Escorpizo, Reuben and Naud, Shelly and Post, Marcel W. M. and Schwegler, Urban and Engkasan, Julia and Halvorsen, Annette and Geraghty, Timothy and Sadowsky, Cristina (2024) 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. Spinal Cord, 62 (3). pp. 110-116. ISSN 1362-4393, DOI https://doi.org/10.1038/s41393-023-00953-8.
Full text not available from this repository.Abstract
Study designCross-sectional study.ObjectivesWork-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.SettingCommunity.MethodsWe 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.ResultsParticipants' 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.ConclusionsEmployment 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.
| Item Type: | Article |
|---|---|
| Funders: | International Spinal Cord Injury (InSCI) Community Survey (S23-S34) |
| Uncontrolled Keywords: | Employment; quality of life; health; spinal cord injury; InSCI Community Survey |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Universiti Malaya |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 14 Nov 2024 04:48 |
| Last Modified: | 14 Nov 2024 04:48 |
| URI: | http://eprints.um.edu.my/id/eprint/45915 |
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