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脊髓损伤后的就业情况:与地理区域、性别和种族相关的差异。

Employment after spinal cord injury: differences related to geographic region, gender, and race.

作者信息

Krause J S, Sternberg M, Maides J, Lottes S

机构信息

Shepherd Center, Atlanta, GA 30309, USA.

出版信息

Arch Phys Med Rehabil. 1998 Jun;79(6):615-24. doi: 10.1016/s0003-9993(98)90033-8.

DOI:10.1016/s0003-9993(98)90033-8
PMID:9630138
Abstract

OBJECTIVE

To compare employment outcomes after spinal cord injury (SCI) as a function of several important participant characteristics.

DESIGN

Field study survey of the employment history of two large samples of people with SCI. Outcomes were compared as a function of multiple participant characteristics.

SETTING

A large rehabilitation hospital in the Southeast, with the collaboration of two Midwestern hospitals.

PARTICIPANTS

One thousand thirty-two individuals with SCI, 597 from the Southeast and 435 from the Midwest.

MAIN OUTCOME MEASURES

The Life Situation Questionnaire-revised (LSQ-R), a self-report measure, was used to identify biographic status and to document employment history.

RESULTS

On the average, currently employed participants were Caucasian, were younger when injured, had paraplegia, and had completed more years of education. Geographic differences in employment rates disappeared when controlled for multiple factors, including years of education. However, even after controlling for years of education, Caucasian participants were 2.8 times more likely than minority participants to be working at the time of the study.

CONCLUSIONS

Rehabilitation professionals need to find creative means to identify and neutralize barriers to employment among individuals from minority groups and to identify meaningful avocations for individuals who are injured when they are near retirement.

摘要

目的

根据几个重要的参与者特征,比较脊髓损伤(SCI)后的就业结果。

设计

对两个脊髓损伤患者大样本的就业历史进行实地研究调查。根据多个参与者特征对结果进行比较。

地点

东南部的一家大型康复医院,与中西部的两家医院合作。

参与者

1032名脊髓损伤患者,597名来自东南部,435名来自中西部。

主要结局指标

使用修订后的生活状况问卷(LSQ-R),这是一种自我报告测量工具,用于确定传记状态并记录就业历史。

结果

平均而言,目前就业的参与者是白人,受伤时年龄较小,患有截瘫,并且接受教育的年限更长。在控制了包括受教育年限在内的多个因素后,就业率的地理差异消失了。然而,即使在控制了受教育年限之后,白人参与者在研究时工作的可能性比少数族裔参与者高出2.8倍。

结论

康复专业人员需要找到创造性的方法,以识别和消除少数群体个体就业的障碍,并为接近退休时受伤的个体确定有意义的业余爱好。

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