The prevalence of traumatic brain injury (TBI) among homeless people has been highlighted through a new study, which identifies the urgency of healthcare intervention and appropriate support.
Through a study of 326 homeless and precariously housed people, 31 per cent reported acquiring at least one TBI during the year they were screened.
The investigators also reported that of those injured, 61 per cent reported one TBI and 39 per cent reported multiple injuries over the observation year.
Falls accounted for 45 per cent of the TBIs, followed by assaults at 25 per cent.
Rates of TBIs amongst males and females were similar, but females were at higher odds to sustain a TBI from a fall, while males were at higher odds for TBI from assault.
The study, carried out in Vancouver’s Downtown Eastside, revealed “endemic” levels of TBI, says the study’s lead author Dr Tiffany O’Connor, from Simon Fraser University, who worked with the University of British Columbia on the study.
“The rates of TBIs we revealed were endemic,” says Dr O’Connor, whose doctoral research is partially based upon this work.
“Considering that these community members often experience cognitive impairment, social and occupational challenges, and numerous comorbid conditions (e.g., psychiatric and neurological), the high rates of TBI captured highlight the need to prioritise prevention and outreach approaches to this population.”
As has been done in more privileged populations at risk for TBI, comprehensive educational outreach may prevent possible debilitating effects arising with the accumulation of multiple TBIs over time, she added.
The proportion of people with TBIs builds on previous research which shows the scale of the issue, and why intervention is needed, the researchers said.
