ArticleArchives of physical medicine and rehabilitation2017
How Are Race, Cultural, and Psychosocial Factors Associated With Outcomes in Veterans With Spinal Cord Injury?
Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed.
- Racial differences in serological markers across the first year of injury in spinal cord injury: responses to the letter to editor.Spinal cord · 2025Article
- Article
- Article
- Rural-urban disparities in healthcare factors and long-term health outcomes in individuals with pediatric-onset spinal cord injury.Frontiers in rehabilitation sciences · 2023Article
- Limb accelerations during sleep are related to measures of strength, sensation, and spasticity among individuals with spinal cord injury.Journal of neuroengineering and rehabilitation · 2022Article
- Are cultural or psychosocial factors associated with patient-reported outcomes at the conclusion of kidney transplant evaluation?Clinical transplantation · 2022Article
- A systematic search and review of the discrimination in health care measure, and its adaptations.Patient education and counseling · 2022Review
- Toward Improving the Prediction of Functional Ambulation After Spinal Cord Injury Through the Inclusion of Limb Accelerations During Sleep and Personal Factors.Archives of physical medicine and rehabilitation · 2022Article
- Health Care Disparities Add Insult to Spinal Cord Injury.Neurology. Clinical practice · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo understand the role of cultural and psychosocial factors in the outcomes of veteran wheelchair users with spinal cord injury (SCI) to help clinicians identify unique factors faced by their patients and help researchers identify target variables for interventions to reduce disparities in outcomes.
designCross-sectional cohort study.
settingThree urban Veterans Affairs medical centers affiliated with academic medical centers.
participantsOf the patients (N=516) who were eligible to participate, 482 completed the interview and 439 had SCI. Because of small numbers in other race groups, analyses were restricted to white and African American participants, resulting in a final sample of 422.
interventionNot applicable.
main outcome measuresQuality of life (QOL, Veterans RAND 12-Item Health Survey); satisfaction (Client Satisfaction Questionnaire); and participation (Craig Handicap Assessment and Reporting Technique Short Form).
resultsAfrican American Veterans reported poorer physical QOL but better mental QOL than did white Veterans. No other significant race differences were found in unadjusted analyses. Multivariable analyses showed that psychosocial factors were predominantly associated with patients' QOL outcomes and satisfaction with service, but demographic and medical factors were predominantly associated with participation outcomes. Interaction analyses showed that there was a stronger negative association between anxiety and mental QOL for African Americans than for whites, and a positive association between higher self-esteem and social integration for whites but not African Americans.
conclusionsFindings suggest that attempts to improve the outcomes of Veterans with SCI should focus on a tailored approach that emphasizes patients' demographic, medical, and psychosocial assets (eg, building their sense of self-esteem or increasing their feelings of mastery), while providing services targeted to their specific limitations (eg, reducing depression and anxiety).
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