Clinic of Physical Medicine and Rehabilitation, Department of Spinal Cord Injuries, St. Olavs hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Medical Quality Registries, St. Olavs hospital, Trondheim University Hospital, Trondheim, Norway.
Spinal Cord. 2023 Apr;61(4):244-252. doi: 10.1038/s41393-023-00876-4. Epub 2023 Jan 30.
A register based cohort study.
To investigate labour market participation following spinal cord injury (SCI) and to describe the impact of personal and SCI characteristics.
Norway.
Persons registered with SCI in the Norwegian SCI registry 2011-2017, and matched reference individuals without SCI from the general population (named controls) were followed for up to six years after injury using national registry data on employment, education, income, and social security benefits. Main measures of labour market participation were: (1) Receiving any amount of pay for work, and (2) Receiving sickness and disability benefits.
Among the 451 persons with SCI (aged 16-66 years and working before injury), the estimated percentages receiving pay for work and sickness and disability benefits in the sixth years after injury were 63% (95% CI 57-69) and 67% (95% CI 61-72). Corresponding percentages for the controls (n = 1791) were 91% (95% CI 90-93) for receiving pay for work and 13% (95% CI 12-15) for receiving sickness and disability benefits. Among persons with SCI, less severe neurological outcome, higher level of education, younger age at injury, and a stronger pre-injury attachment to employment (higher employment income, having an employer, less receipt of benefits), were associated with higher labour market participation.
SCI substantially decreased labour market participation up to six years after injury compared to matched controls. Even if a relatively large proportion of persons with SCI remained in some degree of work activity, more than half did so in combination with receiving benefits.
基于登记的队列研究。
调查脊髓损伤（SCI）后的劳动力市场参与情况，并描述个人和 SCI 特征的影响。
挪威。
2011 年至 2017 年在挪威 SCI 登记处登记的 SCI 患者和来自普通人群的无 SCI 对照个体（命名为对照）通过国家就业、教育、收入和社会保障福利登记数据进行了长达六年的随访。劳动力市场参与的主要衡量标准是：（1）获得任何金额的工作报酬，以及（2）获得疾病和残疾津贴。
在 451 名患有 SCI（年龄在 16-66 岁且受伤前有工作）的患者中，受伤后第六年获得工作报酬和疾病及残疾津贴的估计百分比分别为 63%（95%CI 57-69）和 67%（95%CI 61-72）。对照组（n=1791）的相应百分比分别为获得工作报酬的 91%（95%CI 90-93）和获得疾病及残疾津贴的 13%（95%CI 12-15）。在 SCI 患者中，神经功能结局较轻、教育程度较高、受伤年龄较小、受伤前对就业的依附性较强（就业收入较高、有雇主、较少领取津贴），与更高的劳动力市场参与度相关。
与匹配的对照组相比，SCI 在受伤后长达六年的时间内大大降低了劳动力市场参与度。尽管相当一部分 SCI 患者仍在某种程度上保持工作活动，但超过一半的人是在领取津贴的情况下这样做的。
