Short Title:Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):15, 30, 3, 160-174
Study estimated the prevalence of unemployment and part-time employment in the United States for working-age individuals completing rehabilitation for a primary diagnosis of traumatic brain injury (TBI) between 2001 and 2010, using data from the TBI Model Systems National Database. The prevalence of unemployment for individuals in the selected cohort was 60.4 percent at the 2-year follow-up. Prevalence of unemployment was signiﬁcantly associated with the majority of categories of age group, race, gender, marital status, primary inpatient rehabilitation payment source, education, preinjury vocational status, length of stay, and Disability Rating Scale (DRS) score. The direction of association for the majority of these variables complement previous research in this area, with only Hispanic ethnicity and the Functional Independence Measure cognitive subscale demonstrating disparate ﬁndings. For those employed at 2 years post injury, the prevalence of part-time employment was 35.0 percent. The model of prevalence for part-time employment at 2 years after injury was less robust, with signiﬁcant relationships with some categorical components of age group, gender, marital status, primary payment source, preinjury vocational status, and DRS score. Further investigation of both unemployment and part-time employment is warranted to help identify the key components to maximize the potential for employment after TBI and reduce the negative consequences associated with unemployment.