Abstract
Objective
To evaluate how self-reported problems change over time among people with spinal cord
injury (SCI).
Design
Cross-sequential analysis.
Setting
Medical university in the Southeastern United States.
Participants
Participants included 1997 individuals with traumatic SCI of at least 1-year duration
who were identified from participation in the SCI Longitudinal Aging Study from 1993-2018.
Interventions
None.
Main Outcome Measures
The outcomes analyzed were 6 problem factors defined as health, social isolation,
emotional distress, environmental barriers, money, and lack of opportunities. A series
of cross-sequential models, using PROC MIXED procedure, were developed to evaluate
the initial and change of the 6 problem factors over the 6 times of measurements in
25 years.
Results
Years post injury was negatively associated with initial status of problems of social
isolation, emotional distress, environmental barriers, and lack of opportunities because
participants with more years post injury at baseline reported lower scores on each
factor. Longitudinally, with increased years post injury, higher scores were observed
on the health problem factor. However, problems of social isolation, emotional distress,
environmental barriers, money, and lack of opportunities decreased over time with
increasing years post injury.
Conclusions
Participants had more health problems with increasing years after SCI, but fewer problems
of social isolation, emotional distress, environmental barriers, money, and lack of
opportunities.
Keywords
List of abbreviations:
SCI (spinal cord injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 26, 2020
Footnotes
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant no. 90IF0112). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the policy of NIDILRR, ADL, or HHS and you should not assume endorsement by the Federal Government.
Identification
Copyright
Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
