Krause J S, Coker J L, Charlifue S, Whiteneck G G
Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA.
Arch Phys Med Rehabil. 2000 Jul;81(7):924-31. doi: 10.1053/apmr.2000.5618.
To identify factors related to risk for poor health outcomes and secondary conditions in a sample of American Indians with spinal cord injury (SCI).
Interviews were conducted by telephone with most participants; those who did not have telephones returned materials by mail.
A large rehabilitation hospital in the Western/ Mountain region of the United States.
Ninety-seven American Indians with SCI completed a comprehensive health interview. All participants were adults with traumatic SCI and were at least 1 year postinjury.
Selected items from the Behavioral Risk Factor Surveillance System were used to assess health behaviors and general health outcomes. Two secondary conditions were also investigated as outcome measures: pressure sores and post-SCI injuries.
Multiple linear regression was used to predict seven health-related outcomes. Depressive symptomatology and post-SCI injuries were the primary predictors of the majority of health outcomes. Alcohol consumption was associated with a greater risk for post-SCI injuries, and being older at injury was associated with poorer health outcomes.
Interventions to reduce depression, injuries, and alcohol misuse have potential for improving health among American Indians with SCI.
在患有脊髓损伤（SCI）的美国印第安人样本中，确定与健康不良后果及继发疾病风险相关的因素。
通过电话对大多数参与者进行访谈；没有电话的参与者通过邮件返还材料。
美国西部/山区的一家大型康复医院。
97名患有SCI的美国印第安人完成了一次全面的健康访谈。所有参与者均为患有创伤性SCI的成年人，且受伤至少1年。
采用行为危险因素监测系统中的特定条目来评估健康行为和总体健康结局。还将两种继发疾病作为结局指标进行调查：压疮和SCI后损伤。
采用多元线性回归预测7项与健康相关的结局。抑郁症状和SCI后损伤是大多数健康结局的主要预测因素。饮酒与SCI后损伤风险增加相关，受伤时年龄较大与健康结局较差相关。
减少抑郁、损伤和酒精滥用的干预措施有可能改善患有SCI的美国印第安人的健康状况。
