Disability and Health Journal最新文献

{"title":"Examining outpatient occupational therapy utilization among children and youth with special health care needs in South Carolina: A structural equation model of individual- and community-level factors","authors":"Caitlin Koob PhD, MS, OTR/L ,&nbsp;Sarah F. Griffin PhD, MPH ,&nbsp;Kathleen Cartmell PhD, MPH ,&nbsp;Lior Rennert PhD ,&nbsp;Kerry Sease MD, MPH","doi":"10.1016/j.dhjo.2024.101687","DOIUrl":"10.1016/j.dhjo.2024.101687","url":null,"abstract":"<div><h3>Background</h3><div>Children and youth with special health care needs (CYSHCN) comprise 23 % of the pediatric population in South Carolina (SC), compared to state prevalences of 13.6 %–24 % nationwide. While occupational therapy (OT) is critical to maximizing CYSHCN's participation in daily activities, there are significant disparities in rehabilitation access in the Southeast region.</div></div><div><h3>Objective</h3><div>This study examines associations between patient-and community-level factors and outpatient OT utilization.</div></div><div><h3>Methods</h3><div>This study analyzes OT utilization data among CYSHCN (N = 1913) in a health system in SC from 07/01/2022-06/31/2023, merged with Child Opportunity Index 2.0 zip-code level social drivers of health (SDOH) data. SDOH are non-medical factors that affect individual's long-term health, with estimates ranging from “very low” to “very high” opportunity. Structural equation modeling was conducted to understand complex associations between observed and latent variables in a real-world context.</div></div><div><h3>Results</h3><div>CYSHCN were diagnosed with congenital (40.77 %), developmental (37.87 %), and neurological/neuromuscular conditions (21.36 %). CYSHCN who were non-Hispanic Black or Hispanic and were hospitalized were associated with living in lower opportunity areas. CYSHCN with private or military/other insurance/self-pay were associated with living in higher opportunity areas than Medicaid-insured CYSHCN. CYSHCN who were female and ≥12 years demonstrated lower OT utilization. CYSHCN who participated in speech and/or physical therapy demonstrated higher OT utilization. OT utilization increased with each increase in SDOH.</div></div><div><h3>Conclusion</h3><div>With these findings, healthcare providers may consider accessibility barriers, including transportation, when referring CYSHCN to OT services. Further research is needed to examine the impact of household-level SDOH on OT access across SC.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101687"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Athlete identity in para-sport: A comparative study of athletes with congenital and acquired disabilities","authors":"Kathryn M. Rougeau PhD ,&nbsp;Stephen R. Koziel MPH ,&nbsp;Angelina M. Gjorgjevski MPH ,&nbsp;Joshua L. Joines BA","doi":"10.1016/j.dhjo.2024.101685","DOIUrl":"10.1016/j.dhjo.2024.101685","url":null,"abstract":"<div><h3>Background</h3><div>Identity development explores how individuals perceive themselves based on their life experiences, including their current self and aspirations. Athlete Identity has been studied using a 4-factor framework across various sports and ability groups. However, there is limited research on how individuals with physical disabilities perceive themselves as athletes and how an acquired disability impacts identity compared to a congenital disability.</div></div><div><h3>Objective</h3><div>To test the validity of the 4-Factor Model of Athlete Identity and to determine if athletic identity differs between para-athletes who have congenital versus acquired disabilities.</div></div><div><h3>Methods</h3><div>Secondary analysis of cross-sectional data from the National Wheelchair Basketball Association. Participants consisted of 408 individuals (8 years and older) who play wheelchair basketball (n = 315 male; 29.13 ± 13.89 yrs; M ± SD) who responded to a brief online questionnaire including basic demographics and the 10-item Athlete Identity Measurement Scale (AIMS).</div></div><div><h3>Results</h3><div>No significant differences in total AIMS scores were found between participants with congenital disabilities and participants with acquired disabilities. Age was a significant covariate. Eigenvalue analysis of the AIMS scores shows that 2 factors describe this population of athletes.</div></div><div><h3>Conclusions</h3><div>Disability acquisition is not associated with total AIMS scores. Athletic identity is weaker in older participants suggesting a more inclusive self-schema as one ages. The 4-factor model of Athletic Identity is not applicable in this population. Continued research into the intersection of athlete and disability identity is warranted.