PDF(Pubmed)
Abstract：
UNASSIGNED: Spinal cord injury (SCI) causes drastic changes to an individual\'s physical health that may be associated with the ability to work.
UNASSIGNED: To estimate the association of SCI with individual earnings and employment status using national administrative health databases linked to income tax data.
UNASSIGNED: This was a retrospective, national, population-based cohort study of adults who were hospitalized with cervical SCI in Canada between January 2005 and December 2017. All acute care hospitalizations for SCI of adults ages 18 to 64 years were included. A comparison group was constructed by sampling from individuals in the injured cohort. Fiscal information from their preinjury years was used for comparison. The injured cohort was matched with the comparison group based on age, sex, marital status, province of residence, self-employment status, earnings, and employment status in the year prior to injury. Data were analyzed from August 2022 to January 2023.
UNASSIGNED: The first outcome was the change in individual annual earnings up to 5 years after injury. The change in mean yearly earnings was assessed using a linear mixed-effects differences-in-differences regression. Income values are reported in 2022 Canadian dollars (CAD $1.00 = US $0.73). The second outcome was the change in employment status up to 5 years after injury. A multivariable probit regression model was used to compare proportions of individuals employed among those who had experienced SCI and the paired comparison group of participants.
UNASSIGNED: A total of 1630 patients with SCI (mean [SD] age, 47 [13] years; 1304 male [80.0%]) were matched to patients in a preinjury comparison group (resampled from the same 1630 patients in the SCI group). The mean (SD) of preinjury wage earnings was CAD $46 000 ($48 252). The annual decline in individual earnings was CAD $20 275 (95% CI, -$24 455 to -$16 095) in the first year after injury and CAD $20 348 (95% CI, -$24 710 to -$15 985) in the fifth year after injury. At 5 years after injury, 52% of individuals who had an injury were working compared with 79% individuals in the preinjury comparison group. SCI survivors had a decrease in employment of 17.1 percentage points (95% CI, 14.5 to 19.7 percentage points) in the first year after injury and 17.8 percentage points (14.5 to 21.1 percentage points) in the fifth year after injury.
UNASSIGNED: In this study, SCI was associated with a decline in earnings and employment up to 5 years after injury for adults aged 18 to 64 years in Canada.
UNASSIGNED: To estimate the association of SCI with individual earnings and employment status using national administrative health databases linked to income tax data.
UNASSIGNED: This was a retrospective, national, population-based cohort study of adults who were hospitalized with cervical SCI in Canada between January 2005 and December 2017. All acute care hospitalizations for SCI of adults ages 18 to 64 years were included. A comparison group was constructed by sampling from individuals in the injured cohort. Fiscal information from their preinjury years was used for comparison. The injured cohort was matched with the comparison group based on age, sex, marital status, province of residence, self-employment status, earnings, and employment status in the year prior to injury. Data were analyzed from August 2022 to January 2023.
UNASSIGNED: The first outcome was the change in individual annual earnings up to 5 years after injury. The change in mean yearly earnings was assessed using a linear mixed-effects differences-in-differences regression. Income values are reported in 2022 Canadian dollars (CAD $1.00 = US $0.73). The second outcome was the change in employment status up to 5 years after injury. A multivariable probit regression model was used to compare proportions of individuals employed among those who had experienced SCI and the paired comparison group of participants.
UNASSIGNED: A total of 1630 patients with SCI (mean [SD] age, 47 [13] years; 1304 male [80.0%]) were matched to patients in a preinjury comparison group (resampled from the same 1630 patients in the SCI group). The mean (SD) of preinjury wage earnings was CAD $46 000 ($48 252). The annual decline in individual earnings was CAD $20 275 (95% CI, -$24 455 to -$16 095) in the first year after injury and CAD $20 348 (95% CI, -$24 710 to -$15 985) in the fifth year after injury. At 5 years after injury, 52% of individuals who had an injury were working compared with 79% individuals in the preinjury comparison group. SCI survivors had a decrease in employment of 17.1 percentage points (95% CI, 14.5 to 19.7 percentage points) in the first year after injury and 17.8 percentage points (14.5 to 21.1 percentage points) in the fifth year after injury.
