Research Database: Article Details

Citation:  Arango, J. C., Ketchum, J., Williams, K., Kreutzer, J., Marquez, C., Oneil-Pirozzi, T., & Wehman., P. (2008). Racial differences in employment outcomes after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 89 (5), 988-995.
Title:  Racial differences in employment outcomes after traumatic brain injury
Authors:  Arango, J. C., Ketchum, J., Williams, K., Kreutzer, J., Marquez, C., Oneil-Pirozzi, T., & Wehman., P.
Year:  2008
Journal/Publication:  Archives of Physical Medicine and Rehabilitation
Publisher:  American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
DOI:  https://doi.org/10.1016/j.apmr.2008.02.012
Full text:  http://ac.els-cdn.com/S0003999308001330/1-s2.0-S0003999308001330-ma...   
Peer-reviewed?  Yes
NIDILRR-funded?  Yes
Research design:  Database mining

Structured abstract:

Background:  Traumatic brain injury (TBI) is a debilitating condition that causes a number of issues that can impact one’s ability to find and maintain employment. Past research has indicated that finding and maintaining employment after TBI is even more difficult for minorities than it is for Caucasians. Even with this information there is a gap in the literature where a large study involving many different racial and ethnic groups is needed.
Purpose:  The purpose of this study was to examine the racial differences in employment outcomes 1 year after a TBI.
Study sample:  The sample consisted of 5,259 subjects with a moderate or severe TBI. Whites made up 3468 of the sample, blacks 1238, Hispanics 384, Asians 142, and Native Americans 27. Subjects were injured and hospitalized from 1989-2005.
Control or comparison condition:  Employment status and occupational status were the main outcome measures.
Data collection and analysis:  Data was extracted from the Traumatic Brain Injury Model Systems (TBIMS) database. Logistic regression models were used to determine the effect of race on the outcome measures.
Findings:  The odds of being unemployed vs. competitively employed were 2.17 times greater for minorities than for whites. Race did not have a significant effect on occupational status.
Conclusions:  Vocational rehabilitation professionals should design specific interventions to address the unique needs of minorities with TBI.

Disabilities served:  Traumatic brain injury (TBI)
Outcomes:  Employment acquisition
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