</div></div><div><h3>Abstract presented</h3><div>North American Society for the Psychology of Sport and Physical Activity, 2019.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101685"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of special services among children and youth with special healthcare needs: A time-to-event analysis of the national survey of children's health data, 2016–2022","authors":"Suman Kanti Chowdhury MIH, CPH-Provisional ,&nbsp;Jennifer Marshall PhD, MPH, CPH ,&nbsp;Janice Zgibor RPh, PhD, CPH, FACE ,&nbsp;Russell S. Kirby PhD, MS, FACE","doi":"10.1016/j.dhjo.2024.101688","DOIUrl":"10.1016/j.dhjo.2024.101688","url":null,"abstract":"<div><h3>Background</h3><div>Special services including physical, occupational, speech, or behavioral therapies are associated with enhanced long-term functioning and well-being of children and youth with special healthcare needs (CYSHCN). Yet, there is a lack of recent evidence on the utilization of these services, and the age at which CYSHCN first receive them.</div></div><div><h3>Objective</h3><div>This study assessed the distribution, timing, and determinants of special services utilization across different types of special healthcare needs.</div></div><div><h3>Methods</h3><div>Data from 63,734 caregivers of CYSHCN aged 0–17 years from the 2016–2022 National Survey of Children's Health were analyzed using Rao-Scott Chi-Square, Log-rank, and Cox proportional hazard tests.</div></div><div><h3>Results</h3><div>Overall, 41.9 % of CYSHCN ever received special services, including 91.4 %, 90.3 %, 88.0, and 34.1 % of children and youth with Down syndrome, cerebral palsy, autism, and other special healthcare needs (OSHCN), respectively. Children with Down syndrome and cerebral palsy received special services earlier than those with autism or OSHCN. Utilization of special services was higher among male children and youth (aHR 1.41; 95 % CI: 1.33–1.49), aged 0–5 years (aHR: 4.70; 95 % CI: 4.32–5.11), second or later born children (aHR: 1.18; 95 % CI: 1.10–1.26), from families with low-income (aHR: 1.14; 95 % CI: 1.04–1.24), living with married parents (aHR: 1.11; 95 % CI: 1.04–1.19), consistently insured (aHR: 1.24; 95 % CI: 1.08–1.42), and with a more complex health condition (aHR: 3.40; 95 % CI: 3.13–3.70) compared to their counterparts.</div></div><div><h3>Conclusions</h3><div>These findings highlight the necessity of adopting tailored approaches for children with different special healthcare needs to optimize and sustain the utilization of special services.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101688"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse childhood experiences among deaf and hard-of-hearing adults","authors":"Jamie Egbert MPH","doi":"10.1016/j.dhjo.2024.101711","DOIUrl":"10.1016/j.dhjo.2024.101711","url":null,"abstract":"<div><h3>Background</h3><div>The adverse childhood experiences (ACEs) screening tool is a research measure that has not been frequently employed within the scientific literature addressing deaf and hard-of-hearing (DHH) populations.</div></div><div><h3>Objective</h3><div>To evaluate whether those who are DHH are more likely to cross-sectionally report a high-risk number of ACEs than those who are not DHH.</div></div><div><h3>Methods</h3><div>Data consisting of a weighted total of n = 24,797,770 US adults’ responses to the 2021 BRFSS survey were utilized for this study.</div></div><div><h3>Results</h3><div>The DHH-ACE association was effect modified by age group. In the 25-to-34 (aOR = 2.98; 95 % aOR CI: 1.81, 4.92; <em>P</em> &lt; 0.0001), 35-to-44 (aOR = 3.17; 95 % aOR CI: 1.98, 5.08; <em>P</em> &lt; 0.0001), 45-to-54 (aOR = 1.74; 95 % aOR CI: 1.23, 2.45; <em>P</em> = 0.0016), and 55-to-64-year-old (aOR = 1.85; 95 % aOR CI: 1.41, 2.42; <em>P</em> &lt; 0.0001) age groups, those who are DHH were significantly more likely than their same-age hearing peers to report a high-risk number of ACEs. The findings for the 18–24 years and 65+ age groups were not statistically significant.</div></div><div><h3>Conclusion</h3><div>The results of this study highlight the need for trauma-informed care and improved early intervention and ACEs screenings for the DHH population.