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Community outcomes following traumatic brain injury: impact of race and preinjury status
Journal article   Peer reviewed

Community outcomes following traumatic brain injury: impact of race and preinjury status

Tessa Hart, John Whyte, Marcia Polansky, Gloria Kersey-Matusiak and Rebecca Fidler-Sheppard
The journal of head trauma rehabilitation, v 20(2), pp 158-172
Mar 2005
DOI: https://doi.org/10.1097/00001199-200503000-00004
PMID: 15803039
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Adult African Americans Aged Brain Injuries - ethnology Brain Injuries - rehabilitation Cost of Illness European Continental Ancestry Group Female Humans Injury Severity Score Interpersonal Relations Male Middle Aged Outcome Assessment (Health Care) Prospective Studies Socioeconomic Factors United States
To investigate the contribution of preinjury differences and potential biases in outcome measurement in explaining outcome differences between white and African American persons with moderate and severe traumatic brain injury (TBI). Prospective, 2 group longitudinal study with retrospective self-assessment of preinjury status. Inpatient and outpatient TBI rehabilitation program. Ninety-four persons with moderate and severe TBI (55 whites and 39 African Americans) who provided data on both preinjury status and 1-year outcome. Community Integration Questionnaire, aggression and depression subscales of Neurobehavioral Functioning Inventory-Revised, Satisfaction With Life Scale, other questions on demographic and social status; all measures were selected by a biracial focus group. Whites and African Americans did not differ significantly on demographic factors except gender; nor on retrospective, self-reported preinjury status on any of the outcome measures. At 1 year post-TBI, African Americans reported significantly lower social integration subscale scores than whites. African Americans may also have lost more income than did whites. All other outcome measures were comparable between groups and showed declines in community productivity, increases in depression symptoms, and lower satisfaction with life for both whites and African Americans compared to preinjury. A higher rate of change in living situation post-TBI may partially account for lower levels of social integration for African Americans. Whites and African Americans who are comparable prior to injury may experience generally similar outcomes, but differences in social and financial outcomes require further investigation.

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77 citations in Web of Science
78 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Rehabilitation
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