From the The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane.
From the The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane.
Arch Phys Med Rehabil. 2022 Dec;103(12):2345-2354. doi: 10.1016/j.apmr.2022.04.011. Epub 2022 May 16.
To explore the association between sociodemographic, health, functional independence, and environmental variables with engagement in paid work for people with spinal cord injury (SCI).
Self-reported, cross-sectional Australian data from a large international SCI survey.
Community-based.
1189 working-age people with SCI (18-67 years) or aged >67 years and engaged in paid employment. Respondents were community based and at least 1 year after injury.
Not applicable.
Employment and work integration variables. Bayesian penalized regression was used to determine associations between 23 predictor variables and engagement in paid work.
Most participants (87%) were employed pre-injury, with 39% in paid employment at the time of the survey. Participants who attained a master's/doctoral degree (odds ratio [OR]=3.01; 95% credible interval [CrI], 1.63, 5.44) and those married (OR=1.68; 95% CrI, 1.13, 2.49) were more likely to be engaged in paid work. Women (OR=0.55; 95% CrI, 0.37, 0.81), people receiving a disability pension (OR=0.17; 95% CrI, 0.13, 0.24), and older participants (OR=0.75; 95% CrI, 0.63, 0.90) were less likely to be in paid work. Working participants identified hardships including problems completing their work (60%) and accessing the workplace (32%), as well as unmet needs relating to assistive devices required for completing their work (50%).
Findings from the current study can assist in directing resources to subgroups within the SCI population who need greater assistance or intervention related to employment outcomes, including through vocational rehabilitation services/programs. Unmet needs and workplace issues expressed by employed individuals identify gaps in work integration and satisfaction that could affect employment sustainability that need to be addressed.
探讨社会人口统计学、健康、功能独立性和环境变量与脊髓损伤（SCI）患者参与有偿工作的关系。
来自一项大型国际 SCI 调查的自我报告、横断面澳大利亚数据。
社区为基础。
1189 名处于工作年龄的 SCI 患者（18-67 岁）或年龄>67 岁并从事有偿就业。受访者是社区的，并且在受伤后至少 1 年。
不适用。
就业和工作整合变量。贝叶斯惩罚回归用于确定 23 个预测变量与有偿工作参与之间的关联。
大多数参与者（87%）在受伤前有工作，在调查时，有 39%的人从事有偿工作。获得硕士/博士学位的参与者（优势比[OR]=3.01；95%可信区间[CrI]，1.63，5.44）和已婚参与者（OR=1.68；95% CrI，1.13，2.49）更有可能从事有偿工作。女性（OR=0.55；95% CrI，0.37，0.81）、领取残疾抚恤金的人（OR=0.17；95% CrI，0.13，0.24）和年龄较大的参与者（OR=0.75；95% CrI，0.63，0.90）不太可能从事有偿工作。参与工作的人确定了困难，包括完成工作（60%）和进入工作场所（32%）的问题，以及与完成工作所需的辅助设备相关的未满足需求（50%）。
本研究的结果可以帮助指导脊髓损伤人群中需要更多与就业结果相关的援助或干预的亚组，包括通过职业康复服务/计划。就业人员表达的未满足需求和工作场所问题表明工作整合和满意度存在差距，这可能会影响就业的可持续性，需要加以解决。