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101711"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research ethics for all: Development of a social-behavioral research ethics education program for community research partners with developmental disabilities","authors":"Ariel E. Schwartz PhD, OTR/L ,&nbsp;Katherine McDonald PhD","doi":"10.1016/j.dhjo.2024.101675","DOIUrl":"10.1016/j.dhjo.2024.101675","url":null,"abstract":"<div><h3>Background</h3><div>People with developmental disabilities make important contributions to research. However, inaccessible research ethics trainings present a barrier to them taking on some research roles.</div></div><div><h3>Objectives</h3><div>We developed a social-behavioral research ethics training that leads to certification tailored to the accessibility needs and roles of community research partners with developmental disabilities.</div></div><div><h3>Methods</h3><div>We collaborated with diverse partners (people with developmental disabilities, a disability service provider, health researchers, human research participant protections experts) to develop the research ethics training. To identify potential training content, we conducted a rapid scoping review of ethical, legal, and social issues in social-behavioral research with adults with developmental disabilities and reviewed national research ethics curricula. Through discussions and a modified Delphi process, we worked with partners to identify content to teach; partners also provided guidance on accessibility.</div></div><div><h3>Results</h3><div>The training and rapid scoping reviews and input from partners resulted in 93 potential educational content elements to include. After completing the modified Delphi process, partners recommended inclusion of 83 of these content elements in the educational training and provided input on depth and approach to teaching this content. Research Ethics for All is a freely available training that includes 5 units, delivered via didactic and active learning, and assessment activities to verify understanding. Research Ethics for All should be facilitated by an experienced researcher.</div></div><div><h3>Conclusions</h3><div>Research Ethics for All includes foundational social-behavioral research ethics content designed to support community research partners with developmental disabilities to take on new research responsibilities.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101675"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of perceived social support in subjective wellbeing among working-age U.S. adults with and without limitations in activities of daily living","authors":"Nastassia Vaitsiakhovich MA ,&nbsp;Scott D. Landes PhD ,&nbsp;Shannon M. Monnat PhD","doi":"10.1016/j.dhjo.2024.101705","DOIUrl":"10.1016/j.dhjo.2024.101705","url":null,"abstract":"<div><h3>Background</h3><div>Perceived social support may enhance subjective wellbeing (SWB) for adults with activities of daily living (ADL) limitations. However, little is known about how social support may mediate (explain) and/or moderate SWB differences among U.S. working-age adults with versus without ADL limitations.</div></div><div><h3>Objective</h3><div>This study examines the role of perceived emotional and instrumental support in hedonic, eudaimonic, and evaluative wellbeing among adults with and without ADL limitations.</div></div><div><h3>Methods</h3><div>Data were from the 2021 National Wellbeing Survey – a national survey of U.S. working-age adults aged 18–64 (N = 3775). We used regression analyses to investigate differences in hedonic, eudaimonic, and evaluative wellbeing between individuals with versus without ADL limitations, as well as the roles of emotional and instrumental social support in explaining observed differences. We used interaction terms to examine whether social support moderated the observed associations.</div></div><div><h3>Results</h3><div>Adults with ADL limitations reported lower SWB than those without limitations across all three dimensions. Depending on the degree of limitations, the associations between ADL limitations and SWB decreased in magnitude or were no longer statistically significant after accounting for emotional and instrumental support. While both types of support were associated with better SWB among the three ADL groups, those with ADL limitations may benefit less from emotional support on both eudaimonic and evaluative wellbeing than those without limitations.</div></div><div><h3>Conclusions</h3><div>Lower social support may contribute to worse SWB among adults with ADL limitations. Although this subpopulation may benefit from high social support, improving their SWB may require systemic interventions beyond simply enhancing social support.