Relationship Between Hispanic Nativity, Residential Environment, and Productive Activity Among Individuals With Traumatic Brain Injury: A TBI Model Systems Study.
Anthony H Lequerica, Amanda Botticello, John OʼNeill and 10 others
PMID 29863616WHAT IT FOUND
For Hispanic people with TBI, birthplace and local foreign-language share were not linked to productive activity by themselves.
Together, foreign-born people in higher foreign-language areas were 2.82 times more likely to work, study, or volunteer at 1 year.
Key findings
01In the main model, birthplace and local foreign-language share were not independently associated with productive activity at 1 year.
02Birthplace and local foreign-language share were interdependent predictors of productive activity.
03Foreign-born participants in higher foreign-language areas were 2.82 times more likely to be productive, while US-born participants in lower foreign-language areas were 2.70 times more likely than foreign-born participants.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Participants were only people who received inpatient rehabilitation at selected TBI Model Systems facilities, so the results may not apply to people with TBI treated in other settings or who did not receive inpatient rehabilitation. The analysis only included people under age 65, so it does not speak to people who work or volunteer after age 65. Only 69% of the people with birthplace data had complete data for the analysis, so missing information could affect the findings. The database did not measure literacy or English proficiency, so the study cannot show which language or cultural factors explain the association. The study reports associations from existing records, not a tested intervention, so it cannot show that living in a high foreign-language area improves outcomes.
The easy way to misread this
Do not conclude that living in a high foreign-language neighborhood causes better productivity. The study found an association only among foreign-born Hispanic participants with TBI and did not test any intervention.