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  4. Race-ethnicity and Poverty after Spinal Cord Injury

Race-ethnicity and Poverty after Spinal Cord Injury

Spinal Cord, 2014 · DOI: 10.1038/sc.2013.147 · Published: February 1, 2014

Spinal Cord InjuryPublic Health

Simple Explanation

Spinal cord injury (SCI) can lead to significant financial strain due to medical costs, care needs, and lost income. The study highlights that race and ethnicity are related to economic outcomes after SCI. Non-Hispanic Whites tend to have the highest employment rates after SCI, while non-Whites and Hispanics often face lower earnings and increased poverty rates. The study found that non-Hispanic Blacks with SCI have a significantly higher risk of living in poverty compared to non-Hispanic Whites, even after considering factors like education and employment.

Study Duration
2010-2013
Participants
2,043 adults with traumatic SCI in the US
Evidence Level
Not specified

Key Findings

  • 1
    Non-Hispanic Blacks had 2.75 greater odds of living in poverty after controlling for other factors, including education and employment.
  • 2
    Only 14% of non-Hispanic White participants were below the poverty level, while 41.3% of non-Hispanic Blacks were in poverty.
  • 3
    Employment status was a powerful predictor of poverty, with greater odds of poverty experienced by those who had never been employed since SCI onset and those who had been employed but were currently unemployed.

Research Summary

This study examined the relationship between race-ethnicity and poverty status after spinal cord injury (SCI). It found that non-Hispanic Blacks had significantly higher odds of living in poverty compared to non-Hispanic Whites, even after controlling for other factors. The study also identified several significant predictors of poverty, including marital status, years of education, level of education, age, and employment status. The findings suggest that quality of education and employment retention strategies are critical to address the elevated risk of poverty among non-Hispanic Blacks with SCI.

Practical Implications

Targeted Interventions

Develop interventions to address the specific needs of non-Hispanic Blacks with SCI to improve employment opportunities and financial stability.

Educational Support

Enhance access to quality education and training programs for individuals with SCI, focusing on post-injury education and aligning it with their interests and abilities.

Employment Retention

Implement strategies to support job retention for individuals with SCI, addressing challenges like declining function or secondary health conditions.

Study Limitations

  • 1
    All data are self-report which is susceptible to inaccuracy of reporting.
  • 2
    Poverty was based on the information available from secondary analysis of existing data.
  • 3
    Not all underserved populations were represented, as there were too few Asian Americans to form a separate group in the analysis.

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