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Labor Market Integration of People with Disabilities: Results from the Swiss Spinal Cord Injury Cohort Study

Author

Listed:
  • Jan D Reinhardt
  • Marcel W M Post
  • Christine Fekete
  • Bruno Trezzini
  • Martin W G Brinkhof
  • on behalf of SwiSCI Study Group

Abstract

Objectives: We aimed to describe labor market participation (LMP) of persons with spinal cord injury (SCI) in Switzerland, to examine potential determinants of LMP, and to compare LMP between SCI and the general population. Methods: We analyzed data from 1458 participants of employable age from the cross-sectional community survey of the Swiss Spinal Cord Injury Cohort Study. Data on LMP of the Swiss general population were obtained from the Swiss Federal Statistical Office. Factors associated with employment status as well as the amount of work performed in terms of full-time equivalent (FTE) were examined with regression techniques. Results: 53.4% of the participants were employed at the time of the study. Adjusted odds of being employed were increased for males (OR = 1.73, 95% CI 1.33–2.25) and participants with paraplegia (OR = 1.78, 95% CI 1.40–2.27). The likelihood of being employed showed a significant concave relationship with age, peaking at age 40. The relation of LMP with education was s-shaped, while LMP was linearly related to time since injury. On average, employment rates were 30% lower than in the general population. Males with tetraplegia aged between 40 and 54 showed the greatest difference. From the 771 employed persons, the majority (81.7%) worked part-time with a median of 50% FTE (IRQ: 40%-80%). Men, those with younger age, higher education, incomplete lesions, and non-traumatic etiology showed significantly increased odds of working more hours per week. Significantly more people worked part-time than in the general population with the greatest difference found for males with tetraplegia aged between 40 and 54. Conclusions: LMP of persons with SCI is comparatively high in Switzerland. LMP after SCI is, however, considerably lower than in the general population. Future research needs to show whether the reduced LMP in SCI reflects individual capacity adjustment, contextual constraints on higher LMP or both.

Suggested Citation

  • Jan D Reinhardt & Marcel W M Post & Christine Fekete & Bruno Trezzini & Martin W G Brinkhof & on behalf of SwiSCI Study Group, 2016. "Labor Market Integration of People with Disabilities: Results from the Swiss Spinal Cord Injury Cohort Study," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-18, November.
    • Handle: RePEc:plo:pone00:0166955
    DOI: 10.1371/journal.pone.0166955
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    References listed on IDEAS

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    1. Cameron,A. Colin & Trivedi,Pravin K., 2013. "Regression Analysis of Count Data," Cambridge Books, Cambridge University Press, number 9781107667273, January.
    2. Jan Reinhardt & Ulrich Mansmann & Bernd Fellinghauer & Ralf Strobl & Eva Grill & Erik Elm & Gerold Stucki, 2011. "Functioning and disability in people living with spinal cord injury in high- and low-resourced countries: a comparative analysis of 14 countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(3), pages 341-352, June.
    3. Sauerbrei, W. & Meier-Hirmer, C. & Benner, A. & Royston, P., 2006. "Multivariable regression model building by using fractional polynomials: Description of SAS, STATA and R programs," Computational Statistics & Data Analysis, Elsevier, vol. 50(12), pages 3464-3485, August.
    4. repec:mpr:mprres:5126 is not listed on IDEAS
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    1. Felicia Ramona Birau & Daniela-Emanuela Dănăcică & Cristi Marcel Spulbar, 2019. "Social Exclusion and Labor Market Integration of People with Disabilities. A Case Study for Romania," Sustainability, MDPI, vol. 11(18), pages 1-15, September.

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