Abstract
Abstract
Study design
A register based cohort study.
Objectives
To investigate labour market participation following spinal cord injury (SCI) and to describe the impact of personal and SCI characteristics.
Setting
Norway.
Methods
Persons registered with SCI in the Norwegian SCI registry 2011–2017, and matched reference individuals without SCI from the general population (named controls) were followed for up to six years after injury using national registry data on employment, education, income, and social security benefits. Main measures of labour market participation were: (1) Receiving any amount of pay for work, and (2) Receiving sickness and disability benefits.
Results
Among the 451 persons with SCI (aged 16–66 years and working before injury), the estimated percentages receiving pay for work and sickness and disability benefits in the sixth years after injury were 63% (95% CI 57–69) and 67% (95% CI 61–72).
Corresponding percentages for the controls (n = 1791) were 91% (95% CI 90–93) for receiving pay for work and 13% (95% CI 12–15) for receiving sickness and disability benefits. Among persons with SCI, less severe neurological outcome, higher level of education, younger age at injury, and a stronger pre-injury attachment to employment (higher employment income, having an employer, less receipt of benefits), were associated with higher labour market participation.
Conclusion
SCI substantially decreased labour market participation up to six years after injury compared to matched controls. Even if a relatively large proportion of persons with SCI remained in some degree of work activity, more than half did so in combination with receiving benefits.
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),Neurology,General Medicine
Reference30 articles.
1. Bickenbach J International perspectives on spinal cord injury. Geneve: WHO/ International Spinal Cord Society; 2013. Available from: https://apps.who.int/iris/handle/10665/94190.
2. Ottomanelli L, Lind L. Review of critical factors related to employment after spinal cord injury: implications for research and vocational services. J Spinal Cord Med. 2009;32:503–31.
3. Trenaman L, Miller WC, Queree M, Escorpizo R, Team SR. Modifiable and non-modifiable factors associated with employment outcomes following spinal cord injury: A systematic review. J Spinal Cord Med. 2015;38:422–31.
4. Leiulfsrud AS, Solheim EF, Reinhardt JD, Post MWM, Horsewell J, Biering-Sorensen F, et al. Gender, class, employment status and social mobility following spinal cord injury in Denmark, the Netherlands, Norway and Switzerland. Spinal Cord. 2020;58:224–31.
5. Solheim E, Leiulfsrud A. Employment after spinal cord injury in Norway: A cross-sectional survey. Scand J Disabil Res. 2018;20:197–210.