Correlates of employment and postsecondary education enrolment in Afghanistan and Iraq veterans with traumatic brain injuries.

Correlates of employment and postsecondary education enrolment in Afghanistan and Iraq veterans with traumatic brain injuries.
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患有脑外伤的阿富汗和伊拉克退伍军人的就业和高等教育入学率的相关性。

DOI:
10.1080/02699052.2018.1431845
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发表时间:
2018
期刊:
影响因子:
1.9
通讯作者:
Twamley,ElizabethW
Twamley,ElizabethW
中科院分区:
医学4区
文献类型:
--
作者:
Olsen,DonaldC;Hays,ChelseaC;Orff,HenryJ;Jak,AmyJ;Twamley,ElizabethW

文献摘要

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主要目的:大约20%的伊拉克和阿富汗退伍军人遭受创伤性脑损伤(TBI),这可能导致脑震荡后症状,难以从军队过渡到平民就业和中学后教育。为了更好地为帮助退伍军人过渡到平民生活提供信息,我们评估了有TBI病史的寻求治疗的退伍军人的就业和中学后教育入学率的相关性。研究设计:一个横断面设计,使用档案数据库的VA医疗记录,被用来回答这些研究questions.Methods和程序:我们研究了人口,TBI相关的,脑震荡后,精神和神经心理因素在390名退伍军人(86%轻度TBI),以确定哪些因素与就业或入学中学后教育。Bivariate correlations and multivariate regression were used.Main Outcomes and Results:年龄,少数民族地位,和服务连接残疾评级与就业和中学后教育入学率在多变量的背景下,而TBI相关因素和神经认知,postconcussive,和精神症状的严重程度与就业或中学后教育outcomes.Conclusions:需要进一步的研究来证实这些发现,并评估年龄,少数民族地位,和残疾的贡献成功返回工作和/或学校的退伍军人与TBI的历史。
Primary Objective:About 20% of Iraq and Afghanistan Veterans have sustained a traumatic brain injury (TBI), which can result in postconcussive symptoms and difficulty transitioning from the military to civilian employment and postsecondary education. To better inform programs help Veterans transition back into civilian life, we evaluated correlates of employment and postsecondary education enrolment among treatment-seeking Veterans with a history of TBI. Research Design: A cross-sectional design, using an archival database of VA medical records, was used to answer these research questions.Methods and Procedures:We examined demographic, TBI-related, postconcussive, psychiatric, and neuropsychological factors in 390 Veterans (86% with mild TBI) to determine what factors were associated with employment or enrolment in postsecondary education. Bivariate correlations and multivariate regression were used.Main Outcomes and Results:age, minority status, and service connected disability ratings were significantly associated with employment and postsecondary education enrolment in a multivariate context, whereas TBI-related factors and neurocognitive, postconcussive, and psychiatric symptom severity were not associated with employment or postsecondary education outcomes.Conclusions:Further research is needed to confirm these findings and to evaluate the contribution of age, minority status, and disability on successful return to work and/or school for Veterans with a history of TBI.