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101705"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the PedsQL reflect the real-time quality of life in autistic adolescents? A comparison with the experience sampling methodology","authors":"Hui-Jen Shyu MS ,&nbsp;Yu-Wei Ryan Chen PhD ,&nbsp;Daphne Yih Ng MS ,&nbsp;Anita Bundy ScD ,&nbsp;Mei-Hui Tseng ScD ,&nbsp;Reinie Cordier PhD","doi":"10.1016/j.dhjo.2024.101690","DOIUrl":"10.1016/j.dhjo.2024.101690","url":null,"abstract":"<div><h3>Background</h3><div>The PedsQL is widely used to retrospectively evaluate quality of life (QoL) in autistic adolescents. However, concerns have arisen regarding its ability to reflect real-time QoL, considering their challenges in recollecting past experiences.</div></div><div><h3>Objective</h3><div>We examined the <em>overall</em> and <em>social</em> QoLs of autistic adolescents compared to neurotypical peers using the PedsQL and the experience sampling method (ESM), an ecological momentary assessment of QoL in real-time. Additionally, we explored the relationship between these measures in each group.</div></div><div><h3>Methods</h3><div>A total of 175 participants, including 117 autistic and 58 neurotypical adolescents aged 10–16, completed the PedsQL and an ESM protocol with a mobile device to record their real-time experiences seven times a day for seven days. We performed multiple linear regression and multilevel analyses to compare QoLs between groups and the association between the two measures.</div></div><div><h3>Results</h3><div>Autistic adolescents scored significantly lower than neurotypical peers on PedsQL <em>overall</em> and <em>social</em> QoL but not on the real-time experiences collected with ESM. Among neurotypical adolescents, we found significant associations between the Social Functioning score of the PedsQL and various aspects of real-time social experiences recorded with ESM. For autistic adolescents, only the real-time experience of 'loneliness' during social engagement was associated with Social Functioning on the PedsQL.</div></div><div><h3>Conclusions</h3><div>The retrospective PedsQL does not entirely capture the real-time QoL via ESM. However, relying solely on ESM may overlook situations where participants opt out or could not complete surveys. Thus, using both retrospective and real-time assessments to examine QoL among autistic adolescents is recommended.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101690"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships of self-reported opioid and benzodiazepine use with health-related quality of life among adults with spinal cord injury","authors":"James S. Krause PhD ,&nbsp;Nicole D. DiPiro PhD ,&nbsp;Clara E. Dismuke-Greer PhD ,&nbsp;Jon Laursen-Roesler PhD","doi":"10.1016/j.dhjo.2024.101668","DOIUrl":"10.1016/j.dhjo.2024.101668","url":null,"abstract":"<div><h3>Background</h3><div><span>There is limited understanding of the relationships between prescription opioid and benzodiazepine<span> use and indices of health-related quality of life (HRQOL) among those with </span></span>spinal cord injuries (SCI).</div></div><div><h3>Objective</h3><div>To identify the relationships between self-reported prescription opioid and benzodiazepine use and two indicators of HRQOL, number of days in poor physical health and poor mental health in the past 30 days among adults with SCI.</div></div><div><h3>Methods</h3><div><span>A cross-sectional cohort study of 918 adults with chronic (&gt;1 year), </span>traumatic SCI living in the Southeastern United States was conducted. Participants completed a self-report assessment (SRA).</div></div><div><h3>Results</h3><div>In the preliminary model, both opioid and benzodiazepine use were associated with a greater number of days in poor physical health and poor mental health in the past month. After controlling for health conditions (pain intensity, spasticity, anxiety and perceived sleep insufficiency), opioid use was associated with 2.04 (CI = 0.69; 3.39) additional poor physical health days in the past 30 days, and benzodiazepine use was associated with 2.18 (CI = 0.70; 3.64) additional days of poor mental health. Age was associated with greater number of poor physical health days and fewer poor mental health days. Lower income was associated with poor mental health days. Most of the health conditions were significantly related to the number of past month poor physical and mental health days.</div></div><div><h3>Conclusions</h3><div>Opioid and benzodiazepine use are associated with poor physical and mental HRQOL, even after controlling for health conditions. Treatment strategies should consider potential unanticipated negative consequences of pharmacological interventions.