Objective: (1) Identify the proportion of participants with spinal cord dysfunction (SCD) reporting each of 10 job benefits and compare the proportions between participants with spinal cord injury (SCI) and multiple sclerosis (MS); and (2) examine if diagnostic criteria, demographics, education level, and functional limitations are associated with the number of job benefits received. Design: Econometric modeling of cross-sectional data using a 2-step data analytic model of employment and job benefits. Setting: Medical university in the southeastern United States. Participants: Participants (N=2624) were identified from the southeastern United States. After eliminating those age 65 and older, there were 2624 adult participants with SCD; 1234 had MS and 1390 had SCI. Interventions: Not applicable. Main Outcome Measures: Current employment status; number of benefits received and specific benefits received. Results: A greater proportion of participants with MS received benefits, with significant differences observed on all but 1 type of benefit. Among those who were employed, a greater number of benefits was associated with having MS, greater education, younger age, married or in an unmarried couple, and not having functional restrictions with cognition, doing errands, or shopping alone in the community, and walking. Conclusions: Employed participants with MS were more likely to receive job benefits, indicative of a higher quality of employment, compared to participants with SCI. Employment without benefits is a form of underemployment that disproportionately affects individuals with many of the same characteristics that initially lead to disparities in probability of gainful employment.
|Number of pages||7|
|Journal||Archives of Physical Medicine and Rehabilitation|
|State||Published - Oct 2019|
Bibliographical noteFunding Information:
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (grant no. 90DP0050 and 90RT5035). The contents of this publication do not necessarily represent the policy of the National Institute on Disability, Independent Living, and Rehabilitation Research, the Administration for Community Living, or the Department of Health and Human Services, and you should not assume endorsement by the Federal Government.
© 2019 American Congress of Rehabilitation Medicine
- Multiple sclerosis
- Spinal cord injuries
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation