Lifetime History of Traumatic Brain Injury and Current Disability Among Ohio Adults

Yi, Honggang; Corrigan, John; Singichetti, Bhavna; Bogner, Jennifer; Manchester, Kara; Guo, Jinhong; Yang, Jingzhen

doi:10.1097/htr.0000000000000352

Cited by 11 publications

(18 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was demonstrated by the greater RRs among the Appalachian and rural groups with a lifetime history of TBI with LOC and non-overlapping confidence intervals between these groups, compared to the Appalachian and rural groups without a lifetime history of TBI with LOC, respectively. These findings are consistent with previous evidence that lifetime history of TBI with LOC is associated with greater risk of all six sources of disability (Sarmiento et al 2022 ; Yi et al 2018 ). It is possible that factors outside the scope of this study, such as migration and health care utilization, may impact this relationship.…”

Section: Discussionsupporting

confidence: 92%

“…A TBI is a neurological condition resulting from an external force that temporarily or permanently impacts typical brain function (Menon et al 2010 ). TBI has been shown to be associated with various short and long-term health consequences, including disability (Sarmiento et al 2022 ; Yi et al 2018 ). TBI has been strongly linked with cognitive impairments, as well as other sources of disability (Gorgoraptis et al 2019 ; Rabinowitz and Levin 2014 ; Whiteneck et al 2004 ).…”

Section: Introductionmentioning

confidence: 99%

“…TBI has been strongly linked with cognitive impairments, as well as other sources of disability (Gorgoraptis et al 2019 ; Rabinowitz and Levin 2014 ; Whiteneck et al 2004 ). One population-based study found that lifetime history of TBI with loss of consciousness (LOC), regardless of duration of LOC, was associated with greater risk for auditory, visual, cognitive, mobility, self-care related, and independent living-related impairments among adult Ohioans (Yi et al 2018 ). However, research has not yet addressed how environmental factors, such as location of living, may be related to the associations between TBI and risk of disability outcomes.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lifetime history of TBI with loss of consciousness and disability among Appalachian and rural residents: 2016–2019 Ohio BRFSS

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background While lifetime history of traumatic brain injury (TBI) is associated with increased risk of disabilities, little is known about disability and TBI among Appalachian and other rural residents. This study aimed to examine if the relationship between lifetime history of TBI with loss of consciousness (LOC) and disability differs by location of living (Appalachian vs. non-Appalachian; rural vs. urban). Methods We obtained data on lifetime history of TBI with LOC, location of living, and six sources of disability (auditory, visual, cognitive, mobility, self-care related, and independent living-related impairments) from the 2016–2019 Ohio Behavioral Risk Factor Surveillance System. We modeled the disability outcomes with Appalachian living (or rural living), lifetime history of TBI with LOC, and their interaction as independent variables. Results Of the 16,941 respondents included, 16.9% had a lifetime history of TBI with LOC, 19.5% were Appalachian residents and 22.9% were rural residents. Among Appalachian residents, 56.1% lived in a rural area. Appalachian (ARR = 1.92; 95%CI = 1.71–2.13) and rural residents (ARR = 1.87; 95%CI = 1.69–2.06) who had a lifetime history of TBI with LOC were at greater risk for having any disability compared to non-Appalachian and urban residents without lifetime history of TBI with LOC, respectively. Conclusions Appalachian and rural living and lifetime history of TBI with LOC are risk factors for disability. Future research and health policies should address mechanisms for this risk as well as access to healthcare services following a TBI among Appalachian and rural residents.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lifetime history of TBI with loss of consciousness and disability among Appalachian and rural residents: 2016–2019 Ohio BRFSS

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…An analysis was conducted to determine the association between each type of current disability and history of TBI among all individuals in North Carolina and between veterans and nonveterans with a lifetime history of TBI. In addition, to assess the presence of multiple disabilities that may indicate the need for specialized care, the number of disabilities was calculated by summing across any yes responses to any of the 6 disabilities and categorized into a binary variable (1 or 2 or more) 10…”

