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• W2036390464 abstract "Gary KW, Arango-Lasprilla JC, Ketchum JM, Kreutzer JS, Copolillo A, Novack TA, Jha A. Racial differences in employment outcome after traumatic brain injury at 1, 2, and 5 years postinjury. Objectives To examine racial differences in competitive employment outcomes at 1, 2, and 5 years after traumatic brain injury (TBI) and to determine whether changes in not competitive employment rates over time differ between blacks and whites with TBI after adjusting for demographic and injury characteristics. Design Retrospective cohort study. Setting Sixteen TBI Model System Centers. Participants Blacks (n=615) and whites (n=1407) with moderate to severe TBI. Interventions Not applicable. Main Outcome Measure Employment status dichotomized as competitively employed versus not competitively employed. Results After adjusting for demographic and injury characteristics, repeated-measures logistic regression indicated that (1) the odds of not being competitively employed were significantly greater for blacks than whites regardless of the follow-up year (all P<.001); (2) the odds of not being competitively employed declined significantly over time for each race (P≤.004); and (3) changes over time in the odds of not being competitively employed versus being competitively employed were not different between blacks and whites (P=.070). In addition, age, discharge FIM and Disability Rating Scale, length of stay in acute and rehabilitation, preinjury employment, sex, education, marital status, and cause of injury were significant predictors of employment status postinjury. Conclusions Short- and long-term employment is not favorable for people with TBI regardless of race; however, blacks fare worse in employment outcomes compared with whites. Rehabilitation professionals should work to improve return to work for all persons with TBI, with special emphasis on addressing specific needs of blacks." @default.
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• W2036390464 date "2009-10-01" @default.
• W2036390464 modified "2023-10-16" @default.
• W2036390464 title "Racial Differences in Employment Outcome After Traumatic Brain Injury at 1, 2, and 5 Years Postinjury" @default.
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• W2036390464 doi "https://doi.org/10.1016/j.apmr.2009.04.014" @default.
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