with Recombined Tools-Objective (PART-O) Out & About, Productivity, and Social Relations.RESULTS:
Significant differences were observed among race/ethnicity groups in PART-O Productivity and Out & About domains without controlling for relevant participant characteristics; Productivity scores were significantly higher for non-Hispanic Black than for non-Hispanic White participants (t = 2.40, P = .0169). Out & About scores were significantly higher for Hispanic than for non-Hispanic White participants (t = 2.79, P = .0056). However, after controlling for demographic, injury severity, and 1-year follow-up characteristics, only differences in the Out & About domain remained statistically significant (t = 2.62, P = .0094), with scores being significantly higher for Hispanics than for non-Hispanic Whites.CONCLUSIONS:
The results, which differ from findings from studies conducted in non-VA healthcare settings where there are greater racial/ethnic disparities in participation outcomes, could reflect differences between military and civilian samples that may reduce disparities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Veteranos
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
J Head Trauma Rehabil
Assunto da revista:
REABILITACAO
/
TRAUMATOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article