Bogner Jennifer, Corrigan John D, Yi Honggang, Singichetti Bhavna, Manchester Kara, Huang Lihong, Yang Jingzhen
Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus (Drs Bogner and Corrigan); Center for Injury Research and Policy, Nationwide Children's Hospital, Columbus, Ohio (Drs Yi, Huang, and Yang and Ms Singichetti); Department of Biostatistics, Nanjing Medical University, Jiangsu Province, China (Dr Yi); Ohio Violence and Injury Prevention Program, Ohio Department of Health, Columbus (Ms Manchester); and Department of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, China (Dr Huang).
J Head Trauma Rehabil. 2020 Jan/Feb;35(1):E43-E50. doi: 10.1097/HTR.0000000000000488.
To investigate the relationships between indices of lifetime history of traumatic brain injury (TBI) exposure and measures of behavioral health status among Ohioans.
A random sample (n = 6996) of Ohioans contacted to complete the 2014 Ohio Behavioral Risk Factors Surveillance System (BRFSS).
A cross-sectional survey.
The Ohio State University TBI Identification Method adapted for BRFSS module and BRFSS behavioral indicators.
After demographic adjustment, lifetime history of TBI was found to be associated with increased odds of binge drinking, heavy drinking, smoking, a depressive disorder, or mental health not being good (≥2 days and ≥14 days in last 30 days). Mixed findings across behavioral indicators were observed in regard to number and severity of injury. Age at first injury showed no remarkable associations with the behavioral health indicators.
Ohioans who have sustained at least one TBI with loss of consciousness in their lifetime are at increased risk for poor behavioral health, including alcohol misuse, smoking, and depression. The findings underscore the need for community-based mental health treatment programs to screen for TBI history in their intake evaluations, and to train clinicians on the provisions of accommodations for cognitive and behavioral deficits.
调查俄亥俄州居民一生中创伤性脑损伤（TBI）暴露指数与行为健康状况指标之间的关系。
随机抽取的6996名俄亥俄州居民样本，他们被联系以完成2014年俄亥俄州行为危险因素监测系统（BRFSS）。
横断面调查。
为BRFSS模块改编的俄亥俄州立大学TBI识别方法和BRFSS行为指标。
经过人口统计学调整后，发现TBI的终生史与暴饮、酗酒、吸烟、抑郁症或心理健康不佳（过去30天内≥2天且≥14天）的几率增加有关。在行为指标方面，观察到关于损伤数量和严重程度的混合结果。首次受伤年龄与行为健康指标无显著关联。
一生中至少经历过一次伴有意识丧失的TBI的俄亥俄州居民，行为健康状况不佳的风险增加，包括酒精滥用、吸烟和抑郁症。研究结果强调，基于社区的心理健康治疗项目需要在 intake evaluations中筛查TBI病史，并培训临床医生为认知和行为缺陷提供便利。 （注：“intake evaluations”这里直接保留英文未准确翻译，因为不清楚其在医学领域的准确中文术语，可能是“入院评估”之类的，需结合专业知识进一步确定准确翻译）
