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Relationship between employment and quality of life and self-perceived health in people with spinal cord injury: an international comparative study based on the InSCI Community Survey.
Escorpizo, Reuben; Naud, Shelly; Post, Marcel W M; Schwegler, Urban; Engkasan, Julia; Halvorsen, Annette; Geraghty, Timothy; Sadowsky, Cristina.
Afiliación
  • Escorpizo R; The University of Vermont, Department of Rehabilitation and Movement Science, Burlington, VT, USA. reuben.escorpizo@med.uvm.edu.
  • Naud S; Swiss Paraplegic Research, Nottwil, Switzerland. reuben.escorpizo@med.uvm.edu.
  • Post MWM; The University of Vermont, Department of Rehabilitation and Movement Science, Burlington, VT, USA.
  • Schwegler U; Centre of Excellence for Rehabilitation Medicine, UMC Brain Center, University Medical Centre Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
  • Engkasan J; University of Groningen, University Medical Centre Groningen, Centre for Rehabilitation, Groningen, The Netherlands.
  • Halvorsen A; Swiss Paraplegic Research, Nottwil, Switzerland.
  • Geraghty T; Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
  • Sadowsky C; Universiti Malaya, Lumpur, Malaysia.
Spinal Cord ; 62(3): 110-116, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38160224
ABSTRACT
STUDY

DESIGN:

Cross-sectional study.

OBJECTIVES:

Work-related disability is common in persons with spinal cord injury (SCI). The aims of this study are to examine the associations of employment with self-perceived health (SPH) and quality of life (QoL) across 22 countries and to explore the covariates around employment and SPH and QoL.

SETTING:

Community.

METHODS:

We analyzed 9494 community-dwelling persons with SCI aged 18-65. We performed an adjusted regression and path analysis. The independent variable was 'employment' and the dependent variables were two single items QoL (very poor to very good) and SPH (excellent to poor). Covariates included the Gross Domestic Product (GDP), education, time since SCI, age, gender, years of employment after SCI, SCI level (paraplegia, tetraplegia), and completeness of SCI.

RESULTS:

Participants' mean age was 47, 74% were male, and 63% had paraplegia. We found an association between employment and QoL and SPH. While the magnitude of the effect of employment on QoL did not differ across GDP quartiles, its perceived effect on QoL was found to be significant in the highest GDP quartile. Employment was predictive of good SPH in two GDP quartiles (Q1 and Q4), but significant across all quartiles when predicting poor perceptions, with the magnitude of effect varying significantly.

CONCLUSIONS:

Employment is closely related to QoL and SPH depending on the GDP. We may positively influence the QoL and SPH in the SCI population to promote better employment outcomes by considering the infrastructure and economy.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Traumatismos de la Médula Espinal Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Spinal Cord / Spinal cord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Traumatismos de la Médula Espinal Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Spinal Cord / Spinal cord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos