Disparities in Vocational Rehabilitation Services and Outcomes for Hispanic Clients With Traumatic Brain Injury

Cardoso, Elizabeth da Silva; Romero, Maria; Chan, Fong; Dutta, Ankita; Rahimi, Maryam

doi:10.1097/01.htr.0000265096.44683.6b

Cited by 53 publications

(40 citation statements)

References 12 publications

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“…Likewise, Sherer et al's [15] study of race and productivity after TBI included employment as part of the definition of productivity and found that black subjects and other racial minorities were at least 2 times more likely to be unproductive compared with white subjects after controlling for confounding factors. An examination of vocational outcomes for Hispanic subjects after TBI using a large archival database revealed that they were 1.27 times less likely to obtain employment and receive on‐the‐job support services, which is the most significant predictor of successful employment outcomes, than their white counterparts [16].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Minority Status on Job Stability After Traumatic Brain Injury

Arango‐Lasprilla

Ketchum

Gary

et al. 2008

PM&R

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Section: Introductionmentioning

confidence: 99%

The Influence of Minority Status on Job Stability After Traumatic Brain Injury

Arango‐Lasprilla

Ketchum

Gary

et al. 2008

PM&R

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“…Although ethnicity was not a predictor of RTW in our multivariate analysis, it is important to understand the value of cultural context. The issue of culture as a factor that influences health behavior is widely recognized [28][29][30]. A longitudinal study conducted in Israel that examined various factors predicting RTW among more than 45,000 Israelis after traumatic injuries including extremities injuries has recently been published [31].…”

Section: Discussionmentioning

confidence: 99%

Returning to work after a hand injury: Does ethnicity matter?

et al. 2020

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Background Hand injuries (HI) are common and may limit participation in work. The objective of this study is to examine the effect of ethnicity and other prognostic variables on return-to-work (RTW) among male manual workers after acute HI. Methods A cohort of 178 subjects (90 Arabs, 88 Jews) aged 22 to 65 was studied. Trained bilingual occupational therapists evaluated and interviewed the subjects, using structured validated questionnaires for evaluating personal and environmental factors, body function and structure, and activity limitation and participation restrictions. Employment status 3 months post injury was assessed by a telephone interview. To establish a predictive model for RTW, ethnicity and certain variables of the four domains mentioned above were analyzed using logistic regression analysis. Results A significant difference in the rate of RTW between Jews and Arabs was found (45.5% for Jews, 28.9% for Arabs, p = 0.03) three months post HI. In the univariate regression analysis, ethnicity was associated with RTW (OR = 2.05; CI: 1.10-3.81) for Jews vs. Arabs. Using a multivariate analysis, only legal counseling, educational attainment, and the severity of disability were significantly associated with RTW. Conclusion RTW three months post HI among manual workers is directly related to variables such as education and legal counseling and only indirectly related to ethnicity. Patients with a lower level of education and those who were engaged in legal counseling need special attention and close guidance in the process of RTW.

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“…In the present analyses, Hispanic ethnicity was not significantly associated with unemployment ( P =.60); however, previous investigations of Hispanic ethnicity and unemployment have demonstrated a positive association with unemployment. Differences in the results of these studies may be due to differing definitions of TBI, 44 selection of differing years of TBIMS-NDB data, the use of the weighted TBIMS-NDB population, 45 or differing postinjury year of assessment. 14 …”

Section: Discussionmentioning

confidence: 99%

Unemployment in the United States After Traumatic Brain Injury for Working-Age Individuals

Cuthbert¹,

Harrison-Felix²,

Corrigan³

et al. 2015

Journal of Head Trauma Rehabilitation

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Objective To estimate 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. Design Secondary data analysis. Setting Acute inpatient rehabilitation facilities. Participants Patients aged 16 to 60 years at injury who completed inpatient rehabilitation for TBI between 2001 and 2010. Main Outcome Measures Unemployment; Part-time employment. Results The prevalence of unemployment for persons in the selected cohort was 60.4% at 2-year postinjury. Prevalence of unemployment at 2-year postinjury 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. The direction of association for the majority of these variables complement previous research in this area, with only Hispanic ethnicity and the FIM Cognitive subscale demonstrating disparate findings. For those employed at 2-year postinjury, the prevalence of part-time employment was 35.0%. The model of prevalence for part-time employment at 2-year postinjury was less robust, with significant relationships with some categorical components of age group, gender, marital status, primary payment source, preinjury vocational status, and Disability Rating Scale. Conclusions The prevalence of unemployment for patients completing inpatient rehabilitation for TBI was substantial (60.4%). The majority of factors found to associate with 2 years’ unemployment were complementary of previously published research; however, these were often smaller in magnitude than previous reports. The prevalence of part-time employment was also an issue for this cohort and included 35.0% of all employed individuals. In regard to the determination of factors associated with part-time employment, additional analyses that include more fine-grained factors associated with employment, including physical and psychosocial functioning, are recommended.

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Disparities in Vocational Rehabilitation Services and Outcomes for Hispanic Clients With Traumatic Brain Injury

Cited by 53 publications

References 12 publications

The Influence of Minority Status on Job Stability After Traumatic Brain Injury

The Influence of Minority Status on Job Stability After Traumatic Brain Injury

Returning to work after a hand injury: Does ethnicity matter?

Unemployment in the United States After Traumatic Brain Injury for Working-Age Individuals

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