Abstract
Objective
To analyze and compare life satisfaction (LS) in persons with spinal cord injury (SCI)
living in 22 countries participating in the International Spinal Cord Injury (InSCI)
community survey. The study tested the hypothesis that there are differences in LS
across InSCI countries according to the countries’ economic status specified as gross
domestic product per capita purchased power parity (GDP-PPP).
Design
Cross-sectional survey.
Setting
Community setting (22 countries representing all 6 World Health Organization regions).
Participants
Persons (N=12,108) with traumatic or nontraumatic SCI aged at least 18 years, living
in the community and able to respond to one of the available language versions of
the questionnaire.
Interventions
Not applicable.
Main Outcome Measures
LS measured by 5 items selected from the World Health Organization Quality of Life
Assessment-BREF: satisfaction with overall quality of life, health, daily activities,
relationships, and living conditions. LS index was calculated as the mean of these
5 items.
Results
The highest level of LS was reported by persons with SCI living in the United States,
Malaysia, and Switzerland (mean range, 3.76-3.80), and the lowest was reported by
persons with SCI living in South Korea, Japan, and Morocco (mean range, 2.81-3.16).
There was a significant cubic association between LS index and GDP-PPP. Regression
tree analysis revealed the main variables differentiating LS index were GDP-PPP and
monthly income, followed by time since injury and education.
Conclusions
Life satisfaction reported by persons with SCI related mainly to their country economic
situation expressed by GDP-PPP and monthly income. The results of this study underscore
the need for policy dialogues to avoid inequalities and improve the life experience
in persons with SCI.
Keywords
List of abbreviations:
CART (classification and regression tree), GDP-PPP (gross domestic product per capita purchased power parity), InSCI (International Spinal Cord Injury), LS (life satisfaction), QoL (quality of life), SCI (spinal cord injury), WHO (World Health Organization), WHOQOL-5 (World Health Organization Quality of Life Assessment-5)To read this article in full you will need to make a payment
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References
- Definitions of quality of life: what has happened and how to move on.Top Spinal Cord Inj Rehabil. 2014; 20: 167-180
- Life satisfaction of persons with spinal cord injury compared to a population group.Scand J Rehabil Med. 1998; 30: 23-30
- Spinal cord injury, physical activity, and quality of life: a systematic review.Kinesiol Rev (Champaign). 2013; 2: 113-129
- Relationship between quality of life and self-efficacy in persons with spinal cord injuries.Arch Phys Med Rehabil. 2007; 88: 1643-1648
- Quality of life and traumatic spinal cord injury.Arch Phys Med Rehabil. 1998; 79: 1433-1439
- Quality of life of individuals with spinal cord injury: a review of conceptualization, measurement, and research findings.J Rehabil Res Develop. 2005; 42: 87
- The association of sports and physical recreation with life satisfaction in a community sample of people with spinal cord injuries.NeuroRehabilitation. 2005; 20: 253-265
- Health-related quality of life after spinal cord injury.Disabil Rehabil. 2002; 24: 196-202
- Factors associated with the quality of life of long-term spinal cord injured persons.Arch Phys Med Rehabil. 1994; 75: 633-638
- Predictors of health status and life satisfaction in spinal cord injury.Arch Phys Med Rehabil. 1998; 79: 395-401
- Longitudinal outcome 6 years after spinal cord injury.Spinal Cord. 2003; 41: 280-285
- Partner relationships, functioning, mood and global quality of life in persons with spinal cord injury and traumatic brain injury.Spinal Cord. 1998; 36: 252-261
- Long-term outcomes and life satisfaction of adults who had pediatric spinal cord injuries.Arch Phys Med Rehabil. 1998; 79: 1496-1503
- Modeling life satisfaction in spinal cord injury: the role of psychological resources.Qual Life Res. 2014; 23: 2693-2705
- Life satisfaction in individuals with a spinal cord injury and pain.Clin Rehabil. 2007; 21: 89-96
- Changes and determinants of life satisfaction after spinal cord injury: a cohort study in the Netherlands.Arch Phys Med Rehabil. 2008; 89: 1733-1740
- A comparative review of life satisfaction, quality of life and mood between Chinese and British people with tetraplegia.Spinal Cord. 2009; 47: 82-86
- Quality of life in people with spinal cord injury-earthquake survivors from Sichuan Province in China.Asia Pac Disabil Rehabil J. 2010; 21: 28-36
- Life satisfaction and life values in people with spinal cord injury living in three Asian countries: a multicultural study.J Spinal Cord Med. 2013; 36: 118-126
- Quality of life after spinal cord injury: a comparison across six countries.Spinal Cord. 2013; 51: 322-326
- Quality of life and the health system: a 22-country comparison of the situation of people with spinal cord injury.Arch Phys Med Rehabil. 2020; 101: 2167-2176
- Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).Qual Life Res. 1993; 2: 153-159
- Study protocol of the International Spinal Cord Injury (InSCI) community survey.Am j Phys Med Rehabil. 2017; 96: S23-S34
Our World in Data. Self-reported life satisfaction vs GDP per capita. Available at: https://ourworldindata.org/grapher/gdp-vs-happiness. Accessed February 4, 2021.
- Meaning and components of quality of life among individuals with spinal cord injury in Yogyakarta Province.Indonesia. Disabil Rehabil. 2018; 40: 1183-1191
- Cohort profile of the International Spinal Cord Injury Community Survey implemented in 22 countries.Arch Phys Med Rehabil. 2020; 101: 2103-2111
- Development of the World Health Organization WHOQOL-BREF quality of life assessment.Psychol Med. 1998; 28: 551-558
- The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties.Soc Sci Med. 1998; 46: 1569-1585
- The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group.Qual Life Res. 2004; 13: 299-310
- Cross-cultural validity of four quality of life scales in persons with spinal cord injury.Health Qual Life Outcomes. 2010; 8: 94
- Developing core sets for persons with spinal cord injuries based on the International Classification of Functioning, Disability and Health as a way to specify functioning.Spinal Cord. 2006; 44: 541-546
- ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities.Disabil Rehabil. 2005; 27: 361-366
- Development of ICF Core Sets for patients with chronic conditions.J Rehabil Med. 2004; 44: 9-11
The World Bank. GDP per capita, PPP (constant 2017 international $). Available at: https://data.worldbank.org/indicator/%20NY.GDP.PCAP.PP.KD. Accessed January 2, 2021.
- Coefficient alpha and the internal structure of tests.Psychometrika. 1951; 16: 297-334
- People with spinal cord injury in Korea.Am J Phys Med Rehabil. 2017; 96: S83-S85
- The cross-cultural societal response to SCI: health and related systems.Am J Phys Med Rehabil. 2017; 96: S41-S54
- Surviving spinal cord injury in low income countries.Afr J Disabil. 2014; 3: 9
Article Info
Publication History
Published online: December 16, 2021
Accepted:
November 24,
2021
Received in revised form:
November 17,
2021
Received:
June 1,
2021
Footnotes
Disclosures: none
Identification
Copyright
© 2021 by the American Congress of Rehabilitation Medicine.
