Department of Adapted Physical Activity, Faculty of Sport Sciences, Poznań University of Physical Education, Poznań, Poland.
Department of Medical Rehabilitation, Faculty of Health Sciences, Medical University of Łódź, Łódź, Poland.
Arch Phys Med Rehabil. 2022 Jul;103(7):1285-1293. doi: 10.1016/j.apmr.2021.11.008. Epub 2021 Dec 17.
To analyze and compare life satisfaction (LS) in persons with spinal cord injury (SCI) living in 22 countries participating in the International Spinal Cord Injury (InSCI) community survey. The study tested the hypothesis that there are differences in LS across InSCI countries according to the countries' economic status specified as gross domestic product per capita purchased power parity (GDP-PPP).
Cross-sectional survey.
Community setting (22 countries representing all 6 World Health Organization regions).
Persons (N=12,108) with traumatic or nontraumatic SCI aged at least 18 years, living in the community and able to respond to one of the available language versions of the questionnaire.
Not applicable.
LS measured by 5 items selected from the World Health Organization Quality of Life Assessment-BREF: satisfaction with overall quality of life, health, daily activities, relationships, and living conditions. LS index was calculated as the mean of these 5 items.
The highest level of LS was reported by persons with SCI living in the United States, Malaysia, and Switzerland (mean range, 3.76-3.80), and the lowest was reported by persons with SCI living in South Korea, Japan, and Morocco (mean range, 2.81-3.16). There was a significant cubic association between LS index and GDP-PPP. Regression tree analysis revealed the main variables differentiating LS index were GDP-PPP and monthly income, followed by time since injury and education.
Life satisfaction reported by persons with SCI related mainly to their country economic situation expressed by GDP-PPP and monthly income. The results of this study underscore the need for policy dialogues to avoid inequalities and improve the life experience in persons with SCI.
分析和比较生活满意度（LS）在参与国际脊髓损伤（InSCI）社区调查的 22 个国家的脊髓损伤（SCI）患者。本研究检验了以下假设：根据人均国内生产总值购买力平价（GDP-PPP）指定的经济状况，InSCI 国家之间的 LS 存在差异。
横断面调查。
社区环境（代表世界卫生组织所有 6 个区域的 22 个国家）。
年龄至少 18 岁、居住在社区并能够回答问卷中可用语言版本之一的创伤性或非创伤性 SCI 患者。
不适用。
使用从世界卫生组织生活质量评估-简明量表中选择的 5 个项目测量 LS：对整体生活质量、健康、日常活动、人际关系和生活条件的满意度。LS 指数是这 5 个项目的平均值。
报告的 LS 水平最高的是居住在美国、马来西亚和瑞士的 SCI 患者（平均范围为 3.76-3.80），报告的 LS 水平最低的是居住在韩国、日本和摩洛哥的 SCI 患者（平均范围为 2.81-3.16）。LS 指数与 GDP-PPP 之间存在显著的三次关联。回归树分析显示，区分 LS 指数的主要变量是 GDP-PPP 和月收入，其次是受伤时间和教育程度。
SCI 患者报告的生活满意度主要与他们的国家经济状况（用 GDP-PPP 和月收入表示）有关。本研究的结果强调需要进行政策对话，以避免不平等现象，并改善 SCI 患者的生活体验。
