Presentation T P1
T P1 (Poster Presentation):
Comparing spinal cord injury (SCI) work disability across the life course: Findings from a Canadian community-based survey
- Liberty Mutual Research Institute for Safety
- Center for Interdisciplinary Research in Rehabilitation and Social Integration
- Université Laval
In Canada, the impact of SCI has shifted from younger to middle-/older-aged adults. Yet, little research has examined work disability across the life course.This study compares differences in work disability between younger- (ages 18 to 30 years), middle- (ages 30-55 years) and older-aged adults (ages 56 years < ) with SCI; and examines factors that may be associated with work disability at the different life phases.
As part of a Canada-wide SCI community survey, information on demographic (e.g., age, gender, living situation), health (e.g. self-reported health and SF-12 physical and mental component scores), injury characteristics (e.g. cause of injury, injury-level), number of domains in which a person participates (e.g. leisure, employment, volunteering) and pre- and post-injury employment status were collected. Separate multivariable logistic regression analyses were conducted for each life phase and findings were compared.
Over thirteen hundred adult respondents with SCI (N = 1,366) completed the survey. A majority were middle- (53%) and older-aged adults (38%). Most had traumatic injuries (73%) and half were paraplegic (54.3%). Participants also reported low physical health (Mean score = 33.5 out of 100). Employment declined post-injury for middle (82% to 26%), older (66% to 11%) and young adults (36% to 19%). Young adults living with another person were less likely to report post-injury work disability (OR = .27, 95% CI, 0.08, .93). In comparison, better physical health was associated with less work disability for middle- (OR = .94, 95%CI .91, .96) and older-aged adults (OR = .94, 95%CI .93, .99).
SCI is a significant cause of work disability across the life course. Highlighting the role of supportive relationships, living with another person may provide assistance with daily routines and self-management, allowing young adults to balance health and work at the early phase of their career. For middle- and older-aged adults with SCI, minimizing physical barriers and improving physical function may assist in reducing work disability in later life phases.
Tuesday September 30
12:45 - 13:45 Poster Viewing
Session: Social issues