Relationship Between Comorbidities and Employment Among Veterans with Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2015 · DOI: 10.1310/sci2101-44 · Published: January 1, 2015

Simple Explanation

This study looks at the relationship between medical and mental health problems and employment in veterans with spinal cord injuries (SCI). It uses data from a large group of veterans to see if having more health issues makes it harder to get or keep a job. The researchers found that having a mental health diagnosis was linked to a lower chance of being employed. Also, the more medical and mental health problems a veteran had, the less likely they were to be employed. The study suggests that managing medical and mental health problems is very important for helping veterans with SCI find and keep jobs. It also suggests that bringing together job services and medical care could improve both health and job outcomes for these veterans.

Study Duration
August 2010 through March 2015
Participants
1,047 veterans with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Lack of any documented mental health diagnosis correlated strongly with being employed at the time of enrollment.
  • 2
    No single comorbidity was associated with employment at enrollment, but an increased number of medical and/or mental health comorbidities (“health burden”) were associated with a decreased likelihood of employment at the time of enrollment.
  • 3
    For mental health, after adjustment for covariates, the number of mental health comorbidities was a significant predictor of EMP-enroll/Yes, which correlated most strongly with a lack of any known mental health diagnosis

Research Summary

This study investigated the relationship between medical and mental health comorbidities and employment among veterans with spinal cord injury (SCI). Data were collected from 1,047 veterans with SCI across multiple VA centers. The study found that a lack of mental health diagnoses was strongly correlated with employment. Additionally, an increased number of medical and mental health comorbidities was associated with a decreased likelihood of employment. The conclusion emphasizes the importance of managing comorbidities to improve employment outcomes for veterans with SCI, suggesting integrated vocational and clinical services.

Practical Implications

Integrated Care

Integrate vocational and clinical services to address barriers to employment and promote better health and employment outcomes.

Comorbidity Management

Maximize the management of medical and mental health comorbidities to improve employment likelihood among veterans with SCI.

Further Research

Conduct prospective studies to examine the impact of medical complications on employment, including the frequency and severity of comorbidities.

Study Limitations

  • 1
    Generalizability of the sample is limited to veterans.
  • 2
    Data does not provide information on the chronology of comorbidities.
  • 3
    Some significant comparisons may be due to type I error due to the large number of statistical comparisons.

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