Differences in employment outcomes 10 years after traumatic brain injury among racial and ethnic minority groups
Journal of Vocational Rehabilitation
Year, Volume, Issue, Page(s):
2010, vol. 33, issue 1, pp 65-75
Study examined differences in employment outcomes 10 years after traumatic brain injury (TBI) among racial and ethnic minorities. Data from a total of 382 participants (194 minorities and 188 whites) with moderate to severe TBI from 16 TBI Model System Centers were examined. A logistic regression model indicated that the odds of being competitively employed versus not competitively employed at 10 years follow-up were 2.370 times greater for whites than for minorities after adjusting for age at injury, pre-injury employment status, cause of injury, and total length of stay (LOS). In addition, the odds of being competitively employed at 10 years follow-up versus not being competitively employed ranged from being 1.485 to 2.553 greater for those who were younger, employed at injury, had shorter total LOS, and non-violent injuries, respectively. The findings support previous research illustrating that compared to whites, both short and long term employment is less promising for minorities after TBI. Recommendations are suggested to help rehabilitation professionals target the specific needs of minorities with TBI in order to address employment disparities through culturally-based interventions and service delivery.
Gary, KW; Ketchum, JM; Arango-Lasprilla, JC; Kreutzer, JS; Novack, T; Copolillo, A; Deng, X
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