TY - JOUR
T1 - Race/Ethnicity and Community Participation among Veterans and Service Members with Traumatic Brain Injury
T2 - A VA Traumatic Brain Injury Model Systems Study
AU - Stevens, Lillian Flores
AU - Ketchum, Jessica M.
AU - Sander, Angelle M.
AU - Callender, Librada
AU - Dillahunt-Aspillaga, Christina
AU - Dreer, Laura E.
AU - Finn, Jacob A.
AU - Gary, Kelli W.
AU - Graham, Kristin M.
AU - Juengst, Shannon B.
AU - Kajankova, Maria
AU - Kolakowsky-Hayner, Stephanie
AU - Lequerica, Anthony H.
AU - Rabinowitz, Amanda R.
N1 - Funding Information:
The contents of this publication were developed under grants from NIDILRR (grant nos. 90DPTB0016 [PIs: Sherer and Sander], 90DP0044 [PI: Novack], 90DPTB0009-01-00 [PI: Dams-O’Connor]; 90DP0044-01-00 [PI: Novak]; 90DP00303 [PI: Kreutzer]; 90DBPT0004 [PI: Rabinowitz]; and 90DPTB0013-01-00 [PI: Driver]).
Funding Information:
the Department of Veterans Affairs and the Department of Health and Human Services (National Institute on Disability, Independent Living, and Rehabilitation Research [NIDILRR]). This research is sponsored by VHA Central Office VA TBI Model Systems Program of Research, and Subcontract from General Dynamics Health Solutions (W91YTZ-13-C-0015; HT0014-19-C-0004) from the Defense and Veterans Brain Injury Center within the Defense Health Agency, and from the Defense and Veterans Brain Injury Center VA contract no. VA119A-16-C-0083 for Ketchum and Dillahunt-Aspillaga.
Publisher Copyright:
© 2021 Authors. All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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. Main Measures: 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.
AB - 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. Main Measures: 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.
KW - community participation
KW - military personnel
KW - racial disparities
KW - traumatic brain injuries
KW - veterans
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U2 - 10.1097/HTR.0000000000000657
DO - 10.1097/HTR.0000000000000657
M3 - Article
C2 - 33656479
AN - SCOPUS:85107898575
SN - 0885-9701
VL - 36
SP - 408
EP - 417
JO - Journal of Head Trauma Rehabilitation
JF - Journal of Head Trauma Rehabilitation
IS - 6
ER -