Tholl Adriana D, Lima Thamyres C S, Nogueira Scheyla P B O, Faleiros Fabiana, Marques-Vieira Cristina, Viegas Selma M F, de Souza Janaína M, Gonçalves Natália, Nitschke Rosane G, da Cruz Danielle A, Antunes Natália A, Ilha Jocemar
Department of Nursing, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Centro Catarinense de Reabilitação, Florianópolis, SC, Brazil.
Spinal Cord. 2023 Feb;61(2):119-124. doi: 10.1038/s41393-022-00846-2. Epub 2022 Sep 5.
Cross-sectional study.
To document the labour market participation rate and investigate the impact of social and economic characteristics on this outcome among individuals with spinal cord injury or disease (SCI/D) who participated in a multidisciplinary rehabilitation programme in Brazil.
A specialised rehabilitation centre in southern Brazil.
An interview was performed with former rehabilitation clients with SCI/D. A total of 111 community-dwelling individuals with SCI/D who had been previously rehabilitated in a large regional rehabilitation centre were considered. Employment status and demographic, injury, work, and economic characteristics were self-reported via interview. Descriptive statistical analyses were performed.
The labour market participation rate was 21.6% (24 individuals). Five respondents were employed in formal work activities, and the other 19 were involved in informal activities (self-employed). Since the onset of injury, a shorter time was associated with nonparticipation in occupational work. Individuals with a higher level of education were more likely to be working. Household income was higher among the participants who had returned to work than among those who had not returned.
There is a relatively low labour market participation rate among rehabilitated individuals with SCI/D in southern Brazil. The rehabilitation services should emphasise vocational training, access to education, and employment support for individuals with SCI/D from early onset after the injury. Public policies must be revised to support labour market participation among individuals with SCI/D in Brazil.
横断面研究。
记录脊髓损伤或疾病（SCI/D）患者的劳动力市场参与率，并调查社会和经济特征对参与巴西多学科康复计划的此类患者这一结果的影响。
巴西南部的一家专业康复中心。
对曾接受康复治疗的SCI/D患者进行访谈。共纳入111名居住在社区的SCI/D患者，他们此前在一家大型地区康复中心接受过康复治疗。通过访谈自报就业状况以及人口统计学、损伤、工作和经济特征。进行描述性统计分析。
劳动力市场参与率为21.6%（24人）。5名受访者从事正式工作活动，另外19人参与非正式活动（个体经营）。自受伤以来，时间较短与未参与职业工作有关。受教育程度较高的个体更有可能工作。重返工作岗位的参与者家庭收入高于未重返工作岗位的参与者。
巴西南部接受康复治疗的SCI/D患者劳动力市场参与率相对较低。康复服务应从受伤后早期开始就强调为SCI/D患者提供职业培训、教育机会和就业支持。必须修订公共政策以支持巴西SCI/D患者参与劳动力市场。
