Document Detail


Race, ethnicity, and employment outcomes 1, 5, and 10 years after spinal cord injury: a longitudinal analysis.
MedLine Citation:
PMID:  20970759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: (1) To compare the odds of competitive employment versus not competitive employment among a group of white, African American, and Hispanic persons with spinal cord injury (SCI) at 1, 5, and 10 years after injury; (2) to examine the changes in the odds of competitive employment versus not competitive employment over time within each racial/ethnic group, and (3) to compare the changes in the odds of competitive employment versus not competitive employment over time between the racial/ethnic groups.
DESIGN: Retrospective study.
SETTING: Model SCI systems.
PARTICIPANTS: A total of 11,090 persons with SCI (7735 whites, 2381 African Americans, and 974 Hispanics), between ages 18 and 55 years, enrolled in the National Spinal Cord Injury Statistical Center database.
MAIN OUTCOME MEASURE: Employment status dichotomized as competitively employed versus not competitively employed.
RESULTS: The odds of being competitively employed at 1, 5, and 10 years after injury were 1.58, 2.55, and 3.02, times greater for whites than African Americans and 1.71, 1.86, and 1.71, respectively, times greater for whites than Hispanics. At 10 years after injury, the odds of being competitively employed were 1.77 times greater for Hispanics than for African Americans. Persons of all races/ethnicities and with SCI showed significantly greater increases in the odds of being competitively employed versus not competitively employed over time (1-5 years, 1-10 years, 5-10 years after injury); however, whites and Hispanics had greater increases in the odds of competitive employment over time compared with African Americans.
CONCLUSIONS: Regardless of race, short- and long-term employment outcomes were not favorable for persons with SCI; however, African Americans and Hispanics fared worse in employment outcomes compared with whites. Rehabilitation professionals should work to improve employment outcomes for all individuals with SCI, with special emphasis on addressing specific needs of African Americans and Hispanics.
Authors:
Juan Carlos Arango-Lasprilla; Jessica M Ketchum; Kathryn Francis; Allen Lewis; Paola Premuda; Paul Wehman; Jeffrey Kreutzer
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  PM & R : the journal of injury, function, and rehabilitation     Volume:  2     ISSN:  1934-1482     ISO Abbreviation:  PM R     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-25     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101491319     Medline TA:  PM R     Country:  United States    
Other Details:
Languages:  eng     Pagination:  901-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University, Theater Row Bldg, 730 E Broad St, 4th floor, Rm 4230a. PO Box 843038, Richmond, VA 23219, USA. jcarangolasp@vcu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data
Employment / statistics & numerical data*
European Continental Ancestry Group
Female
Hispanic Americans / statistics & numerical data
Humans
Male
Middle Aged
Retrospective Studies
Spinal Cord Injuries / economics,  rehabilitation*
Unemployment / statistics & numerical data
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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