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  4. A Life Course Perspective to Spinal Cord Injury and Employment Participation in Canada

A Life Course Perspective to Spinal Cord Injury and Employment Participation in Canada

Top Spinal Cord Inj Rehabil, 2014 · DOI: 10.1310/sci2003-310 · Published: January 1, 2014

Spinal Cord InjuryOccupational HealthPublic Health

Simple Explanation

This study examines how employment experiences differ for people with spinal cord injury (SCI) based on their life phase. It focuses on comparing employment participation between young/middle-aged adults and older adults with SCI in Canada. The research aims to understand the relationship between demographic and health factors, SCI-related needs, social roles, and employment at different life phases, using a life course perspective. The study anticipates that young/middle-aged adults are more likely to be employed post-injury compared to older adults, who are more likely to retire. It also expects that more severe injuries and unmet needs will lower the likelihood of employment.

Study Duration
Not specified
Participants
1,323 working-aged adults with SCI (959 young/middle-aged, 364 older adults)
Evidence Level
Not specified

Key Findings

  • 1
    Close to one-third of participants with SCI were working post injury (32%), a decline from the 62% of respondents working prior to their injury.
  • 2
    Young/middle-aged adults were more likely to be employed post injury (36%) when compared to older respondents (12% employed) who were more likely to report being retired (43%).
  • 3
    For young/middle-aged adults, being married, attaining a postsecondary education, and having fewer unmet SCI needs were related to employment. Among older adults, having a traumatic injury was related to involvement in paid work.

Research Summary

This study investigates the employment participation of Canadians with SCI from a life course perspective, comparing young/middle-aged and older adults. It considers demographic, health, and social factors influencing employment at different life phases. The findings reveal that employment rates decrease post-injury, with significant differences observed between age groups. Younger adults are more likely to be employed, while older adults often retire. Factors like marital status, education, and unmet needs play a role in employment for younger adults. The study concludes that a life course perspective is crucial for understanding employment patterns among individuals with SCI. Tailored programs and policies are needed to promote labor force involvement at various stages of life.

Practical Implications

Tailored Programs and Policies

Develop age-specific employment programs and policies to address the unique needs of young/middle-aged and older adults with SCI.

Address Unmet Needs

Prioritize addressing unmet SCI-related needs, such as transportation, job training, and healthcare, to improve employment opportunities for younger adults.

Delay Premature Retirement

Implement strategies to delay premature retirement among older adults with SCI, focusing on maintaining their physical and psychosocial well-being.

Study Limitations

  • 1
    Sampling strategy may limit generalizability.
  • 2
    Cross-sectional design prevents determining causality.
  • 3
    Relatively small number of young adults recruited.

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