Relationship Between Hispanic Nativity, Residential Environment, and Productive Activity Among Individuals with Traumatic Brain Injury: A TBI Model Systems Study

Details

• Alternative Title:
  J Head Trauma Rehabil
• Personal Author:
  Lequerica, Anthony H. ; Botticello, Amanda ; O’Neill, John ; Lengenfelder, Jean ; Krch, Denise ; Chiaravalloti, Nancy D. ; Sander, Angelle M. ; Bushnik, Tamara ; Ketchum, Jessica M. ; Hammond, Flora M. ; Dams-O’Connor, Kristen ; Felix, Elizabeth ; Johnson-Greene, Doug
• Description:
  Objective:
  
  To examine the influence of nativity and residential characteristics on productive activity among Hispanics at 1 year after traumatic brain injury (TBI).
  
  Setting:
  
  Acute rehabilitation facilities and community follow-up.
  
  Participants:
  
  706 Hispanic individuals in the TBI Model Systems National Database.
  
  Design:
  
  Secondary data analysis from a multicenter longitudinal cohort study.
  
  Main Measures:
  
  Nativity (foreign-born or US native), productive activity derived from interview questions regarding employment status, and other demographic information. Census data was extracted by zip code to represent residential characteristics of aggregate household income and proportion of foreign language speakers (FLS).
  
  Results:
  
  Among foreign-born individuals with TBI, those living in an area with a higher proportion of FLS were 2.8 times more likely to be productive than those living in areas with a lower proportion of FLS. Among individuals living in an area with a lower proportion of FLS, US-born Hispanics were 2.7 times more likely to be productive compared with Hispanic immigrants.
  
  Conclusion:
  
  The relationship between nativity and productive activity at 1 year post-TBI was moderated by the residential proportion of FLS. Findings underscore the importance of considering environmental factors when designing vocational rehabilitation interventions for Hispanics after TBI.
  
  
• Subjects:
  Adult Brain Injuries, Traumatic Cohort Studies Emigrants And Immigrants Employment Female Hispanic Or Latino Humans Longitudinal Studies Male Residence Characteristics

  More +
• Source:
  J Head Trauma Rehabil. 34(1):E46-E54
• Pubmed ID:
  29863616
• Pubmed Central ID:
  PMC10165875
• Document Type:
  Journal Article
• Funding:
  90DP0032/ACL/ACL HHSUnited States/ ; 90DP0036/ACL/ACL HHSUnited States/ ; U48 DP000047/DP/NCCDPHP CDC HHSUnited States/ ; 90DPTB0016/ACL/ACL HHSUnited States/ ; 90DP0028/ACL/ACL HHSUnited States/ ; 90DP0047/ACL/ACL HHSUnited States/ ; U48 DP000034/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000046/DP/NCCDPHP CDC HHSUnited States/ ; 90DP0046/ACL/ACL HHSUnited States/ ; 90DP0084/ACL/ACL HHSUnited States/ ; U48 DP000036/DP/NCCDPHP CDC HHSUnited States/ ; 90DP0038/ACL/ACL HHSUnited States/ ; 90DP0034/ACL/ACL HHSUnited States/ ; U48 DP000028/DP/NCCDPHP CDC HHSUnited States/
• Place as Subject:
  Central America ; Mexico ; United States ; West Indies
• Volume:
  34
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e6a1d84e58a47fb77ca190f444ea5347d9da627bf2989a4dfad1fce70dd92574
• Download URL:
  https://stacks.cdc.gov/view/cdc/128313/cdc_128313_DS1.pdf
• File Type:
  [PDF - 646.79 KB ]