Relationship Between Hispanic Nativity, Residential Environment, and Productive Activity Among Individuals With Traumatic Brain Injury: A TBI Model Systems Study

Anthony H. Lequerica, Amanda Botticello, John OʼNeill, Jean Lengenfelder, Denise Krch, Nancy D. Chiaravalloti, Angelle M. Sander, Tamara Bushnik, Jessica M. Ketchum, Flora M. Hammond, Kristen Dams-OʼConnor, Elizabeth Felix, Douglas E Johnson-Greene

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E46-E54
JournalThe Journal of head trauma rehabilitation
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2019

    Fingerprint

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Lequerica, A. H., Botticello, A., OʼNeill, J., Lengenfelder, J., Krch, D., Chiaravalloti, N. D., Sander, A. M., Bushnik, T., Ketchum, J. M., Hammond, F. M., Dams-OʼConnor, K., Felix, E., & Johnson-Greene, D. E. (2019). Relationship Between Hispanic Nativity, Residential Environment, and Productive Activity Among Individuals With Traumatic Brain Injury: A TBI Model Systems Study. The Journal of head trauma rehabilitation, 34(1), E46-E54. https://doi.org/10.1097/HTR.0000000000000398