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Caregiver Characteristics of Adults with Acute Traumatic Brain Injury in the United States and Latin America

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  • Shannon B. Juengst

    (Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
    TIRR Memorial Hermann Brain Injury Research Center, Houston, TX 77030, USA
    Department of Physical Medicine & Rehabilitation, UT Health Sciences Center at Houston, Houston, TX 77030, USA)

  • Paul B. Perrin

    (Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
    Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA 23284, USA
    Central Virginia Veterans Affairs Health Care System, Richmond, VA 23249, USA)

  • Daniel W. Klyce

    (Central Virginia Veterans Affairs Health Care System, Richmond, VA 23249, USA
    Virginia Commonwealth University Health System, Richmond, VA 23284, USA
    Sheltering Arms Institute, Richmond, VA 23233, USA)

  • Therese M. O’Neil-Pirozzi

    (Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA 02129, USA
    Department of Communication Sciences and Disorders, Northeastern University, Boston, MA 02115, USA)

  • Susan Herrera

    (Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA)

  • Brittany Wright

    (Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA)

  • Jean Lengenfelder

    (Department of Physical Medicine & Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ 07101, USA
    Kessler Foundation, East Hanover, NJ 07936, USA)

  • Kirk Lercher

    (Department of Physical Medicine & Rehabilitation, JFK Johnson Rehabilitation Institute, Hackensack Meridian Health, Edison, NJ 08820, USA)

  • Librada Callender

    (Baylor Scott & White Institute for Rehabilitation, Dallas, TX 75246, USA)

  • Juan Carlos Arango-Lasprilla

    (BioCruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
    IKERBASQUE, Basque Foundation for Science, 48009 Bilbao, Spain
    Department of Cell Biology and Histology, University of the Basque Country, 48940 Leioa, Spain)

Abstract

Objectives : To compare characteristics of caregivers of adults with acute traumatic brain injury (TBI) in the U.S. and Latin America (Mexico and Colombia). Design : Secondary data analysis of two cohorts. Cohort 1: English-speaking caregivers of adults with TBI in the U.S. (n = 80). Cohort 2: Spanish-speaking caregivers of adults with TBI in Mexico or Colombia (n = 109). Results : Similarities between the U.S. and Latin American caregiver groups, respectively, were: predominantly women (81.3%, 81.7%, respectively); spouses/domestic partners (45%, 31.2%); and motor vehicle accident (41.5%, 48.6%) followed by fall etiologies (40%, 21.1%). Differences between U.S. and Latin American caregivers were: age (49.5 years, 41.5 years, p < 0.001); employment status (( Χ 5 2 = 59.63, p < 0.001), full-time employment (63.7%, 25.7%), homemaker (2.5%, 31.2%), and retired (17.5%, 1.8%)); violence-related etiology (2.5%, 15.6%); and severity of depressive symptoms ( M = 7.9, SD = 5.8; M = 5.8, SD = 5.7; p = 0.014). Conclusions : TBI caregivers in the U.S. were older and employed full-time or retired more often than those in Latin America. Violence-related etiology was nearly five times more common in Latin America, raising concerns for potential implications of post-traumatic stress and family adjustment after injury. Although both groups likely could use mental health support, this was particularly true of the U.S. cohort, maybe due to differential demographics, mechanisms of injury, or family and community support.

Suggested Citation

  • Shannon B. Juengst & Paul B. Perrin & Daniel W. Klyce & Therese M. O’Neil-Pirozzi & Susan Herrera & Brittany Wright & Jean Lengenfelder & Kirk Lercher & Librada Callender & Juan Carlos Arango-Lasprill, 2022. "Caregiver Characteristics of Adults with Acute Traumatic Brain Injury in the United States and Latin America," IJERPH, MDPI, vol. 19(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5717-:d:810822
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    References listed on IDEAS

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    1. Kirsten Lieshout & Joanne Oates & Anne Baker & Carolyn A. Unsworth & Ian D. Cameron & Julia Schmidt & Natasha A. Lannin, 2020. "Burden and Preparedness amongst Informal Caregivers of Adults with Moderate to Severe Traumatic Brain Injury," IJERPH, MDPI, vol. 17(17), pages 1-12, September.
    2. Annahir N. Cariello & Paul B. Perrin & Yaneth Rodríguez-Agudelo & Silvia Leonor Olivera Plaza & Maria Cristina Quijano-Martinez & Juan Carlos Arango-Lasprilla, 2020. "A Multi-Site Study of Traumatic Brain Injury in Mexico and Colombia: Longitudinal Mediational and Cross-Lagged Models of Family Dynamics, Coping, and Health-Related Quality of Life," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    3. Hofman, K. & Primack, A. & Keusch, G. & Hrynkow, S., 2005. "Addressing the growing burden of trauma and injury in low- and middle-income countries," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 13-17.
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