Cargando…

Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS

This study examined if the associations between lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) and unhealthy alcohol use or mental health problems differ by location of living (rural vs. urban). The lifetime history data of TBI with LOC, location of living, unhealt...

Descripción completa

Detalles Bibliográficos
Autores principales: Feiss, Robyn, Corrigan, John D., Ding, Kele, Beaulieu, Cynthia L., Bogner, Jennifer, Yang, Jingzhen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835472/
https://www.ncbi.nlm.nih.gov/pubmed/35162700
http://dx.doi.org/10.3390/ijerph19031678
_version_ 1784649442476949504
author Feiss, Robyn
Corrigan, John D.
Ding, Kele
Beaulieu, Cynthia L.
Bogner, Jennifer
Yang, Jingzhen
author_facet Feiss, Robyn
Corrigan, John D.
Ding, Kele
Beaulieu, Cynthia L.
Bogner, Jennifer
Yang, Jingzhen
author_sort Feiss, Robyn
collection PubMed
description This study examined if the associations between lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) and unhealthy alcohol use or mental health problems differ by location of living (rural vs. urban). The lifetime history data of TBI with LOC, location of living, unhealthy alcohol use (binge drinking, heavy drinking), and mental health problems (depression diagnosis, number of poor mental health days) were sourced from the 2016, 2017, 2018, and 2019 Ohio Behavioral Risk Factory Surveillance Surveys, and the final sample included 16,941 respondents. We conducted multivariable logistic regressions to determine the odds ratios for each of the five outcomes between individuals living in rural vs. urban areas and between individuals with vs. without a lifetime history of TBI with LOC. No interaction between location of living and lifetime history of TBI with LOC was observed for any outcomes, indicating rurality did not modify these relationships. Living in a rural area was associated with decreased binge drinking or heavy drinking but not mental health outcomes. Lifetime history of TBI with LOC was associated with an increased risk of binge drinking, heavy drinking, depression diagnoses, and poor general mental health, regardless of location of living. Our findings support the need for TBI screenings as part of mental health intake evaluations and behavioral health screenings. Though rurality was not associated with mental health outcomes, rural areas may have limited access to quality mental health care. Therefore, future research should address access to mental health services following TBI among rural residents.
format Online
Article
Text
id pubmed-8835472
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88354722022-02-12 Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS Feiss, Robyn Corrigan, John D. Ding, Kele Beaulieu, Cynthia L. Bogner, Jennifer Yang, Jingzhen Int J Environ Res Public Health Article This study examined if the associations between lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) and unhealthy alcohol use or mental health problems differ by location of living (rural vs. urban). The lifetime history data of TBI with LOC, location of living, unhealthy alcohol use (binge drinking, heavy drinking), and mental health problems (depression diagnosis, number of poor mental health days) were sourced from the 2016, 2017, 2018, and 2019 Ohio Behavioral Risk Factory Surveillance Surveys, and the final sample included 16,941 respondents. We conducted multivariable logistic regressions to determine the odds ratios for each of the five outcomes between individuals living in rural vs. urban areas and between individuals with vs. without a lifetime history of TBI with LOC. No interaction between location of living and lifetime history of TBI with LOC was observed for any outcomes, indicating rurality did not modify these relationships. Living in a rural area was associated with decreased binge drinking or heavy drinking but not mental health outcomes. Lifetime history of TBI with LOC was associated with an increased risk of binge drinking, heavy drinking, depression diagnoses, and poor general mental health, regardless of location of living. Our findings support the need for TBI screenings as part of mental health intake evaluations and behavioral health screenings. Though rurality was not associated with mental health outcomes, rural areas may have limited access to quality mental health care. Therefore, future research should address access to mental health services following TBI among rural residents. MDPI 2022-02-01 /pmc/articles/PMC8835472/ /pubmed/35162700 http://dx.doi.org/10.3390/ijerph19031678 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Feiss, Robyn
Corrigan, John D.
Ding, Kele
Beaulieu, Cynthia L.
Bogner, Jennifer
Yang, Jingzhen
Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title_full Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title_fullStr Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title_full_unstemmed Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title_short Rural–Urban Differences in Behavioral Outcomes among Adults with Lifetime History of Traumatic Brain Injury with Loss of Consciousness: 2016–2019 Ohio BRFSS
title_sort rural–urban differences in behavioral outcomes among adults with lifetime history of traumatic brain injury with loss of consciousness: 2016–2019 ohio brfss
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835472/
https://www.ncbi.nlm.nih.gov/pubmed/35162700
http://dx.doi.org/10.3390/ijerph19031678
work_keys_str_mv AT feissrobyn ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss
AT corriganjohnd ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss
AT dingkele ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss
AT beaulieucynthial ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss
AT bognerjennifer ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss
AT yangjingzhen ruralurbandifferencesinbehavioraloutcomesamongadultswithlifetimehistoryoftraumaticbraininjurywithlossofconsciousness20162019ohiobrfss