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Healthcare Access and Socioeconomic Status among African-Americans with Traumatic Brain Injury Compared with the General Population. Lee Saunders, PhD; James S. Krause, PhD; Joshua Acuna, MPH Medical University of South Carolina. Objective
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Healthcare Access and Socioeconomic Status among African-Americans with Traumatic Brain Injury Compared with the General Population Lee Saunders, PhD; James S. Krause, PhD; Joshua Acuna, MPH Medical University of South Carolina • Objective • The objective of this study was to identify the extent to which African-Americans with traumatic brain injury (TBI) have equal healthcare access and comparable socioeconomic status (SES) compared to African-Americans in the general population. • Methods • TBI Cohort • Participants were identified through the South Carolina TBI Surveillance System Registry. There were 246 African-American participants, aged 18 years or older, injured with TBI in South Carolina who responded to a mail-in survey. • General Population Cohort • Data from the 2009 Behavioral Risk Factor Surveillance System (BRFSS) were downloaded for comparison. Only participants from South Carolina who reported being African-American were included (n=2842). • Results • Participants with TBI had lower SES as defined by education and household income than persons in the general population. • Persons with TBI were also • more likely to have more than one person they thought of as their personal doctor (compared with only one) • were more likely to have been unable to see a doctor in the past 12 months because of cost • were less likely to have had a routine check-up in the past year • were more likely to have no health care coverage. Figure 1. Healthcare Access between Participants with TBI and in the General Population • Discussion • African-Americans with TBI have less access to care and lower SES than African-Americans in the general population. • Persons with a TBI are a vulnerable population, and reduced access to health care could create even wider disparities in health outcomes. • Future Directions • Examine the effect of disparities in healthcare access on health after TBI. Website: www.longevityafterinjury.com; Lee Saunders: saundel@musc.edu; James Krause: krause@musc.edu The contents of this presentation were developed under a grant from the Department of Education, NIDRR grant number H133A080064. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government.