title: Relationship of race/ethnicity and income to community integration following traumatic brain injury: investigation in a non-rehabilitation trauma sample.
abstract: The purpose of the current study was to determine the contribution of race/ethnicity and income to community integration at approximately 6 months following traumatic brain injury (TBI). Participants were 151 persons with mild to severe TBI (38% Black; 38% Hispanic; 24% White) recruited from consecutive admissions to the Neurosurgery service of a county Level I trauma center. A large number of participants had low income and low education. Community integration was assessed using the Community Integration Questionnaire (CIQ), Craig Handicap Assessment and Reporting Technique - Short Form (CHART-SF), and Community Integration Measure (CIM). Results of analysis of covariance (ANCOVA) indicated that, after accounting for injury severity, age, education, and income, race/ethnicity contributed significantly to the variance in CIQ Total score, Home Integration Scale, and Productive Activity Scale scores. Blacks had lower CIQ Total scores compared to Whites. Black and Hispanic participants had lower scores than Whites on the Home Integration Scale, and Blacks had lower scores than Whites and Hispanics on the CIQ Productive Activity Scale. Low income ( < or = $20,000) was related to lower scores on the CIQ and CHART-SF Social Integration Scales, and scores on the CIM Total, Belonging, and Independent Participation scales. These results indicate that racial/ethnic differences in community integration exist, even after accounting for income. However, income was more predictive than race/ethnicity for certain aspects of community integration, indicating that it should be accounted for in all studies investigating racial/ethnic differences in outcomes.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA. asander@bcm.edu
authors.forename: Angelle M
authors.initials: AM
authors.lastname: Sander
authors.forename: Monique R
authors.initials: MR
authors.lastname: Pappadis
authors.forename: Lynne Cole
authors.initials: LC
authors.lastname: Davis
authors.forename: Allison N
authors.initials: AN
authors.lastname: Clark
authors.forename: Gina
authors.initials: G
authors.lastname: Evans
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Struchen
authors.forename: Diana M
authors.initials: DM
authors.lastname: Mazzei
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000208:ethnology* / Q000534:rehabilitation*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D012917:Social Adjustment; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult