Research Database: Article Details
| Citation: | Krause, J.S.; Dismuke-Greer, C.E.; Reed, K.; Backus, D.; & Rumrill, P. (2020). Gainful employment and earnings among those with spinal cord injury and multiple sclerosis. Journal of Vocational Rehabilitation, 52 (1), 19-28. |
| Title: | Gainful employment and earnings among those with spinal cord injury and multiple sclerosis |
| Authors: | Krause, J.S.; Dismuke-Greer, C.E.; Reed, K.; Backus, D.; & Rumrill, P. |
| Year: | 2020 |
| Journal/Publication: | Journal of Vocational Rehabilitation |
| Publisher: | IOS Press |
| DOI: | https://doi.org/10.3233/JVR-191057 |
| Full text: | https://content.iospress.com/articles/journal-of-vocational-rehabil... | PDF |
| Peer-reviewed? | Yes |
| NIDILRR-funded? | Yes |
Structured abstract:
| Background: | Spinal cord injury (SCI) and multiple sclerosis (MS) are disabling conditions associated with low employment rates and loss of earnings. |
| Purpose: | Quantify the relationships of demographic, educational, and functional characteristics with gainful employment and earnings after SCI or MS. |
| Data collection and analysis: | Participants were adults under age 65 with SCI (n?=?1275) or MS (n?=?1107) identified through a specialty hospital or a state-based surveillance registry in the southeastern United States. An econometric model of cross-sectional data using a two-step data analytic model examined employment status and earnings. This included one model that was restricted to only those employed (conditional earnings) and another model that included all participants, using $0 earnings for those who were unemployed (unconditional earnings – earnings not conditional upon being employed). |
| Findings: | Diagnosis was not significantly related to employment status. Several functional characteristics were associated with lower odds of employment and higher unconditional earnings (cognition, walking, shopping independently). Higher conditional earnings were reported by those with MS ($16,405) and those without difficulty in cognition ($8,532) and bathing ($20,932). Higher educational attainment was related to probability of employment and greater earnings. |
| Conclusions: | Those with SCI and those with several types of functional limitations have lower quality of employment, as measured by earnings. Efforts should be made to enhance quality of employment for those at greatest risk for unemployment and underemployment. |
| Disabilities served: |
Multiple sclerosis Spinal cord injury (SCI) Severe physical disability |
| Populations served: |
Adults |
| Interventions: |
Vocational rehabilitation |
| Outcomes: |
Employment acquisition Full-time employment |