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  4. The Role of Environmental Factors on Health Conditions, General Health and Quality of Life in Persons with Spinal Cord Injuries in South Africa

The Role of Environmental Factors on Health Conditions, General Health and Quality of Life in Persons with Spinal Cord Injuries in South Africa

Int. J. Environ. Res. Public Health, 2023 · DOI: 10.3390/ijerph20095709 · Published: May 3, 2023

Spinal Cord InjuryAccessibilityPublic Health

Simple Explanation

This study investigates how environmental factors affect the health and well-being of people with spinal cord injuries (SCI) in South Africa. It looks at things like access to transportation, public access, and attitudes of family and friends. The research found that problems with public access, transportation, and finances were common barriers. These barriers were linked to poorer health outcomes, including secondary health conditions and mental health issues. The findings suggest that improving environmental factors could significantly improve the lives of people with SCI in South Africa. This includes making transportation more accessible, improving public access, and addressing negative attitudes.

Study Duration
January 2017 and May 2019
Participants
Two hundred persons with SCI
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    Public access, short- and long-distance transport, and friends’ and colleagues’ attitudes were significantly associated with secondary health conditions.
  • 2
    Finances, family attitudes, and communication had a significant association with worsened mental health.
  • 3
    Services and communication were significantly associated with decreased general health.

Research Summary

This study investigated the relationship between environmental factors and health outcomes for individuals with spinal cord injuries (SCI) in South Africa. Using a cross-sectional survey design, data was collected from 200 participants to analyze the impact of environmental barriers on health conditions, general health, and quality of life. The results highlighted that public access, transportation limitations, and financial constraints were significant environmental barriers. These factors were found to be associated with secondary health conditions, mental health issues, and decreased general health among individuals with SCI. The study concludes that addressing modifiable environmental factors through policy changes and targeted interventions is crucial for improving the health and overall well-being of people with SCI in South Africa.

Practical Implications

Policy Development

Inform policymakers about the critical environmental factors affecting people with SCI, leading to targeted legislation and resource allocation.

Rehabilitation Programs

Design comprehensive rehabilitation programs that address environmental barriers and promote community reintegration for individuals with SCI.

Community Awareness

Develop public awareness campaigns to foster positive attitudes towards people with disabilities and promote inclusivity in society.

Study Limitations

  • 1
    Relatively small sample size.
  • 2
    Data only from two of the nine provinces of South Africa.
  • 3
    Self-reported data from a cross-sectional study.

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