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

Juan Carlos Arango-Lasprilla, Jessica McKinney Ketchum, Kelli W. Gary, Jeffrey S. Kreutzer, Therese M. O'Neil-Pirozzi, Paul Wehman, Carlos Marquez de la Plata, Amitabh Jha

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30 Citations (Scopus)

Abstract

Objective: To determine the influence of minority status on job stability after traumatic brain injury (TBI). Setting: TBI Model Systems Centers. Participants: 633 individuals (414 Caucasians vs. 219 Minorities) with primarily moderate to severe TBI hospitalized at one of the TBI Model Systems Centers between 1988 and 2001 with 3 years of continuous follow up employment data after discharge. Main Outcome Measures: Job stability was defined as "stable" (competitively employed at all three follow-up visits), "unemployed" (not competitively employed at all three visits), and "unstable" (any other mixture of competitively employed and not competitively employed over the three follow-up visits). Methods: A multinomial logistic regression model was used to model the effect of ethnicity on job stability post TBI after adjusting for injury and demographic characteristics. Results: Compared to Caucasians, the adjusted odds for minorities were 3.587 times greater for being unemployed versus being stably employed (95% CI = 1.930, 6.668), 1.911 times greater for being unstably employed versus being stably employed (95% CI = 1.006, 3.628), and 1.878 times more greater for being unemployed versus being unstably employed (95% CI = 1.157, 3.046) after adjusting for preinjury employment status, age, marital status, education, cause of injury, total length of stay in acute and rehabilitation hospitals, and DRS at discharge. Conclusions: Minority status is an independent predictor of short-term job stability after TBI. Minority TBI survivors were more likely than Caucasians to be unemployed or unstably employed. Rehabilitation professionals should develop employment interventions that will address the specific needs of these racial/ethnic groups and facilitate optimal employment outcomes for minority TBI survivors.

Original languageEnglish (US)
Pages (from-to)41-49
Number of pages9
JournalPM and R
Volume1
Issue number1
DOIs
StatePublished - Jan 1 2009

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Survivors
Rehabilitation
Logistic Models
Traumatic Brain Injury
Wounds and Injuries
Marital Status
Ethnic Groups
Length of Stay
Demography
Outcome Assessment (Health Care)
Education

ASJC Scopus subject areas

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

Cite this

Arango-Lasprilla, J. C., Ketchum, J. M., Gary, K. W., Kreutzer, J. S., O'Neil-Pirozzi, T. M., Wehman, P., ... Jha, A. (2009). The Influence of Minority Status on Job Stability After Traumatic Brain Injury. PM and R, 1(1), 41-49. https://doi.org/10.1016/j.pmrj.2008.07.001

The Influence of Minority Status on Job Stability After Traumatic Brain Injury. / Arango-Lasprilla, Juan Carlos; Ketchum, Jessica McKinney; Gary, Kelli W.; Kreutzer, Jeffrey S.; O'Neil-Pirozzi, Therese M.; Wehman, Paul; Marquez de la Plata, Carlos; Jha, Amitabh.

In: PM and R, Vol. 1, No. 1, 01.01.2009, p. 41-49.

Research output: Contribution to journalArticle

Arango-Lasprilla, JC, Ketchum, JM, Gary, KW, Kreutzer, JS, O'Neil-Pirozzi, TM, Wehman, P, Marquez de la Plata, C & Jha, A 2009, 'The Influence of Minority Status on Job Stability After Traumatic Brain Injury', PM and R, vol. 1, no. 1, pp. 41-49. https://doi.org/10.1016/j.pmrj.2008.07.001
Arango-Lasprilla JC, Ketchum JM, Gary KW, Kreutzer JS, O'Neil-Pirozzi TM, Wehman P et al. The Influence of Minority Status on Job Stability After Traumatic Brain Injury. PM and R. 2009 Jan 1;1(1):41-49. https://doi.org/10.1016/j.pmrj.2008.07.001
Arango-Lasprilla, Juan Carlos ; Ketchum, Jessica McKinney ; Gary, Kelli W. ; Kreutzer, Jeffrey S. ; O'Neil-Pirozzi, Therese M. ; Wehman, Paul ; Marquez de la Plata, Carlos ; Jha, Amitabh. / The Influence of Minority Status on Job Stability After Traumatic Brain Injury. In: PM and R. 2009 ; Vol. 1, No. 1. pp. 41-49.
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AB - Objective: To determine the influence of minority status on job stability after traumatic brain injury (TBI). Setting: TBI Model Systems Centers. Participants: 633 individuals (414 Caucasians vs. 219 Minorities) with primarily moderate to severe TBI hospitalized at one of the TBI Model Systems Centers between 1988 and 2001 with 3 years of continuous follow up employment data after discharge. Main Outcome Measures: Job stability was defined as "stable" (competitively employed at all three follow-up visits), "unemployed" (not competitively employed at all three visits), and "unstable" (any other mixture of competitively employed and not competitively employed over the three follow-up visits). Methods: A multinomial logistic regression model was used to model the effect of ethnicity on job stability post TBI after adjusting for injury and demographic characteristics. Results: Compared to Caucasians, the adjusted odds for minorities were 3.587 times greater for being unemployed versus being stably employed (95% CI = 1.930, 6.668), 1.911 times greater for being unstably employed versus being stably employed (95% CI = 1.006, 3.628), and 1.878 times more greater for being unemployed versus being unstably employed (95% CI = 1.157, 3.046) after adjusting for preinjury employment status, age, marital status, education, cause of injury, total length of stay in acute and rehabilitation hospitals, and DRS at discharge. Conclusions: Minority status is an independent predictor of short-term job stability after TBI. Minority TBI survivors were more likely than Caucasians to be unemployed or unstably employed. Rehabilitation professionals should develop employment interventions that will address the specific needs of these racial/ethnic groups and facilitate optimal employment outcomes for minority TBI survivors.

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