Effect of parental education and household poverty on recovery after traumatic brain injury in school-aged children.

Autor:	Zonfrillo MR; Departments of Emergency Medicine and Pediatrics, Hasbro Children's Hospital and the Alpert Medical School of Brown University, Providence, Rhode Island, USA., Haarbauer-Krupa J; National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Wang J; The Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.; Department of Pediatrics, University of Washington, Seattle, Washington, USA., Durbin D; Department of Pediatrics, Nationwide Children's Hospital and the Ohio State University College of Medicine, Columbus, Ohio, USA., Jaffe KM; The Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.; Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA., Temkin N; Departments of Neurological Surgery and Biostatistics, University of Washington, Seattle, Washington, USA., Bell M; Departments of Pediatrics, Children's National Medical Center, Washington, DC, USA., Tulsky DS; Center on Assessment Research and Translation, Departments of Physical Therapy and Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA., Bertisch H; The Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York, New York., Yeates KO; Department of Psychology, Hotchkiss Brain Institute, and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, USA., Rivara FP; The Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA.; Department of Pediatrics, University of Washington, Seattle, Washington, USA.; Center on Assessment Research and Translation, Departments of Physical Therapy and Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA.
Jazyk:	angličtina
Zdroj:	Brain injury [Brain Inj] 2021 Sep 19; Vol. 35 (11), pp. 1371-1381. Date of Electronic Publication: 2021 Sep 16.
DOI:	10.1080/02699052.2021.1972141
Abstrakt:	Objective: While prior studies have found parental socioeconomic status (SES) affects the outcomes of pediatric traumatic brain injury (TBI), the longitudinal trajectory of this effect is not well understood. Methods: This prospective cohort study included children 8-18 years of age admitted to six sites with a complicated mild (n = 123) or moderate-severe TBI (n = 47). We used caregiver education and household poverty level as predictors, and multiple quality of life and health behavior domains as outcomes. Differences at 6, 12, and 24 months from baseline ratings of pre-injury functioning were compared by SES. We examined the association between measures of SES and domains of functioning over the 24 months post-injury in children with a complicated mild or moderate- severe TBI, and determined how this association varied over time. Results: Parental education was associated with recovery among children with complicated mild TBI; outcomes at 6, 12, and 24 months were substantially poorer than at baseline for children with the least educated parents. After moderate-severe TBI, children in households with lower incomes had poorer outcomes compared to baseline across time. Implications: Parental education and household income were associated with recovery trajectories for children with TBI of varying severity.
Databáze:	MEDLINE
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