TY - JOUR
T1 - Relationship between Hispanic Nativity, Residential Environment, and Productive Activity among Individuals with Traumatic Brain Injury
T2 - A TBI Model Systems Study
AU - Lequerica, Anthony H.
AU - Botticello, Amanda
AU - O'Neill, John
AU - Lengenfelder, Jean
AU - Krch, Denise
AU - Chiaravalloti, Nancy D.
AU - Sander, Angelle M.
AU - Bushnik, Tamara
AU - Ketchum, Jessica M.
AU - Hammond, Flora M.
AU - Dams-O'Connor, Kristen
AU - Felix, Elizabeth
AU - Johnson-Greene, Doug
N1 - Funding Information:
This work was funded by grants from the National Institute on Disability, Independent Living, and Rehabilitation Research to the following: Northern New Jersey Traumatic Brain Injury System (grant number 90DP0032); Rusk Rehabilitation Traumatic Brain Injury Model System (grant number 90DP0047); and Texas Traumatic Brain Injury Model System of TIRR (grant numbers
Publisher Copyright:
© 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Objective: To examine the influence of nativity and residential characteristics on productive activity among Hispanics at 1 year after traumatic brain injury (TBI). Setting: Acute rehabilitation facilities and community follow-up. Participants: A total of 706 Hispanic individuals in the TBI Model Systems National Database. Design: Secondary data analysis from a multicenter longitudinal cohort study. Main Measures: Nativity (foreign born or US native), productive activity derived from interview questions regarding employment status, and other demographic information. Census data were extracted by zip code to represent residential characteristics of aggregate household income and proportion of foreign language speakers (FLS). Results: Among foreign-born individuals with TBI, those living in an area with a higher proportion of FLS were 2.8 times more likely to be productive than those living in areas with a lower proportion of FLS. Among individuals living in an area with a lower proportion of FLS, US-born Hispanics were 2.7 times more likely to be productive compared with Hispanic immigrants. Conclusion: The relationship between nativity and productive activity at 1 year post-TBI was moderated by the residential proportion of FLS. Findings underscore the importance of considering environmental factors when designing vocational rehabilitation interventions for Hispanics after TBI.
AB - Objective: To examine the influence of nativity and residential characteristics on productive activity among Hispanics at 1 year after traumatic brain injury (TBI). Setting: Acute rehabilitation facilities and community follow-up. Participants: A total of 706 Hispanic individuals in the TBI Model Systems National Database. Design: Secondary data analysis from a multicenter longitudinal cohort study. Main Measures: Nativity (foreign born or US native), productive activity derived from interview questions regarding employment status, and other demographic information. Census data were extracted by zip code to represent residential characteristics of aggregate household income and proportion of foreign language speakers (FLS). Results: Among foreign-born individuals with TBI, those living in an area with a higher proportion of FLS were 2.8 times more likely to be productive than those living in areas with a lower proportion of FLS. Among individuals living in an area with a lower proportion of FLS, US-born Hispanics were 2.7 times more likely to be productive compared with Hispanic immigrants. Conclusion: The relationship between nativity and productive activity at 1 year post-TBI was moderated by the residential proportion of FLS. Findings underscore the importance of considering environmental factors when designing vocational rehabilitation interventions for Hispanics after TBI.
KW - Ethnicity
KW - productivity
KW - social environment
KW - traumatic brain injury
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U2 - 10.1097/HTR.0000000000000398
DO - 10.1097/HTR.0000000000000398
M3 - Article
C2 - 29863616
AN - SCOPUS:85059398663
VL - 34
SP - E46-E54
JO - Journal of Head Trauma Rehabilitation
JF - Journal of Head Trauma Rehabilitation
SN - 0885-9701
IS - 1
ER -