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Factors associated with past and current employment of veterans with spinal cord injury
Authors:Lisa Ottomanelli  Lance L. Goetz  Scott D. Barnett  Eni Njoh  Jaclyn Fishalow
Affiliation:1.James A. Haley Veterans’ Hospital and Clinics, Tampa, Florida, USA;2.Department of Mental Health and Rehabilitation Counseling, University of South Florida, Tampa, Florida, USA;3.Hunter Holmes McGuire VA Medical Center and Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, USA
Abstract:Objective: The purpose of this study was to examine variables predictive of post-SCI return to employment and current employment among a large cohort of veterans with Spinal Cord Injury (SCI) treated within the Veterans Health Administration (VHA) SCI System of Care.Design: Cross sectional analysis of data obtained during in-person baseline interviews and follow-up phone interviews.Setting: Seven SCI Centers within Veteran Affairs Medical Centers.Participants: 1047 veterans with SCI receiving inpatient or outpatient care in VHA.Results: Only 29.8% were employed post-SCI, 27.9% reported employment within the immediate 5 years before the baseline interview, but only 9.2% reported current employment at the time of the baseline interview. Significant predictors of current employment among these veterans with SCI included recent employment experience, history of legal problems, duration of SCI, education, and life satisfaction.Conclusions: The baseline employment rate following SCI of a large, representative sample, was 29.8%. Greater duration of SCI predicted unemployment, likely due to the older age of this population. Additional years of education promoted current and post-SCI employment, while a history of legal problems was a barrier to employment.
Keywords:Employment   Spinal cord injury   Veterans   Predictors   Disability
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