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|Title: ||Women’s Health Outcomes After Traumatic Brain Injury|
|Authors: ||Colantonio, Angela|
|Issue Date: ||2010|
|Publisher: ||Journal of Women's Health|
|Citation: ||Colantonio, A., Mar, W., Yoshida, K., Escobar, M., Velikonja, D., Rizoli, S., Cusimano, M., & Cullen, N. (2010). Women’s health outcomes after traumatic brain injury. Journal of Women's Health, 19(6), 1109-1116.|
|Series/Report no.: ||19|
|Abstract: ||Background: Traumatic brain injury (TBI) is a major public health problem, yet little is known about how this
injury may affect long-term outcomes unique to women. This research examined the health outcomes relevant to
premenopausal women 5–12 years after injury.
Methods: This was a retrospective cohort study at eight participating acute care=rehabilitation facilities. Participants
were consecutive eligible women with moderate to severe TBI. A follow-up interview assessed menstrual
functioning, fertility, and pregnancy experiences before and after injury as well as cervical cancer screening.
Demographic variables, self-rated general and mental health, and functional limitations were also collected.
Injury-related information was abstracted from health records. Female control participants recruited were
matched on age, education, and geographic location.
Results: Of the 104 women with TBI (W-TBI), 46% experienced amenorrhea with duration of up to 60 months.
Cycles became irregular for 68% of W-TBI after the injury. These findings were significantly different from those
of controls. Among W-TBI, menstrual disturbances were associated with injury severity. No differences were
shown between W-TBI and controls with respect to fertility, although significantly fewer W-TBI had one or more
live births, and they reported more difficulties in the postpartum period than controls. W-TBI were less likely to
have regular Pap smears and reported lower mental health, self-rated health, and function.
Conclusions: These findings inform prognosis after TBI for women and provide evidence for long-term monitoring
of health outcomes and increased support after childbirth. More research is needed in this area, particularly
with respect to the neuroendocrine system.|
|Appears in Collections:||UofT Faculty publications|
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