A Life Course Perspective to Spinal Cord Injury and Employment Participation in Canada

Arif Jetha · Frederic S. Dumont · Luc Noreau · Jean Leblond

17 citations0/0 files storedTopics in Spinal Cord Injury Rehabilitation

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Disability Education and Employment Retirement, Disability, and Employment Spinal Cord Injury Research

Abstract

BACKGROUND: Few studies have examined life course differences in the employment of Canadians with spinal cord injury (SCI). OBJECTIVE: To compare employment participation of young/middle-aged and older adults with SCI and to examine the association between employment and demographic and health factors, SCI-related needs, and social role participation at the 2 life phases. METHODS: A sample of young/middle-aged (18-54 years; n = 959) and older adults (55-64 years; n = 364) with SCI was recruited as part of a larger Canadian community survey. Pre- and postinjury employment were compared. Demographic and health factors, number of unmet SCI needs, and social role participation were collected and compared by life phase and employment status. Two multivariable logistic regression models were conducted and compared for young/middle-aged and older adults. RESULTS: Close to one-third of participants with SCI were working post injury (32%), a decline from the 62% of respondents working prior to their injury. Participants were more likely to work in less physically demanding job sectors including business/administration or health/science/teaching. An examination of life phase differences showed that young/middle-aged adults were more likely to be employed post injury (36%) when compared to older respondents (12% employed) who were more likely to report being retired (43%). Multivariable analyses revealed that for young/middle-aged adults, being married, attaining a postsecondary education, and having fewer unmet SCI needs were related to employment. Among older adults, having a traumatic injury was related to involvement in paid work. For both young/middle-aged and older adults, participating in more social roles was related to working. CONCLUSION: A life course perspective is important to understanding similarities and differences between young/middle-aged and older adults with SCI in their employment participation. Tailored programs and policies should be designed to promote labor force involvement at different phases of the working life course.

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2000Emerging adulthood: A theory of development from the late teens through the twenties.2003The Emergence and Development of Life Course Theory 2015Handbook of the Life Course 2006Social Determinants of Health: Present Status, Unanswered Questions, and Future Directions 1998Employers and older workers: attitudes and employment practices 2007Return to work following spinal cord injury: a review 2009Review of Critical Factors Related to Employment After Spinal Cord Injury: Implications for Research and Vocational Services 1990Correlates of life satisfaction in those with disabling conditions.

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