UNASSIGNED: In this study, SCI was associated with a decline in earnings and employment up to 5 years after injury for adults aged 18 to 64 years in Canada.
摘要：
■脊髓损伤（SCI）会导致个人身体健康发生剧烈变化，这可能与工作能力有关。
■使用与所得税数据相关的国家行政健康数据库来估计SCI与个人收入和就业状况的关联。
■这是一个回顾，国家,对2005年1月至2017年12月加拿大因宫颈SCI住院的成年人进行了基于人群的队列研究.纳入了18至64岁成人因SCI而住院的所有急性护理。通过从受伤队列中的个体采样来构建比较组。使用受伤前年度的财务信息进行比较。根据年龄将受伤队列与对照组进行匹配，性别,婚姻状况,居住省,自雇状况,收益，以及受伤前一年的就业状况。数据从2022年8月到2023年1月进行了分析。
■第一个结果是受伤后5年内个人年收入的变化。使用线性混合效应差异回归评估了平均年收入的变化。收入值以2022加元（1.00加元=0.73美元）报告。第二个结果是受伤后5年内的就业状况变化。使用多变量probit回归模型来比较经历过SCI的人和配对比较组参与者中雇用的个人比例。
■共有1630例SCI患者（平均[SD]年龄，47[13]岁；1304名男性[80.0％]）与损伤前对照组的患者相匹配（从SCI组的相同1630名患者中重新采样）。受伤前工资收入的平均值（SD）为46000加元（48252美元）。受伤后的第一年，个人收入的年度下降幅度为20275加元（95％CI，-24455美元至-16095美元），受伤后的第五年为20348加元（95％CI，-24710美元至-15985美元）。受伤后5年，52％的受伤人员正在工作，而受伤前对照组为79％。SCI幸存者受伤后第一年的就业率下降了17.1个百分点（95％CI，14.5至19.7个百分点），受伤后第五年的就业率下降了17.8个百分点（14.5至21.1个百分点）。
■在这项研究中，SCI与加拿大18至64岁成年人受伤后长达5年的收入和就业下降有关。
■使用与所得税数据相关的国家行政健康数据库来估计SCI与个人收入和就业状况的关联。
■这是一个回顾，国家,对2005年1月至2017年12月加拿大因宫颈SCI住院的成年人进行了基于人群的队列研究.纳入了18至64岁成人因SCI而住院的所有急性护理。通过从受伤队列中的个体采样来构建比较组。使用受伤前年度的财务信息进行比较。根据年龄将受伤队列与对照组进行匹配，性别,婚姻状况,居住省,自雇状况,收益，以及受伤前一年的就业状况。数据从2022年8月到2023年1月进行了分析。
■第一个结果是受伤后5年内个人年收入的变化。使用线性混合效应差异回归评估了平均年收入的变化。收入值以2022加元（1.00加元=0.73美元）报告。第二个结果是受伤后5年内的就业状况变化。使用多变量probit回归模型来比较经历过SCI的人和配对比较组参与者中雇用的个人比例。
■共有1630例SCI患者（平均[SD]年龄，47[13]岁；1304名男性[80.0％]）与损伤前对照组的患者相匹配（从SCI组的相同1630名患者中重新采样）。受伤前工资收入的平均值（SD）为46000加元（48252美元）。受伤后的第一年，个人收入的年度下降幅度为20275加元（95％CI，-24455美元至-16095美元），受伤后的第五年为20348加元（95％CI，-24710美元至-15985美元）。受伤后5年，52％的受伤人员正在工作，而受伤前对照组为79％。SCI幸存者受伤后第一年的就业率下降了17.1个百分点（95％CI，14.5至19.7个百分点），受伤后第五年的就业率下降了17.8个百分点（14.5至21.1个百分点）。
■在这项研究中，SCI与加拿大18至64岁成年人受伤后长达5年的收入和就业下降有关。
