Full Citation
Title: Geographic Variation in Participation for Physically Disabled Adults: The Contribution of Area Economic Factors to Employment After Spinal Cord Injury
Citation Type: Journal Article
Publication Year: 2012
ISBN:
ISSN:
DOI:
NSFID:
PMCID:
PMID:
Abstract: This study investigates the role of area economic characteristics in predicting employmenta key aspect of social participation for adults with physical disabilitiesusing data from a national registry of persons with spinal cord injury (SCI). SCI results in chronic impairment and most commonly occurs during young adulthood when working is a key aspect of the adult social role. Geocoded data were collected from two of the 14 SCI Model Systems (SCIMS) centers involved in the National SCIMS database and used to link individual-level data with area-level measures extracted from the 2000 US Census. The analysis included participants of working-age (1864 years) and living in the community (N = 1013). Hierarchical generalized linear modeling was used to estimate area-level variation in participation and the relative contribution of area-level economic indicators, adjusted for individual-level health, functioning, and background characteristics. The likelihood of employment for adults with SCI varied by area and was associated with area SES and urbanicity, but not area unemployment. These findings suggest that variation in area economic conditions may affect the feasibility of employment for persons who experience chronic physical disability during adulthood, thus limiting full participation in society.
User Submitted?: No
Authors: Tulsky, David S.; Botticello, Amanda L.; Chen, Yuying
Periodical (Full): Social science & medicine
Issue: 8
Volume: 75
Pages: 1505-1513
Data Collections: IPUMS NHGIS
Topics: Health, Labor Force and Occupational Structure
Countries: