Traumatic brain injury as a result of violence in Native American and Black communities spanning from childhood to older adulthood.
OBJECTIVE
The purpose of this study was to compare the aetiology of TBI between different race, gender and age groups to understand demographic characteristics of people who experience TBI.


METHODS
A secondary data analysis of the Arizona Trauma Database consisting of 18 868 cases of TBI between 2008-2010 was conducted.


METHODS
The sample consisted of patients who ranged in age from 0-79 and were White, Black, Native American, Asian or other race. Cross-tabulations, chi-squares and a logistic regression were conducted.


RESULTS
Standardized residuals indicated that Native Americans and Blacks were more likely to experience violent TBI, regardless of gender or age group (p < 0.01). The logistic regression indicated that Native Americans (OR = 3.13), Blacks (OR = 1.95) and other race (OR = 1.56) patients had statistically significantly (p < 0.001) higher odds of experiencing violent TBI compared to Whites. In addition, females (OR = 0.40), children (OR = 0.75) and older adults (OR = 0.17) had statistically significantly (p < 0.001) lower odds of violent TBI.


CONCLUSIONS
Providers of Native American and Black patients who have experienced violence should encourage them to receive assessments and treatment for TBI.
Myron B. Thompson School of Social Work, University of Hawaii at Manoa , Honolulu, Hawaii , USA.
Kristen F
KF
Linton
Bum Jung
BJ
Kim
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D017677:Age Distribution; D000368:Aged; D001930:Brain Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D007223:Infant; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D016017:Odds Ratio; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D014754:Violence / Q000208:ethnology* / Q000517:prevention & control / Q000706:statistics & numerical data*
Adult; Native American; black; children; traumatic brain injury; violent