@article{ref1,
title="Race/ethnicity and community participation among veterans and service members with traumatic brain injury: a VA Traumatic Brain Injury Model Systems Study",
journal="Journal of head trauma rehabilitation",
year="2021",
author="Stevens, Lillian Flores and Ketchum, Jessica M. and Sander, Angelle M. and Callender, Librada and Dillahunt-Aspillaga, Christina and Dreer, Laura E. and Finn, Jacob A. and Gary, Kelli Williams and Graham, Kristin M. and Juengst, Shannon B. and Kajankova, Maria and Kolakowsky-Hayner, Stephanie and Lequerica, Anthony H. and Rabinowitz, Amanda R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To examine racial/ethnic disparities in community participation among veterans and active duty service members with traumatic brain injury (TBI). SETTING: Five Department of Veterans Affairs (VA) TBI Model Systems (TBIMS) Polytrauma Rehabilitation Centers (PRCs). Participants: Three hundred forty-two community-dwelling adults (251 White, 34 Black, and 57 Hispanic) with TBI enrolled in the VA TBIMS National Database who completed a 1-year follow-up interview. Mean age was 38.6 years (range, 19-84 years). <br><br>DESIGN: Cross-sectional analysis of a prospective observational cohort study. Main Measures: Community participation at 1 year postinjury assessed by 3 domains of the Participation Assessment with Recombined Tools-Objective (PART-O): Out & About, Productivity, and Social Relations. <br><br>RESULTS: Significant differences were observed among race/ethnicity groups in PART-O Productivity and Out & About domains without controlling for relevant participant characteristics; Productivity scores were significantly higher for non-Hispanic Black than for non-Hispanic White participants (t = 2.40, P =.0169). Out & About scores were significantly higher for Hispanic than for non-Hispanic White participants (t = 2.79, P =.0056). However, after controlling for demographic, injury severity, and 1-year follow-up characteristics, only differences in the Out & About domain remained statistically significant (t = 2.62, P =.0094), with scores being significantly higher for Hispanics than for non-Hispanic Whites. <br><br>CONCLUSIONS: The results, which differ from findings from studies conducted in non-VA healthcare settings where there are greater racial/ethnic disparities in participation outcomes, could reflect differences between military and civilian samples that may reduce disparities.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000657",
url="http://dx.doi.org/10.1097/HTR.0000000000000657"
}