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种族、就业与脊髓损伤。

Race, employment, and spinal cord injury.

作者信息

Meade Michelle A, Lewis Allen, Jackson M Njeri, Hess David W

机构信息

Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, VCU Medical Center, Richmond, VA 23298-0677, USA.

出版信息

Arch Phys Med Rehabil. 2004 Nov;85(11):1782-92. doi: 10.1016/j.apmr.2004.05.001.

DOI:10.1016/j.apmr.2004.05.001
PMID:15520973
Abstract

OBJECTIVES

To examine issues of employment and race for persons with spinal cord injury (SCI), by assessing the type of work that was being done before and after injury and by placing this in the context of patterns for the general population.

DESIGN

Retrospective, cross-sectional analysis.

SETTING

Centers funded as part of the federally sponsored Model Spinal Cord Injury Systems (MSCIS) Project.

PARTICIPANTS

Two samples: 5925 African Americans and whites with SCI who are part of the MSCIS and a subset of 577 people with SCI.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Demographic information, occupational status, employment rate, job census codes, Craig Hospital Assessment and Reporting Technique-Short Form, and Satisfaction With Life Scale.

RESULTS

Racial disparities were found in employment rates before injury and at 1, 5, 10, 15, and 20 years after SCI. Differences were also found in the types of jobs that were held before SCI with patterns for participants similar to those of African Americans and whites in the general population. No differences were found in the types of jobs held by African Americans and whites with SCI at 1 year after injury. After injury, African Americans had lower economic self-sufficiency scores, regardless of employment status, and lower social integration scores among those who were not employed.

CONCLUSIONS

Racial disparities found in employment patterns among persons with SCI mirrored patterns among the general population.

摘要

目的

通过评估脊髓损伤(SCI)患者受伤前后所从事的工作类型,并将其置于普通人群模式的背景下,研究脊髓损伤患者的就业和种族问题。

设计

回顾性横断面分析。

背景

作为联邦政府资助的脊髓损伤示范系统(MSCIS)项目一部分而获得资助的中心。

参与者

两个样本:5925名非裔美国人和白人脊髓损伤患者,他们是MSCIS的一部分,以及577名脊髓损伤患者的一个子集。

干预措施

不适用。

主要观察指标

人口统计学信息、职业状况、就业率、职业普查代码、克雷格医院评估与报告技术简表以及生活满意度量表。

结果

在受伤前以及脊髓损伤后1年、5年、10年、15年和20年的就业率方面发现了种族差异。在脊髓损伤前从事的工作类型方面也发现了差异,参与者的模式与普通人群中的非裔美国人和白人相似。在受伤后1年,脊髓损伤的非裔美国人和白人所从事的工作类型没有差异。受伤后,无论就业状况如何,非裔美国人的经济自给自足得分较低,未就业者的社会融合得分较低。

结论

脊髓损伤患者就业模式中发现的种族差异反映了普通人群中的模式。

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