Sex, Gender, and Concussion

Colantonio, Angela

doi:10.1007/978-3-030-93813-0_10

Cited by 3 publications

(5 citation statements)

References 53 publications

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“…Concussion injuries have also been noted to occur in all industry sectors, from healthcare to social services 34 . The finding that increased exposure to workplace assaults and animate mechanical forces contribute to the increased incidence concussion, particularly among females, have also been reported elsewhere, 35–37 including in Ontario, 38 and point to the increasing public health concern of aggressive and violent behaviors in workplace settings.…”

Section: Discussionmentioning

confidence: 91%

Trends in severity of work‐related traumatic injury and musculoskeletal disorder, Ontario 2004–2017

Biswas,

Mustard,

Landsman

2024

American J Industrial Med

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ObjectivesTraumatic injury surveillance can be enhanced by describing injury severity trends. This study reports trends in work‐related injury severity for males and females over the period 2004–2017 in Ontario, Canada.MethodsA weighted measure of workers' compensation benefit expenditures was used to define injury severity, obtained from the linkage of workers' compensation claims to emergency department (ED) records where the main injury or illness was attributed to work. Denominator counts were obtained from Statistics Canada's Labor Force Survey. Trends in the annual incidence of injury, classified as low, moderate, or high severity, were examined using regression modeling, stratified by age and sex.ResultsOver a 14‐year observation period, there were 1,636,866 ED records included in the analyses. Overall, 57.6% of occupational injury records were classified as low severity, 29.5% as moderate severity, and 12.8% as high severity conditions. There was an increase in the incidence of high severity injuries among females (annual percent change (APC): 1.52%; 95% CI: 0.77, 2.28), while the incidence of low and moderate severity injuries generally declined for males and females. Among females, injuries attributed to animate mechanical forces and assault increased as causes of low, moderate, and high severity injuries. The incidence of concussion increased for both males (APC: 10.51%; 95% CI: 8.18, 12.88) and females (APC: 16.37%; 95% CI: 13.37, 19.45).ConclusionThe incidence of severe work‐related injuries increased among females in Ontario between 2004 and 2017. The methods applied in this surveillance study of traumatic injury severity are plausibly generalizable to applications in other jurisdictions.

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Section: Discussionmentioning

confidence: 91%

Trends in severity of work‐related traumatic injury and musculoskeletal disorder, Ontario 2004–2017

Biswas,

Mustard,

Landsman

2024

American J Industrial Med

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“…Finally, we were unable to measure TBI-related neurological symptoms that might be associated with mental illness risk. 16 – 18 …”

Section: Discussionmentioning

confidence: 99%

“…It is also important to note that preconception health is often defined more broadly in terms of the health of all individuals of reproductive age, regardless of their pregnancy intentions or pregnancy outcome. [6][7][8][9] While there have been a number of studies on the association between TBI and mental illness in females broadly (regardless of age), [16][17][18] future studies could also examine the association in females of reproductive age.…”

Section: Limitationsmentioning

confidence: 99%

“…Finally, we were unable to measure TBI-related neurological symptoms that might be associated with mental illness risk. [16][17][18] Administrative data only capture mental illness resulting in publicly funded health care, thus missing individuals with undiagnosed mental illness and those using private services. It is possible individuals with TBI experience access barriers to mental health care, resulting in under-ascertainment of mental illness.…”

Section: Limitationsmentioning

confidence: 99%

“…[12][13][14][15][16] Notably, there is evidence that females' mental health after TBI may be affected more often than that of males, possibly due to their longer recovery time and greater burden of neurological symptoms, including dizziness, fatigue, and headaches. [16][17][18] Yet, while an understanding of mental health before pregnancy is critical for informing preconception and perinatal supports, [9][10][11][12] there are no data, to our knowledge, on the prevalence of active mental illness before pregnancy, overall or according to sociodemographic, health, and injury-related characteristics, among individuals with TBI.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mental Illness in the 2 Years Prior to Pregnancy in a Population With Traumatic Brain Injury: A Cross-Sectional Study: La maladie mentale dans les deux ans précédant une grossesse dans une population souffrant de lésion cérébrale traumatique : une étude transversale

