Geographic variation in participation for physically disabled adults: The contribution of area economic factors to employment after spinal cord injury
This study investigates the role of area economic characteristics in predicting employment–a key aspect of social participation for adults with physical disabilities–using data from a national registry of persons with spinal cord injury (SCI). SCI results in chronic impairment and most commonly occurs during young adulthood when working is a key aspect of the adult social role. Geocoded data were collected from two of the 14 SCI Model Systems (SCIMS) centers involved in the National SCIMS database and used to link individual-level data with area-level measures extracted from the 2000 US Census. The analysis included participants of working-age (18–64 years) and living in the community (N=1013). Hierarchical generalized linear modeling was used to estimate area-level variation in participation and the relative contribution of area-level economic indicators, adjusted for individual-level health, functioning, and background characteristics. The likelihood of employment for adults with SCI varied by area and was associated with area SES and urbanicity, but not area unemployment. These findings suggest that variation in area economic conditions may affect the feasibility of employment for persons who experience chronic physical disability during adulthood, thus limiting full participation in society.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 75 (2012)
Issue (Month): 8 ()
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Clarke, Philippa J. & Ailshire, Jennifer A. & Nieuwenhuijsen, Els R. & de Kleijn - de Vrankrijker, Marijke W., 2011. "Participation among adults with disability: The role of the urban environment," Social Science & Medicine, Elsevier, vol. 72(10), pages 1674-1684, May.
- Moon, Sangho & Shin, Jaeun, 2006. "The effect of the Americans with Disabilities Act on economic well-being of men with disabilities," Health Policy, Elsevier, vol. 76(3), pages 266-276, May.
- Fone, David & Dunstan, Frank & Williams, Gareth & Lloyd, Keith & Palmer, Stephen, 2007. "Places, people and mental health: A multilevel analysis of economic inactivity," Social Science & Medicine, Elsevier, vol. 64(3), pages 633-645, February.
- Scheffler, Richard M. & Brown, Timothy T. & Syme, Leonard & Kawachi, Ichiro & Tolstykh, Irina & Iribarren, Carlos, 2008. "Community-level social capital and recurrence of acute coronary syndrome," Social Science & Medicine, Elsevier, vol. 66(7), pages 1603-1613, April.
- Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
- Zunzunegui, Maria-Victoria & Forster, Mathieu & Gauvin, Lise & Raynault, Marie-France & Douglas Willms, J., 2006. "Community unemployment and immigrants' health in Montreal," Social Science & Medicine, Elsevier, vol. 63(2), pages 485-500, July.
- Freedman, Vicki A. & Grafova, Irina B. & Schoeni, Robert F. & Rogowski, Jeannette, 2008. "Neighborhoods and disability in later life," Social Science & Medicine, Elsevier, vol. 66(11), pages 2253-2267, June.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:8:p:1505-1513. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.