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101668"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal alcohol syndrome and population level health care usage in British Columbia, Canada","authors":"Sandra Marquis PhD ,&nbsp;Yona Lunsky PhD ,&nbsp;Kimberlyn M. McGrail MPH, PhD ,&nbsp;Jennifer Baumbusch RN, PhD","doi":"10.1016/j.dhjo.2024.101684","DOIUrl":"10.1016/j.dhjo.2024.101684","url":null,"abstract":"<div><h3>Background</h3><div>The literature indicates that youth with Fetal Alcohol Syndrome (FAS) may experience high rates of both physical and mental health issues compared to youth without FAS. However, there is little population level health data available for youth with FAS, particularly for youth transitioning from pediatric to adult healthcare services.</div></div><div><h3>Objective</h3><div>The objective of this study was to compare health care usage of youth with Fetal Alcohol Syndrome to youth without any intellectual/developmental disabilities (IDD).</div></div><div><h3>Methods</h3><div>This study used a retrospective cohort design and population-level administrative health data to examine five aspects of health care usage by youth with FAS and compare them to youth with no intellectual/developmental disability. The variables were medically required dental care, visits to emergency departments and visits for mental health issues. In addition, the study stratified data by age groups and examined the difference between youth aged 15–19 and youth aged 20–24.</div></div><div><h3>Results</h3><div>Youth with FAS had higher adjusted odds of medically required dental care, visits to the emergency department and visits for anxiety/depression, psychotic illnesses and substance use disorders compared to youth with no IDD. The odds of a medically required dental visit, emergency department visit and visit for psychotic illness or substance use disorder were also higher for youth aged 20–24 years compared to youth aged 15–19 years.</div></div><div><h3>Conclusions</h3><div>These findings indicate that youth with FAS require urgent attention for each of the medically-related variables included in this study. The need for attention to their health care needs may increase as these youth transition from pediatric to adult health care services.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101684"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relation between work hours, work control, work stress, and quality of life in persons with spinal cord injury","authors":"Renée van Dinter MSc ,&nbsp;Michiel F. Reneman PhD ,&nbsp;Marcel W.M. Post PhD","doi":"10.1016/j.dhjo.2024.101682","DOIUrl":"10.1016/j.dhjo.2024.101682","url":null,"abstract":"<div><h3>Background</h3><div>Work participation is related to a better quality of life (QoL) for people with spinal cord injury (SCI), however, the specific work characteristics that are related to QoL in people with SCI are largely unknown.</div></div><div><h3>Objectives</h3><div>To investigate which work characteristics are related to QoL in people with SCI.</div></div><div><h3>Methods</h3><div>Cross-sectional survey of people with SCI in the Netherlands. The survey consisted of demographic, SCI-related, and work-related items. Work control was measured with the short Job Content Questionnaire and work stress with the effort-reward imbalance (ERI). People of working age with at least 1 h of paid work per week were included. Hierarchical regression analysis was performed to examine the contribution of work characteristics to QoL while controlling for potential clinical and demographic confounders.</div></div><div><h3>Results</h3><div>The study included 169 persons with SCI (74.6 % male, 47.8 ± 9.3 years, time since injury 18.9 ± 11.1 years). The final hierarchical regression model explained 31 % of the variance in QoL. The number of SCI-related health complications contributed the strongest to QoL (ß = −.36), followed by work hours (β = .24), and work stress (β = .24). However, work control did not contribute significantly to QoL in our final model.</div></div><div><h3>Conclusion</h3><div>Work hours and work stress contributed to QoL in people with SCI, but the number of SCI-related health complications was the strongest contributor. Future research and vocational rehabilitation should be directed to both medical and work-related variables to enhance the QoL of working people with SCI.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 1","pages":"Article 101682"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}