TY - JOUR PY - 2019// TI - Employment, health outcomes, and life satisfaction after spinal cord injury: comparison of veterans and nonveterans JO - Spinal Cord A1 - Gary, Kelli Williams A1 - Cao, Yue A1 - Burns, Stephen P. A1 - McDonald, Scott D. A1 - Krause, James S. SP - ePub EP - ePub VL - ePub IS - ePub N2 - STUDY DESIGN: Retrospective cohort study.

OBJECTIVE: To explore differences between veterans and nonveterans with spinal cord injury (SCI) for employment, health, and satisfaction with life outcomes after controlling for demographic and injury characteristics. SETTING: Hospitals in the Spinal Cord Injury Model System of care.

METHODS: A total of 9754 (85% nonveterans and 15% veterans) adults with traumatic SCI interviewed from 2000 and 2015 and completed follow-up years 1, 5, and 10 were included in this study. Employment status and the Craig Handicap Assessment and Reporting Technique-Short Form (CHART-SF) measured employment. The SF-36 for self-perceived health status, CHART-SF, and rehospitalization determined health outcomes. Satisfaction with life was measured by the Satisfaction with Life Scale (SWLS). Secondary data analyses using χ2, t-tests, and generalized estimating equations (GEEs) model to determine group differences with control of demographic and injury characteristics.

RESULTS: There were no significant differences for employment and SWL between nonveterans and veterans. There were some differences in health outcomes; whereas, veterans had better physical independence and mobility compared with nonveterans.

CONCLUSION: Interventions for both groups should target adults with a disability from SCI, be customized for varying levels of injury that address differences in healthcare systems, demographic backgrounds, economic resources, disincentives, and motivation.

Language: en

LA - en SN - 1362-4393 UR - http://dx.doi.org/10.1038/s41393-019-0334-9 ID - ref1 ER -