ArticlePloS one2014
Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Personalised, GIS-based counselling to promote habitual walking in mobility-limited and chronically ill older adults: protocol of the MOBITEC-Routes randomised controlled trial.BMC geriatrics · 2025Article
- Health systems and quality of life: The situation of South Africans with spinal cord injury.The South African journal of physiotherapy · 2025Article
- Reliability and validity of the German version of the University of Jyvaskyla Active Aging Scale (UJACAS-G).Journal of patient-reported outcomes · 2024Article
- Association Between the Availability of Mobility Assistive Products and Participation Outcomes in Individuals With Spinal Cord Injury in Switzerland.Topics in spinal cord injury rehabilitation · 2023Article
- Does gender moderate the association between socioeconomic status and health? Results from an observational study in persons with spinal cord injury living in Morocco.Frontiers in rehabilitation sciences · 2023Article
- Does the socioeconomic status predict health service utilization in persons with enhanced health care needs? Results from a population-based survey in persons with spinal cord lesions from Switzerland.International journal for equity in health · 2022Article
- Socioeconomic Status, the Countries' Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries.International journal of public health · 2022Article
- Shared responsibility between general practitioners and highly specialized physicians in chronic spinal cord injury: Study protocol for a nationwide pragmatic nonrandomized interventional study.Contemporary clinical trials communications · 2021Article
- Perceived sleep problems after spinal cord injury: Results from a community-based survey in Switzerland.The journal of spinal cord medicine · 2021Article
- Participation and quality of life in persons living with spinal cord injury in Norway.Journal of rehabilitation medicine · 2021Article
- Role of Social Support in the Relationship Between Financial Strain and Frequency of Exercise Among Older Japanese: A 19-year Longitudinal Study.Journal of epidemiology · 2021Article
- Detecting subgroups in social participation among individuals living with spinal cord injury: a longitudinal analysis of community survey data.Spinal cord · 2021Article
- Empirical Validity of a Generic, Preference-Based Capability Wellbeing Instrument (ICECAP-A) in the Context of Spinal Cord Injury.The patient · 2021Article
- Article
- Map-based assessment of older adults' life space: validity and reliability.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2020Article
- Clinical and sociodemographic profiles of persons with spinal cord injury.Journal of family medicine and primary care · 2020Article
- Social inequalities in the burden of care: a dyadic analysis in the caregiving partners of persons with a physical disability.International journal for equity in health · 2019Article
- Mental health in individuals with spinal cord injury: The role of socioeconomic conditions and social relationships.PloS one · 2019Observational
- Place of residence & financial hardship: the situation of people with spinal cord injury.International journal for equity in health · 2018Article
- Work and family conflicts in employees with spinal cord injury and their caregiving partners.Spinal cord · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate socioeconomic inequalities in a comprehensive set of health indicators among persons with spinal cord injury in a wealthy country, Switzerland.
methodsObservational cross-sectional data from 1549 participants of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), aged over 16 years, and living in Switzerland were analyzed. Socioeconomic circumstances were operationalized by years of formal education, net equivalent household income and financial hardship. Health indicators including secondary conditions, comorbidities, pain, mental health, participation and quality of life were used as outcomes. Associations between socioeconomic circumstances and health indicators were evaluated using ordinal regressions.
resultsFinancial hardship was consistently associated with more secondary conditions (OR 3.37, 95% CI 2.18-5.21), comorbidities (OR 2.88, 95% CI 1.83-4.53) and pain (OR 3.32, 95% CI 2.21-4.99), whereas mental health (OR 0.23, 95% CI 0.15-0.36), participation (OR 0.30, 95% CI 0.21-0.43) and quality of life (OR 0.22, 95% CI 0.15-0.33) were reduced. Persons with higher education reported better mental health (OR 1.04, 95% CI 1.00-1.07) and higher quality of life (OR 1.06, 95% CI 1.02-1.09); other health indicators were not associated with education. Household income was not related to any of the studied health indicators when models were controlled for financial hardship.
conclusionsSuffering from financial hardship goes along with significant reductions in physical health, functioning and quality of life, even in a wealthy country with comprehensive social and health policies.
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