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Employment outcomes of adults who sustained spinal cord injuries as children or adolescents


Autor/in:

Anderson, C. J.; Vogel, L. C.


Herausgeber/in:

American Academy of Physical Medicine and Rehabilitation (AAPM&R)


Quelle:

Archives of Physical Medicine and Rehabilitation, 2002, Volume 83 (Number 6), Seite 791-801, Philadelphia, Pennsylvania: Saunders, ISSN: 0003-9993 (Print); 1532-821X (Online)


Jahr:

2002



Abstract:


Objectives:

To determine employment outcomes of adults with pediatric-onset spinal cord injury (SCI) and factors associated with those outcomes.

Design:

Structured interview, including standardized measures.

Setting:

Community.

Participants:

Individuals who sustained an SCI at age 18 years or younger, were 24 years or older at follow-up, did not have a significant brain injury, and were living in the United States or Canada. A total of 195 subjects were interviewed. Mean age at injury was 14 years (0-18 y), mean age at interview was 29 years (24-37 y), and mean duration of injury was 15 years (7-28 y). All participants had been enrolled in SCI programs.

Interventions:

Not applicable.

Main outcome measures:

A structured interview, the FIM instrument, the Craig Handicap Assessment and Recording Technique, the Medical Outcomes Study 12-Item Short-Form Health Survey, and the Satisfaction with Life Scale.

Results:

Of the participants, 99 (51%) were employed, 78 (40%) were unemployed, 12 (6%) were students, and 6 (3%) were homemakers. A predictive model of employment identified 4 factors associated with employment: education, community mobility, functional independence, and decreased medical complications. Other variables significantly associated with employment included community integration, independent driving, independent living, higher income, and life satisfaction.

Conclusions:

Compared with the general population, the high rate of unemployment among adults with pediatric-onset SCI is a cause for concern. Risk factors associated with adult unemployment provide guidelines for targeting rehabilitation resources and strategies.

[Abstract, Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation].


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Zeitschriftenbeitrag / Forschungsergebnis




Bezugsmöglichkeit:


Archives of Physical Medicine and Rehabilitation
Homepage: https://www.archives-pmr.org/

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Referenznummer:

R/ZA0832


Informationsstand: 13.02.2004

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