Racial/Ethnic Differences in Combat- and Non–Combat-Associated Traumatic Brain Injury Severity in the Veterans Health Administration

2004–2010

Dados Bibliográficos

ID11033539
AutoresClara E Dismuke (Clara E. Dismuke, Mulugeta Gebregziabher, Derik Yeager, and Leonard E. Egede are with the Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC. Clara E. Dismuke and Leonard E. Egede are also with the Center for Health Disparities Research and Division of General Internal Medicine & Geriatrics, Medical University of South Carolina, Charleston. Mulugeta Gebregziabher is also with the Department of Public Health Sciences, Medical University of...), Mulugeta Gebregziabher (0000-0002-4826-481X, Clara E. Dismuke, Mulugeta Gebregziabher, Derik Yeager, and Leonard E. Egede are with the Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC. Clara E. Dismuke and Leonard E. Egede are also with the Center for Health Disparities Research and Division of General Internal Medicine & Geriatrics, Medical University of South Carolina, Charleston. Mulugeta Gebregziabher is also with the Department of Public Health Sciences, Medical University of...), Derik Yeager (Clara E. Dismuke, Mulugeta Gebregziabher, Derik Yeager, and Leonard E. Egede are with the Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC. Clara E. Dismuke and Leonard E. Egede are also with the Center for Health Disparities Research and Division of General Internal Medicine & Geriatrics, Medical University of South Carolina, Charleston. Mulugeta Gebregziabher is also with the Department of Public Health Sciences, Medical University of...), L E Egede (0000-0003-1546-1515, Ralph H. Johnson VA Medical Center)
Ano2015
Volume105
Fascículo8
Páginas1696-1702
Data de publicação2015-08-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302545
PMID26066928
OpenAlexW2104248363
IdiomaEN
Citações recebidas8
Referências citadas21

Objectives. We examined the association between traumatic brain injury (TBI) severity and combat exposure by race/ethnicity. Methods. We estimated logit models of the fully adjusted association of combat exposure with TBI severity in separate race/ethnicity models for a national cohort of 132 995 veterans with TBI between 2004 and 2010. Results. Of veterans with TBI, 25.8% had served in a combat zone. Mild TBI increased from 11.5% to 40.3%, whereas moderate or severe TBI decreased from 88.5% to 59.7%. Moderate or severe TBI was higher in non-Hispanic Blacks (80.0%) and Hispanics (89.4%) than in non-Hispanic Whites (71.9%). In the fully adjusted all-race/ethnicity model, non-Hispanic Blacks (1.44; 95% confidence interval [CI] = 1.37, 1.52) and Hispanics (1.47; 95% CI = 1.26, 1.72) had higher odds of moderate or severe TBI than did non-Hispanic Whites. However, combat exposure was associated with higher odds of mild TBI in non-Hispanic Blacks (2.48; 95% CI = 2.22, 2.76) and Hispanics (3.42; 95% CI = 1.84, 6.35) than in non-Hispanic Whites (2.17; 95% CI = 2.09, 2.26). Conclusions. Research is needed to understand racial differences in the effect of combat exposure on mild TBI and on interventions to prevent TBI across severity levels

Cohort · Confidence interval · Ethnic group · Injury prevention · Logistic regression · Occupational safety and health · Odds ratio · Poison control · Psychiatry · Psychological intervention · Traumatic brain injury · Demography · Emergency Medicine · Internal Medicine · Medicine · Trauma and Emergency Care Studies · Traumatic Brain Injury and Neurovascular Disturbances · Traumatic Brain Injury Research · Gerontology