Brown,

Strauss,

Fung

et al. 2024

Can J Psychiatry

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Objective Existing studies, in mostly male samples such as veterans and athletes, show a strong association between traumatic brain injury (TBI) and mental illness. Yet, while an understanding of mental health before pregnancy is critical for informing preconception and perinatal supports, there are no data on the prevalence of active mental illness before pregnancy in females with TBI. We examined the prevalence of active mental illness ≤2 years before pregnancy (1) in a population with TBI, and (2) in subgroups defined by sociodemographic, health, and injury-related characteristics, all compared to those without TBI. Method This population-based cross-sectional study was completed in Ontario, Canada, from 2012 to 2020. Modified Poisson regression generated adjusted prevalence ratios (aPRs) of active mental illness ≤2 years before pregnancy in 15,585 females with TBI versus 846,686 without TBI. We then used latent class analysis to identify subgroups with TBI according to sociodemographic, health, and injury-related characteristics and subsequently compared them to females without TBI on their outcome prevalence. Results Females with TBI had a higher prevalence of active mental illness ≤2 years before pregnancy than those without TBI (44.1% vs. 25.9%; aPR 1.46, 95% confidence interval, 1.43 to 1.49). There were 3 TBI subgroups, with Class 1 (low-income, past assault, recent TBI described as intentional and due to being struck by/against) having the highest outcome prevalence. Conclusions Females with TBI, and especially those with a recent intentional TBI, have a high prevalence of mental illness before pregnancy. They may benefit from mental health screening and support in the post-injury, preconception, and perinatal periods.

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“A whole ball of all-togetherness”: The interwoven experiences of intimate partner violence, brain injury, and mental health

Toccalino,

Haag,

Nalder

et al. 2024

PLoS ONE

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Background Intimate partner violence (IPV) is a global public health crisis, with physical violence leaving IPV survivors at high risk of brain injury (BI). Both BI and IPV have significant physical, psychological, cognitive, and social impacts, including a high risk of mental health concerns, yet there is limited exploration of IPV survivors’ experiences with BI and mental health. This study aimed to explore the BI- and mental health-related needs and experiences of IPV survivors from the perspectives of survivors and service providers with the objective of developing knowledge translation materials to raise awareness and support survivors and service providers in addressing these concerns. Methods This qualitative interpretive description study involved 19 semi-structured interviews and two focus group discussions (2–3 participants each) with 24 participants including IPV survivors experiencing BI and mental health concerns as well as IPV, mental health, and BI service providers between October 2020 and February 2021. Three screening questions were used to identify probable BI among survivors. Participants across groups were an average of 48.5±12.7 years old and were predominantly cisgender women (96%), of European origin (75%), with a university degree (71%). Interviews were recorded, transcribed, and thematically analyzed. Findings Across interviews, participants spoke about IPV, BI, and mental health as being complex and interrelated experiences that have impacts across the survivor’s life and extend well beyond the abusive relationship. Because of the underrecognized nature of BI in IPV, finding and accessing care requires persistence that survivors spoke of as being like “a full-time job.” The benefit of making meaningful connections, particularly with other survivors, was highlighted. Conclusions Recognition of BI as a contributing factor shaping the lived experience of IPV survivors; acknowledgement that the impacts of IPV, BI, and mental health are far reaching and long lasting; and reducing barriers to finding and accessing appropriate care are critical to better supporting IPV survivors with BI and mental health concerns. Clinicians should consider BI and its lingering impacts among the IPV survivors with whom they work. Health and social policy that supports integration of care and the reduction of unnecessary barriers should be a priority.

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Sex, Gender, and Concussion

Cited by 3 publications

References 53 publications

Trends in severity of work‐related traumatic injury and musculoskeletal disorder, Ontario 2004–2017

Trends in severity of work‐related traumatic injury and musculoskeletal disorder, Ontario 2004–2017

Mental Illness in the 2 Years Prior to Pregnancy in a Population With Traumatic Brain Injury: A Cross-Sectional Study: La maladie mentale dans les deux ans précédant une grossesse dans une population souffrant de lésion cérébrale traumatique : une étude transversale

“A whole ball of all-togetherness”: The interwoven experiences of intimate partner violence, brain injury, and mental health

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