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.
Key Findings
- 1Lack of any documented mental health diagnosis correlated strongly with being employed at the time of enrollment.
- 2No 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.
- 3For 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
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
- 1Generalizability of the sample is limited to veterans.
- 2Data does not provide information on the chronology of comorbidities.
- 3Some significant comparisons may be due to type I error due to the large number of statistical comparisons.