Voting Characteristics of Individuals With Traumatic Brain Injury

Mark A. Hirsch, Martha E. Kropf, Flora M. Hammond, Lisa Schur, Jason H. Karlawish, Andrew M. Ball

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Voting is the foundation of democracy. Limited data exist about voting characteristics of individuals with neurologic impairment including those living with a traumatic brain injury (TBI). To statistically examine voting characteristics using a convenience sample of registered voters with TBI during elections held in Mecklenburg County, North Carolina—2007, 2008. Data were collected on 51 participants with TBI during May 2007, 2008 general, and 2008 Presidential Election. (i) There was a significant difference between the Competence Assessment Tool for Voting (CAT-V) total score of participants with TBI who voted and the CAT-V total score of participants with TBI who did not vote and the CAT-V total score predicted voting; (ii) the age of the participants with TBI was predictive of voting; and (iii) being married was inversely related to voting. We find that there is variation in voting even among this small sample interviewed for the present study, and that the variation is predictable. Those with the highest CAT-Vs are most likely to vote. In addition, we find that traditional predictors of voting simply are not predictors among this TBI group, and even one, whether the person is married, has a negative effect on voting.

Original languageEnglish (US)
Pages (from-to)24-42
Number of pages19
JournalWorld Medical and Health Policy
Issue number1
StatePublished - Mar 2019

All Science Journal Classification (ASJC) codes

  • Health Policy


  • political participation
  • traumatic brain injury
  • voting


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