Incidence and associated risk factors of traumatic brain injury in a cohort of homeless and vulnerably housed adults in 3 Canadian cities
Open accessAbstract
Objective: To examine the factors associated with incident traumatic brain injury (TBI) among homeless and vulnerably housed persons over a 3-year follow-up period. Setting and participants: Data were obtained from the Health and Housing in Transition study, which tracked the health and housing status of 1190 homeless or vulnerably housed individuals in 3 Canadian cities for 3 years. Design and Main Measures: Main measure was self-reported incident TBI during the follow-up period. Factors associated with TBI were ascertained using mixed-effects logistic regression. Results: During first, second, and third years of follow-up, 187 (19.4%), 166 (17.1%), and 172 (17.9%) participants reported a minimum of 1 incident TBI, respectively. Among 825 participants with available data for all 3 years of follow-up, 307 (37.2%) reported at least 1 incident TBI during the 3-year follow-up period. Lifetime prevalence of TBI, endorsing a history of mental health diagnoses at baseline, problematic alcohol and drug use, younger age, poorer mental health, and residential instability were associated with increased risk of incident TBI during follow-up period. Conclusion: Mental health support and addressing residential instability and problematic substance use may reduce further risk of TBI and its associated poor health and social outcomes in this population.
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In Nikoo et al (2017), 718 of 1190 participants (60.3%) had a TBI.
“718/1190 (60·3%)”
From Traumatic brain injury in homeless and marginally housed individuals: a systematic review and meta-analysis (2020) · cites this paper as Nikoo et al (2017) 48
Nikoo and colleagues found that 17·1-19·4% of participants sustained TBI per year.
“found that 17·1-19·4% of participants sustained TBI per year. 48”
From Traumatic brain injury in homeless and marginally housed individuals: a systematic review and meta-analysis (2020) · cites this paper as [48]
In Nikoo et al (2017), 385 of 1190 participants (32.4%) had a TBI.
“385/1190 (32·4%)”
From Traumatic brain injury in homeless and marginally housed individuals: a systematic review and meta-analysis (2020) · cites this paper as Nikoo et al (2017) 48
Residential instability was associated with a higher incidence of TBI.
“Similarly, residential instability was associated with a higher incidence of TBI. 48”
From Traumatic brain injury in homeless and marginally housed individuals: a systematic review and meta-analysis (2020) · cites this paper as [48]
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- Authors
- Nikoo, M., Gadermann, A., To, M. J., Krausz, M., Hwang, S. W., & Palepu, A.
- Affiliations
- St. Michael's Hospital (CA)
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2017-07
- Volume
- 32
- Issue
- 4
- Pages
- E19-E26
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W2550720836
- Cited by
- 22
- References
- 36
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Head Trauma Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, homelessness, risk factors, residential instability, mental health, problematic substance use, alcohol consumption, drug use, incidence, lifetime prevalence, Canadian cities
- MeSH terms
- Brain Injuries, Traumatic, Adult, Canada, Female, Ill-Housed Persons, Humans, Male, Middle Aged, Surveys and Questionnaires, Residence Characteristics, Risk Factors, Cohort Studies, Incidence, Vulnerable Populations
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