@article{ref1,
title="Racial disparities in employment status following moderate/severe traumatic brain injuries in southeast Michigan",
journal="Archives of physical medicine and rehabilitation",
year="2023",
author="Bah, Momodou G. and Chen, Alex Y. and Harts, Kristina and Vahidy, Zara and Cole, Jasmine and Mahas, Rachel and Eden, Sonia V.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To examine the progress made in recent decades by assessing the employment rates of Blacks and non-Hispanic whites (NHWs) following Traumatic Brain Injury (TBI), controlling for pre-TBI employment status and education status. <br><br>DESIGN: Retrospective analysis in a cohort of patients treated in Southeast Michigan at major trauma centers in more recent years (Feb 2010 - Dec 2019).   SETTING: Southeastern Michigan Traumatic Brain Injury Model System (TBIMS): One of 16 TBIMS across the United States (US).   PARTICIPANTS: Non-Hispanic Whites (n=81) and Blacks (n=188) with moderate/severe   TBI INTERVENTION: Not applicable   PRIMARY OUTCOME MEASURE: Employment status, which is separated into two categories: Student plus competitive employment and non-competitive employment. <br><br>RESULTS: In 269 patients, NHW had more severe initial TBI, measured by % CT-brain with compression causing >5mm midline shift (P<.001). Controlling for pre-TBI employment status, we found NHW participants who were students or had competitive employment prior to TBI had higher rates of competitive employment at two years (P = .03) follow-up. Controlling for pre-TBI education status, we found no difference in competitive and non-competitive employment rates between NHW and Blacks at all follow-up years. <br><br>CONCLUSIONS: Black patients who were students or had competitive employment before TBI experience worse employment outcomes than their NHW counterparts after TBI at two years post-TBI. Further research is needed to understand better the factors driving these disparities and how social determinants of health affect these racial differences following TBI.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2023.04.019",
url="http://dx.doi.org/10.1016/j.apmr.2023.04.019"
}