Journal
JOURNAL OF HEAD TRAUMA REHABILITATION
Volume 22, Issue 2, Pages 113-121Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.HTR.0000265099.29436.56
Keywords
Hispanic; language; outcome; rehabilitation; TBI; traumatic brain injury
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Funding
- NICHD NIH HHS [U01 HD42652, R01 HD48179] Funding Source: Medline
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Objective: To determine whether race/ethnicity and proficiency with the English language influence access to rehabilitation services, and ultimately outcome after traumatic brain injury (TBI). Design: A retrospective correlational investigation. Setting and Participants: Postrehabilitation outpatients with blunt TBI. A total of 476 patients were examined 6 months postinjury, of which 109 (23%) were Hispanics, and of those 42 were predominantly Spanish speaking. Main Outcome Measures: Access to rehabilitation services, Glasgow Outcome Scale-Extended. Results: Insurance, age, and injury severity had the greatest influence on receipt of rehabilitation services; however, higher rates of severe disability were found among Hispanics and Spanish speakers than non-Hispanic whites and non-Hispanic English speakers, respectively. Conclusions: Insurance status has a larger influence on receipt of rehabilitation services than ethnicity or proficiency with the English language, but language proficiency is a significant predictor of severe disability.
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