ArticleSSM - population health2021
Health inequalities and income for people with spinal cord injury. A comparison between and within countries.
Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 37 citations in OpenAlex.
- Participation Education Intervention for People With SCI From LMIC: A Pilot Randomized Clinical Trial.Occupational therapy international · 2026Trial
- Evolving Global Burden of GBD-Defined Spinal Cord Lesions, 2014-2023: A Global Burden of Disease Analysis of the Geriatric Transition and Anatomical Distribution.Journal of clinical medicine · 2026Article
- Healthcare Inequity in Spinal Cord Injury: Out of Pocket and Access Barriers in Paraplegic and Tetraplegic Patients in Iran.Korean journal of neurotrauma · 2026Article
- Andorra as a living lab? The inSCI example.Journal of rehabilitation medicine · 2026Article
- Dynamic effects of outpatient pooling scheme on socioeconomic inequality in healthcare utilization in China from 2011 to 2020.Scientific reports · 2025Article
- Medical insurance integration and rural-urban benefit disparities, 2006-2021: evidence from quasi-natural experiments in China.BMJ open · 2025Article
- Medical insurance integration and spatial effects in China: evidence from quasi-natural experiments and linked administrative data.BMC health services research · 2025Article
- Improving quality of care in traumatic spinal column/spinal cord injuries (TSC/SCI) in Iran: a policy brief.Spinal cord series and cases · 2024Article
- COVID-19 Vaccine Uptake among People with Spinal Cord Injury and Dysfunction in Ontario, Canada: A Population-Based Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2024Article
- Does stronger primary care improve access to health services for persons with spinal cord injury? Evidence from eleven European countries.The journal of spinal cord medicine · 2024Article
- Bowel and Bladder Dysfunction after SCI: A Comparison between India and Canada.Topics in spinal cord injury rehabilitation · 2024Article
- Challenges in traumatic spinal cord injury care in developing countries - a scoping review.Frontiers in public health · 2024Article
- Relationship between secondary health conditions and life satisfaction in persons with spinal cord injury: study across twenty-one countries.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Health System's Role in Facilitating Health Service Access among Persons with Spinal Cord Injury across 22 Countries.International journal of environmental research and public health · 2023Article
- Unmet healthcare needs and health inequalities in people with spinal cord injury: a direct regression inequality decomposition.International journal for equity in health · 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
- Plasma Cytokines Level and Spinal Cord MRI Predict Clinical Outcome in a Rat Glial Scar Cryoinjury Model.Biomedicines · 2022Article
- 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
- SPINE20 recommendations 2021: spine care for people's health and prosperity.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Unmet health care needs and inequality: A cross-country comparison of the situation of people with spinal cord injury.Health services research · 2021Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Income and health are related in a bi-directional manner, whereby level of income affects health and vice versa. People in poorer households tend to experience worse health status and higher mortality rates than people in wealthier households, and, at the same time, having poor health could restrict workability leading to less income. This gap exists in almost every country, and it is more pronounced in more unequal countries and in vulnerable populations, such as people experiencing disability. The goal of this paper is to estimate the health-income gap in people with a Spinal Cord Injury (SCI), which is a chronic health condition often associated with multiple comorbidities that leads to disability. As data on mortality is inexistent, to estimate the health-income gap for persons with SCI, this paper uses two health outcomes: the number of years a person has lived with the injury, and a comorbidity index. Data was obtained from the International Spinal Cord Injury survey (InSCI), which is the first worldwide survey on community-dwelling persons with SCI. To compare across countries, the health outcomes were adjusted through hierarchical models, accounting for country fixed-effects, individual characteristics such as age and gender, and injury characteristics (cause, type and degree). Our results suggest that for the years living with SCI, the gap varies from 1 to 6 years between the lowest and the highest income groups. The main driver of such a difference is the cause of injury, where injuries caused by work accidents showed the biggest gap. Similarly, for the comorbidity index, persons with SCI in poorer deciles reported significantly more comorbidities, forty times more, than people in richer deciles.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.