Article

OBJECTIVE: To examine the associations of job acquisition and job retention to
secondary conditions, hospitalizations, and nursing home stays for adults with
spinal cord injury (SCI). DESIGN: Retrospective analysis of longitudinal data
from multicenter study. SETTING: Community setting. PARTICIPANTS: Two samples of
adults participating in the SCI Model Systems; the first sample consisted of
persons who reported being unemployed at follow-up (n=9501); the second sample
consisted of those who reported working at follow-up (n=5,150). INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: Job acquisition (change from not working
at 1 anniversary of injury to working at the following data collection) and job
retention (maintenance of work between 2 assessment periods). RESULTS: Discrete
time hazard modeling was used to assess how secondary conditions affect job
acquisition. After controlling for the effects of demographic and injury
characteristics, hospitalizations within the last 12 months were associated with
decreased chance of having obtained employment. Hierarchic logistic regression
analyses were used to examine job retention. Hospitalizations and the presence of
PUs were associated with lower odds of job retention once demographic and injury
characteristics were controlled. Secondary conditions from the previous
assessment period were not significantly related to either job acquisition or job
retention after the variance from demographic and injury characteristics and
current secondary conditions were controlled. CONCLUSIONS: Hospitalization, as
well as a limited number of secondary conditions, were associated with reduced
odds of both job acquisition and job retention among adults with SCI.
Interventions that can prevent secondary conditions and reduce the need for
hospitalizations may be beneficial in improving employment for this population.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS