Associations between self-reported lifetime history of traumatic brain injuries and current disability assessment in a population sample of Canadian adults

Gabriela Ilie; Edward M. Adlaf; Robert E. Mann; Anca Ialomiteanu; Hayley Hamilton; Jürgen Rehm; Mark Asbridge; Michael D. Cusimano

doi:10.1371/journal.pone.0188908

Associations between self-reported lifetime history of traumatic brain injuries and current disability assessment in a population sample of Canadian adults

Gabriela Ilie, Edward M. Adlaf, Robert E. Mann, Anca Ialomiteanu, Hayley Hamilton, Jürgen Rehm, Mark Asbridge, Michael D. Cusimano

Medicine

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Resumen

Objective This study describes the association between history of lifetime traumatic brain injury (TBI) and current disabling functional restrictions among Ontario adults. Setting and design A two-stage rolling cross-sectional sample of 6,048 adults aged 18 to 93 were interviewed by computer assisted telephone interviewing between 2011–2013 regarding their mental health and substance use in Ontario, Canada. TBI criteria were defined by loss of consciousness for minimum five minutes or at least one overnight hospitalization. Dimensions of functionality restrictions in the last 30 days were measured with the WHO Disability Assessment Schedule (WHODAS). Results The estimated mean for global disability in this sample of Ontario adults was 2.75 (SD = 5.4, range 0–40). The estimated means of global disability for individuals who reported a history of lifetime TBI was 4.16 (SD = 7.12) and compared with 2.46 (SD = 4.98) for individuals who never had a TBI (p < 0.001). Adults with a history of lifetime TBI had greater odds of global and item disability including restricted cognition, decreased self-care, difficulties with social relationships, fewer life activities and reduced participation in society compared to adults without a history of TBI (p < 0.001), even after adjusting for values of age, sex, marital status, household income and education. Conclusion The co-occurrence of history of lifetime TBI with self-reported disability within the past 30 days provide evidence that careful consideration, planning and understanding of short and long term health needs of TBI survivors are critical.

Idioma original	English
Número de artículo	e0188908
Publicación	PLoS One
Volumen	13
N.º	1
DOI	https://doi.org/10.1371/journal.pone.0188908
Estado	Published - ene. 2018

Nota bibliográfica

Funding Information:
This work was financially supported by a STAIR Team Grant from the Canadian Institutes of Health Research (# TIR-103946; MC, RM, MA, GI) and by the Ontario Neurotrauma Foundation. Additional funding was obtained from a grant from AUTO21, a member of the Networks of Centres of Excellence program that is administered and funded by the Natural Sciences and Engineering Research Council, the Social Sciences and Humanities Research Council, in partnership with Industry Canada, and ongoing funding support from the Ontario Ministry of Health and Long-Term Care (RM). The funding agencies had no role in design and conduct of the study, the collection, management, analysis and interpretation of the data, or the preparation, review or approval of the manuscript. The authors gratefully acknowledge the participation of schools and students and the dedicated work of the data collection team from the Institute for Social Research.

Publisher Copyright:
© 2018 Ilie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Journal Article
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title = "Associations between self-reported lifetime history of traumatic brain injuries and current disability assessment in a population sample of Canadian adults",

abstract = "Objective This study describes the association between history of lifetime traumatic brain injury (TBI) and current disabling functional restrictions among Ontario adults. Setting and design A two-stage rolling cross-sectional sample of 6,048 adults aged 18 to 93 were interviewed by computer assisted telephone interviewing between 2011–2013 regarding their mental health and substance use in Ontario, Canada. TBI criteria were defined by loss of consciousness for minimum five minutes or at least one overnight hospitalization. Dimensions of functionality restrictions in the last 30 days were measured with the WHO Disability Assessment Schedule (WHODAS). Results The estimated mean for global disability in this sample of Ontario adults was 2.75 (SD = 5.4, range 0–40). The estimated means of global disability for individuals who reported a history of lifetime TBI was 4.16 (SD = 7.12) and compared with 2.46 (SD = 4.98) for individuals who never had a TBI (p < 0.001). Adults with a history of lifetime TBI had greater odds of global and item disability including restricted cognition, decreased self-care, difficulties with social relationships, fewer life activities and reduced participation in society compared to adults without a history of TBI (p < 0.001), even after adjusting for values of age, sex, marital status, household income and education. Conclusion The co-occurrence of history of lifetime TBI with self-reported disability within the past 30 days provide evidence that careful consideration, planning and understanding of short and long term health needs of TBI survivors are critical.",

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note = "Funding Information: This work was financially supported by a STAIR Team Grant from the Canadian Institutes of Health Research (# TIR-103946; MC, RM, MA, GI) and by the Ontario Neurotrauma Foundation. Additional funding was obtained from a grant from AUTO21, a member of the Networks of Centres of Excellence program that is administered and funded by the Natural Sciences and Engineering Research Council, the Social Sciences and Humanities Research Council, in partnership with Industry Canada, and ongoing funding support from the Ontario Ministry of Health and Long-Term Care (RM). The funding agencies had no role in design and conduct of the study, the collection, management, analysis and interpretation of the data, or the preparation, review or approval of the manuscript. The authors gratefully acknowledge the participation of schools and students and the dedicated work of the data collection team from the Institute for Social Research. Publisher Copyright: {\textcopyright} 2018 Ilie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

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AU - Adlaf, Edward M.

AU - Mann, Robert E.

AU - Ialomiteanu, Anca

AU - Hamilton, Hayley

AU - Rehm, Jürgen

AU - Asbridge, Mark

AU - Cusimano, Michael D.

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N2 - Objective This study describes the association between history of lifetime traumatic brain injury (TBI) and current disabling functional restrictions among Ontario adults. Setting and design A two-stage rolling cross-sectional sample of 6,048 adults aged 18 to 93 were interviewed by computer assisted telephone interviewing between 2011–2013 regarding their mental health and substance use in Ontario, Canada. TBI criteria were defined by loss of consciousness for minimum five minutes or at least one overnight hospitalization. Dimensions of functionality restrictions in the last 30 days were measured with the WHO Disability Assessment Schedule (WHODAS). Results The estimated mean for global disability in this sample of Ontario adults was 2.75 (SD = 5.4, range 0–40). The estimated means of global disability for individuals who reported a history of lifetime TBI was 4.16 (SD = 7.12) and compared with 2.46 (SD = 4.98) for individuals who never had a TBI (p < 0.001). Adults with a history of lifetime TBI had greater odds of global and item disability including restricted cognition, decreased self-care, difficulties with social relationships, fewer life activities and reduced participation in society compared to adults without a history of TBI (p < 0.001), even after adjusting for values of age, sex, marital status, household income and education. Conclusion The co-occurrence of history of lifetime TBI with self-reported disability within the past 30 days provide evidence that careful consideration, planning and understanding of short and long term health needs of TBI survivors are critical.

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Associations between self-reported lifetime history of traumatic brain injuries and current disability assessment in a population sample of Canadian adults

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PubMed: MeSH publication types

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