Racial differences in employment outcome after traumatic brain injury at 1, 2, and 5 years postinjury

Model System:

Reference Type:

Accession No.:

Journal:

Year, Volume, Issue, Page(s):

Publication Website:

Abstract:

Objectives: To examine racial differences in competitive employment outcomes at 1 . 2, and 5 years after traumatic brain injury (TBI and to determine whether changes in not competitive employment rates over time differ between blacks and whites with TBI after adjusting for demographic and injury characteristics. Design: Retrospective cohort study. Setting: Sixteen TBI Model System Centers. Participants: Blacks (0=615) and whites (n= 1407) with moderate to severe TBI. Interventions: Not applicable.Main Outcome Measure: Employment status dichotomized as competitively employed versus not competitively employed. Resulls: After adjusting for demographic and injury charactensucs, repeated-measures logistic regression indicated that (I) the odds of not being competitively employed were significantly greater for blacks than whites regardless of the follow-up year (all P<.ooi the="" odds="" of="" not="" being="" competitively="" employed="" declined="" significantly="" over="" time="" for="" each="" race="" and="" changes="" in="" versus="" were="" different="" between="" blacks="" whites="" .070="" addition.="" age="" discharge="" fim="" disability="" rating="" scale="" length="" stay="" acute="" rehabilitation.="" preinjury="" employment=""> sex, education, marital status, and cause of injury were significant predictors of employment status postinjury. Conclusions: Short- and long-term employment is not favorable for people with TBI regardless of race; however,blacks fare worse in employment outcomes compared with whites. Rehabilitation professionals should work to improve return to work for all persons with TBI. with special emphasis on addressing specific needs of blacks. Key Words: Brain injuries; Employment; Rehabilitation.
© 2009 by the American Congress of Rehabilitation Medicine

Author(s):

Participating Centers: