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  4. Health-related quality of life among individuals with long-standing spinal cord injury: a comparative study of veterans and non-veterans

Health-related quality of life among individuals with long-standing spinal cord injury: a comparative study of veterans and non-veterans

BMC Public Health, 2010 · DOI: 10.1186/1471-2458-10-6 · Published: January 5, 2010

Spinal Cord InjuryParticipationPublic Health

Simple Explanation

This study compared the health-related quality of life (HRQOL) between veterans and non-veterans with spinal cord injury (SCI) in Iran. The study found that veterans with SCI had a lower HRQOL than non-veterans with SCI, particularly in measures like bodily pain, general health, vitality, and mental health. The researchers suggest that policy changes and interventions may be needed to improve the quality of life for both groups, such as counseling and vocational therapy for veterans, and meeting basic needs for non-veterans.

Study Duration
Not specified
Participants
39 male veterans and 63 non-veteran males with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Male veterans had a significantly lower HRQOL than non-veterans with SCI, except in physical and social functioning.
  • 2
    Longer time since injury was associated with better physical health-related quality of life (PCS).
  • 3
    Older age and higher education were associated with better mental health-related quality of life (MCS), while being a veteran and having a spinal lesion in the cervical region were associated with poorer MCS.

Research Summary

The study aimed to compare HRQOL between veterans and non-veterans with SCI in Iran, using the SF-36 questionnaire in a cross-sectional study design. Results indicated that veterans experienced lower HRQOL than non-veterans, particularly in bodily pain, general health, vitality and mental health components. Regression analysis revealed factors affecting physical and mental health components. The study concluded that veterans with SCI experienced lower HRQOL and suggested that policy changes or new interventions may be essential to improve quality of life in both veterans and non-veterans.

Practical Implications

Policy Changes

Policy changes are needed to provide additional support for veterans with SCI, such as counseling, recreation therapy, and vocational therapy.

Interventions for Non-Veterans

New interventions are necessary to ensure non-veterans with SCI have their basic needs met, potentially through improved access to services and financial support.

Further Research

Qualitative studies are recommended to explore the reasons for lower HRQOL in veterans with SCI despite their higher incomes and access to resources.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of data on chronic illnesses and common complications
  • 3
    Age differences between veteran and non-veteran groups

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