Section: Methodsmentioning

confidence: 99%

Association Between Self-Reported Disability and Lifetime History of Traumatic Brain Injury With Loss of Consciousness Among Veterans and Nonveterans in North Carolina

Sarmiento

Waltzman

Daugherty

et al. 2022

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

Background: Compared with civilians, service members and veterans who have a history of traumatic brain injury (TBI) are more likely to experience poorer physical and mental health. To investigate this further, this article examines the association between self-reported history of TBI with loss of consciousness and living with 1 or more current disabilities (ie, serious difficulty with hearing, vision, cognition, or mobility; any difficulty with self-care or independent living) for both veterans and nonveterans. Methods: A cross-sectional study using data from the North Carolina Behavioral Risk Factor Surveillance System for 4733 veterans and nonveterans aged 18 years and older. Results: Approximately 34.7% of veterans residing in North Carolina reported having a lifetime history of TBI compared with 23.6% of nonveterans. Veterans reporting a lifetime history of TBI had a 1.4 times greater risk of also reporting living with a current disability (adjusted prevalence ratio = 1.4; 95% confidence interval, 1.2-1.8) compared with nonveterans. The most common types of disabilities reported were mobility, cognitive, and hearing. Conclusions: Compared with nonveterans, veterans who reported a lifetime history of TBI had an increased risk of reporting a current disability. Future studies, such as longitudinal studies, may further explore this to inform the development of interventions.

show abstract

“…While the survey design we employed does not allow inference about causality, the presence of monotonic relationships with two different aspects of TBI exposure would be consistent with a causal relationship. The detrimental consequences of TBI can lead to long-term poor physical health and limitations in daily activities 1 6 21 22…”

Section: Discussionmentioning

confidence: 99%

Current health status and history of traumatic brain injury among Ohio adults

et al. 2019

Self Cite

View full text Add to dashboard Cite

IntroductionLifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) is prevalent in 21% of adult, non-institutionalised residents of Ohio. Prior history has been associated with lower incomes, inability to work and disability. The current study sought to evaluate the relationship between lifetime history and adverse health conditions.MethodsData came from the 2014 Ohio Behavioral Risk Factors Surveillance System, which included a state-specific module eliciting lifetime history of TBI.ResultsNon-institutionalised adults living in Ohio who have had at least one TBI with LOC were more likely to report fair or poor health, more days of poor health, more days when poor health limited activities, being diagnosed with a chronic condition and having less than 7 hours of sleep per night. The relationship with increasing number of TBIs was monotonic, with the likelihood of adverse health increasing as the number increased. A similar relationship was observed for increasing severity of the worst lifetime TBI. Experiencing a first TBI before age 15 was associated with poorer health but was not statistically different than incurring a first after age 15.ConclusionsAdults who have experienced TBI with LOC in their lifetime are two to three times more likely to experience adverse health conditions when compared with same age-matched, sex-matched and race-matched adults without such history. These findings support re-examining the public health burden of TBI in light of lifetime exposure and not just the consequences of an index injury.

show abstract

Lifetime History of Traumatic Brain Injury and Current Disability Among Ohio Adults

Abstract: Lifetime history of TBI with LOC is significantly associated with disability among Ohio adults. Further research on the natural course of the relation and preventive strategies is warranted.

Cited by 11 publications

References 33 publications

Lifetime history of TBI with loss of consciousness and disability among Appalachian and rural residents: 2016–2019 Ohio BRFSS

Lifetime history of TBI with loss of consciousness and disability among Appalachian and rural residents: 2016–2019 Ohio BRFSS

Association Between Self-Reported Disability and Lifetime History of Traumatic Brain Injury With Loss of Consciousness Among Veterans and Nonveterans in North Carolina

Current health status and history of traumatic brain injury among Ohio adults

Contact Info

Product

Resources

About