TY - JOUR
T1 - Comparison of Life Satisfaction in Persons With Spinal Cord Injury Living in 22 Countries With Different Economic Status
AU - Tasiemski, Tomasz
AU - Kujawa, Jolanta
AU - Tederko, Piotr
AU - Rubinelli, Sara
AU - Middleton, James W.
AU - Craig, Ashley
AU - Post, Marcel W.M.
N1 - Funding Information:
This study is based on data from the International Spinal Cord Injury (InSCI) Community Survey, providing the evidence for the Learning Health System for Spinal Cord Injury (LHS-SCI, see Am J Phys Med Rehabil 2017;96 (Suppl):S23-34).The LHS-SCI is an effort to implement the recommendations described in the WHO report International Perspectives on Spinal Cord Injury (Bickenbach J, et al. Geneva: WHO Press; 2013). The members of the InSCI Steering Committee are James Middleton (ISCoS representative, Member Scientific Committee, Australia), Julia Patrick Engkasan (ISPRM representative, Malaysia), Gerold Stucki (Chair Scientific Committee, Switzerland), Mirjam Brach (Representative Coordinating Institute, Switzerland), Jerome Bickenbach (Member Scientific Committee, Switzerland), Christine Fekete (Member Scientific Committee, Switzerland), Christine Thyrian (Representative Study Center, Switzerland), Linamara Battistella (Brazil), Jianan Li (China), Brigitte Perrouin-Verbe (France), Christoph Gutenbrunner (Member Scientific Committee, Germany), Christina-Anastasia Rapidi (Greece), Luh Karunia Wahyuni (Indonesia), Mauro Zampolini (Italy), Eiichi Saitoh (Japan), Bum Suk Lee (Korea), Alvydas Juocevicius (Lithuania), Nazirah Hasnan (Malaysia), Abderrazak Hajjioui (Morocco), Marcel W.M. Post (Member Scientific Committee, The Netherlands); Anne Catrine Martinsen (Norway), Piotr Tederko (Poland), Daiana Popa (Romania), Conran Joseph (South Africa), Mercè Avellanet (Spain), Michael Baumberger (Switzerland), Apichana Kovindha (Thailand), and Reuben Escorpizo (Member Scientific Committee, United States). The authors thank Janusz Wachnicki (Predictive Solutions, Poland) for assistance with statistical analyzes for this article.
Publisher Copyright:
© 2021 The American Congress of Rehabilitation Medicine
PY - 2022/7
Y1 - 2022/7
N2 - Objective: To analyze and compare life satisfaction (LS) in persons with spinal cord injury (SCI) living in 22 countries participating in the International Spinal Cord Injury (InSCI) community survey. The study tested the hypothesis that there are differences in LS across InSCI countries according to the countries’ economic status specified as gross domestic product per capita purchased power parity (GDP-PPP).Design: Cross-sectional survey.Setting: Community setting (22 countries representing all 6 World Health Organization regions).Participants: Persons (N=12,108) with traumatic or nontraumatic SCI aged at least 18 years, living in the community and able to respond to one of the available language versions of the questionnaire.Interventions: Not applicable.Main Outcome Measures: LS measured by 5 items selected from the World Health Organization Quality of Life Assessment-BREF: satisfaction with overall quality of life, health, daily activities, relationships, and living conditions. LS index was calculated as the mean of these 5 items.Results: The highest level of LS was reported by persons with SCI living in the United States, Malaysia, and Switzerland (mean range, 3.76-3.80), and the lowest was reported by persons with SCI living in South Korea, Japan, and Morocco (mean range, 2.81-3.16). There was a significant cubic association between LS index and GDP-PPP. Regression tree analysis revealed the main variables differentiating LS index were GDP-PPP and monthly income, followed by time since injury and education.Conclusions: Life satisfaction reported by persons with SCI related mainly to their country economic situation expressed by GDP-PPP and monthly income. The results of this study underscore the need for policy dialogues to avoid inequalities and improve the life experience in persons with SCI.
AB - Objective: To analyze and compare life satisfaction (LS) in persons with spinal cord injury (SCI) living in 22 countries participating in the International Spinal Cord Injury (InSCI) community survey. The study tested the hypothesis that there are differences in LS across InSCI countries according to the countries’ economic status specified as gross domestic product per capita purchased power parity (GDP-PPP).Design: Cross-sectional survey.Setting: Community setting (22 countries representing all 6 World Health Organization regions).Participants: Persons (N=12,108) with traumatic or nontraumatic SCI aged at least 18 years, living in the community and able to respond to one of the available language versions of the questionnaire.Interventions: Not applicable.Main Outcome Measures: LS measured by 5 items selected from the World Health Organization Quality of Life Assessment-BREF: satisfaction with overall quality of life, health, daily activities, relationships, and living conditions. LS index was calculated as the mean of these 5 items.Results: The highest level of LS was reported by persons with SCI living in the United States, Malaysia, and Switzerland (mean range, 3.76-3.80), and the lowest was reported by persons with SCI living in South Korea, Japan, and Morocco (mean range, 2.81-3.16). There was a significant cubic association between LS index and GDP-PPP. Regression tree analysis revealed the main variables differentiating LS index were GDP-PPP and monthly income, followed by time since injury and education.Conclusions: Life satisfaction reported by persons with SCI related mainly to their country economic situation expressed by GDP-PPP and monthly income. The results of this study underscore the need for policy dialogues to avoid inequalities and improve the life experience in persons with SCI.
KW - Gross domestic product
KW - Internationality
KW - Personal satisfaction
KW - Quality of Life
KW - Rehabilitation
KW - Spinal cord injuries
U2 - 10.1016/j.apmr.2021.11.008
DO - 10.1016/j.apmr.2021.11.008
M3 - Article
C2 - 34922932
AN - SCOPUS:85123859184
SN - 0003-9993
VL - 103
SP - 1285
EP - 1293
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 7
ER -