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  4. The Relationship of Chronological Age, Age at Injury, and Duration of Injury to Employment Status in Individuals with Spinal Cord Injury

The Relationship of Chronological Age, Age at Injury, and Duration of Injury to Employment Status in Individuals with Spinal Cord Injury

Psychol Inj Law, 2009 · DOI: 10.1007/s12207-009-9062-3 · Published: December 1, 2009

Spinal Cord InjuryAgingOccupational Health

Simple Explanation

This study examines how age-related factors such as current age, age at the time of injury, and the length of time since the injury affect employment status in people with spinal cord injuries. The study found that current age and age at the time of injury were significant predictors of employment, even when considering other factors like pain, psychological well-being, and physical abilities. The research suggests that people between 45 and 54 years old were more likely to be employed compared to those between 55 and 64 years old, even after accounting for the biopsychosocial variables.

Study Duration
Not specified
Participants
620 individuals with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Chronological age and age at SCI onset were significant predictors of employment status.
  • 2
    A significantly greater proportion of individuals aged 45–54 were employed compared to those aged 55–64 even after controlling for biopsychosocial variables.
  • 3
    There was a negative linear relationship between percent employed and age at SCI onset, and this relationship was not accounted for by the biopsychosocial variables.

Research Summary

The purpose of the current study was to examine the associations between three aging variables and employment status in individuals with SCI through a series of regression analyses. The results indicated that chronological age and age at SCI onset were significant predictors of employment status. Continued research in this area is needed to better understand age-related effects on employment status, which could be used to help maximize the quality of life in individuals with SCI.

Practical Implications

Targeted Interventions

Services that assist individuals with SCI to maintain employment may be particularly important to provide when these individuals reach their early 50s.

Further Research

Longitudinal designs are needed that assess intra-individual changes in employment and putatively important biopsychosocial variables over time.

Holistic Approach

There should also be an emphasis on collecting data on variables that might be expected to have an impact on retention of employment, as well as variables that lend themselves to intervention efforts (individual and/or social).

Study Limitations

  • 1
    Cross-sectional survey precludes causal interpretations.
  • 2
    Participants who were employed part- or full-time were combined into one group.
  • 3
    Survey consisted of only self-report measures, which may be subject to reporting bias.

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