Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA.
Spinal Cord. 2010 Jun;48(6):487-91. doi: 10.1038/sc.2009.157. Epub 2009 Nov 24.
Data were cross-sectional and were collected by survey methodology.
To investigate factors predictive of length of time between spinal cord injury (SCI) onset and start of first post-injury employment and full-time employment.
A large specialty hospital in the Southeastern United States, with additional participant samples from two hospitals in the Midwestern United States.
Participants were identified from patient records at the participating hospitals. They met the following three exclusion/inclusion criteria: traumatic SCI, at least 18 years of age at time of survey, and a minimum of 1-year after SCI. Outcome measures were years from injury onset to beginning first post-injury job and years to first full-time post-injury job. Two separate models were developed for each outcome using a regression analysis. All those 10 years and more post-injury were censored (that is eliminated) in the analysis.
Having a higher level of education, less severe injury, being Caucasian, and returning to the pre-injury employer were associated with a shorter interval to initiation of employment with 10-year censoring. In addition to these variables, gender was associated with time to return to first full-time job.
The findings underscore the importance of using pre-injury education and opportunities to return to the pre-injury employer to minimize the length of time until initiation of employment after SCI.
数据为横断面，采用调查方法收集。
调查预测脊髓损伤（SCI）发病与首次损伤后就业和全职就业开始之间时间长短的因素。
美国东南部的一家大型专科医院，另外还从美国中西部的两家医院抽取了参与者样本。
在参与医院的患者记录中确定参与者。他们符合以下三个排除/纳入标准：外伤性 SCI，在调查时至少 18 岁，且 SCI 后至少 1 年。结果测量为从损伤发病到开始第一份损伤后工作的年限和到第一份损伤后全职工作的年限。使用回归分析为每个结果分别建立了两个模型。所有在 10 年及以上的患者在分析中被截尾（即消除）。
具有较高的教育水平、较轻的损伤程度、白种人身份以及返回受伤前的雇主与在 10 年截尾的情况下缩短就业开始时间相关。除了这些变量外，性别与首次全职工作的时间相关。
这些发现强调了利用受伤前的教育和机会返回受伤前的雇主来最小化 SCI 后开始就业所需时间的重要性。
