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Spinal Cord. 2010 Jun;48(6):487-91. doi: 10.1038/sc.2009.157. Epub 2009 Nov 24.

Delayed entry into employment after spinal cord injury: factors related to time to first job.

Author information

  • 1Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA. krause@musc.edu

Abstract

STUDY DESIGN:

Data were cross-sectional and were collected by survey methodology.

OBJECTIVES:

To investigate factors predictive of length of time between spinal cord injury (SCI) onset and start of first post-injury employment and full-time employment.

SETTING:

A large specialty hospital in the Southeastern United States, with additional participant samples from two hospitals in the Midwestern United States.

METHODS:

Participants were identified from patient records at the participating hospitals. They met the following three exclusion/inclusion criteria: traumatic SCI, at least 18 years of age at time of survey, and a minimum of 1-year after SCI. Outcome measures were years from injury onset to beginning first post-injury job and years to first full-time post-injury job. Two separate models were developed for each outcome using a regression analysis. All those 10 years and more post-injury were censored (that is eliminated) in the analysis.

RESULTS:

Having a higher level of education, less severe injury, being Caucasian, and returning to the pre-injury employer were associated with a shorter interval to initiation of employment with 10-year censoring. In addition to these variables, gender was associated with time to return to first full-time job.

CONCLUSION:

The findings underscore the importance of using pre-injury education and opportunities to return to the pre-injury employer to minimize the length of time until initiation of employment after SCI.

PMID:
19935754
[PubMed - indexed for MEDLINE]
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