Lifetime history of traumatic brain injury and current disability among Ohio adults

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J79177

Journal:

Journal of Head Trauma Rehabilitation

Year, Volume, Issue, Page(s):

2018 , 33, 4, E24-E32

Publication Website:

Abstract:

Study examined the associations between lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) and several types of current disability among adult residents of Ohio. Data were obtained from randomly selected respondents to the 2014 Ohio Behavioral Risk Factors Surveillance System (BRFSS), an annual, state-based random telephone survey of noninstitutionalized adults regarding their health-related risk behaviors, chronic health conditions, and use of preventive services. The Ohio State University TBI Identification Method, a standardized interview procedure, was used to elicit lifetime history of TBI with LOC (number and severity of injury, age of first injury). Current disability status, including number and type of disability (vision, cognition, mobility, self-care, and/or independent living), was measured using 5 questions in the core component of the 2014 Ohio BRFSS. Of the 6998 participants, 1325 reported lifetime history of TBI with LOC, and 1959 reported currently having one or more disabilities. When weighted, these represented 21.7 and 23.7 percent of Ohio’s noninstitutionalized adult population, respectively. Adults with a history of TBI with LOC showed greater odds of any disability compared with adults with no history. The likelihood of having any and each type of disability increased as the number of TBIs or the severity of worst TBI increased, regardless of sustaining first TBI before or after the age of 15 years. Results indicate lifetime history of TBI with LOC is significantly associated with disability among adults in Ohio. Further research on the natural course of the relationship and preventive strategies is warranted.

Author(s):