Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil.
Nursing School of Porto, University of Porto, Porto, Portugal.
J Spinal Cord Med. 2023 Jan;46(1):75-82. doi: 10.1080/10790268.2021.1947679. Epub 2022 Jan 10.
To identify and analyze the biosocioeconomic profile associated with the occupation and education of persons with spinal cord injury (SCI) from Brazil.
Analytical, quantitative, descriptive, cross-sectional.
Sample composed of 618 Brazilian adults with SCI and access to the internet.
Community-based, Brazil.
An online form was developed and publicized on Brazilian social media to voluntarily register for participation in research. Pearson's Chi-squared test was used to analyze the association between categorical variables and the Kruskal Wallis test was used for comparisons and adjusted Odds Ratio with a 95% Confidence Interval.
Among the 618 participants, 68.9% were men, with mean age of 38.04 years (SD = 9.85); 58.7% were people with paraplegia and most injuries were traumatic (78.5%), most caused by road traffic accidents (40.8%) and weapons (17.5%). The majority were graduates or post-graduates (49.5%) and received an income of up to US$ 749.58 (55.1%); 70.9% of the participants were beneficiaries of social welfare (63.6%) or unemployed (7.3%). There was a reduction in the employment rate from 91.3% to 15.2% after SCI. An association was found between education and current occupation (P ≥ 0.001). Participants with higher education had higher odds (7.48) to being employed relative to those with elementary education.
A serious employment situation after SCI was found, with high unemployment and dependence on social welfare. This shows the need for investment in public policies for the rehabilitation, focused on participation, return to the labor market, and ending dependence on social welfare.
确定和分析与巴西脊髓损伤（SCI）患者的职业和教育相关的生物社会经济特征。
分析性、定量性、描述性、横断面研究。
样本由 618 名巴西成年 SCI 患者组成，他们可以上网。
巴西，社区为基础。
开发了一个在线表格，并在巴西社交媒体上发布，以自愿注册参加研究。使用 Pearson's Chi-squared 检验分析分类变量之间的关联，使用 Kruskal Wallis 检验进行比较和调整后的优势比及其 95%置信区间。
在 618 名参与者中，68.9%为男性，平均年龄为 38.04 岁（标准差=9.85）；58.7%为截瘫患者，大多数损伤为创伤性（78.5%），大多数由道路交通碰撞（40.8%）和武器（17.5%）引起。大多数参与者为毕业生或研究生（49.5%），收入不超过 749.58 美元（55.1%）；70.9%的参与者为社会福利受益人（63.6%）或失业者（7.3%）。SCI 后，就业率从 91.3%降至 15.2%。发现教育程度与当前职业之间存在关联（P≥0.001）。与接受过小学教育的参与者相比，接受过高等教育的参与者就业的可能性更高（优势比 7.48）。
发现 SCI 后就业情况严重，失业率高，依赖社会福利。这表明需要投资公共康复政策，重点是参与、重返劳动力市场，并结束对社会福利的依赖。
