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Titre : | Environmental Barriers Experienced by People With Spinal Cord Injury Across 22 Countries: Results From a Cross-Sectional Survey (2020) |
Auteurs : | Jan D. Reinhardt ; James Middleton ; Andrea Bökel ; Apichana Kovindha ; Athanasios Kyriakides ; Abderrazak Athanasios ; Ken Kouda ; Jolanta Kujawa |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 12, 2020) |
Article en page(s) : | p. 2144-2156 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.04.027 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Comorbidité ; Enquêtes et questionnaires ; Environnement ; Facteurs socioéconomiques ; Réadaptation ; Revenu ; Santé mentale ; Traumatismes de la moelle épinière |
Résumé : |
Objectives
To investigate the experience of environmental barriers by people with spinal cord injury (SCI) across 22 countries. Specific aims were to describe and compare the prevalence of environmental barriers experienced across countries, and to analyze determinants of environmental barriers at individual and country level. Design Cross-sectional community survey. Participants Individuals (N=12,591) living with SCI in the community. Interventions Not applicable. Main Outcome Measure Nottwil Environmental Factors InventoryShort Form. Results Most barriers were experienced in relation to accessibility, climate, transportation, finances, and state services. More severe barriers were experienced in settings with lower gross domestic product (GDP), which especially refers to medical supplies (gamma=0.38; P<.001 and finances p in this study. however a multivariable negative binomial regression using within-between estimation of the number barriers experienced on selected predictors effect gdp was reversed when it adjusted for covariates. individual level decreased with better mental health greater self-care ability. people low income paraplegia complete lesions more problems reported barriers. country fewer were countries higher average age ability as well those percentage traumatic sci lesions. married individuals lower household time since injury mean vitality scores inequality.> Conclusions Study participants reported a significant number of environmental barriers, many of which are modifiable. Complementary interventions are recommended. Within and between country effects of covariates sometimes pointed in different directions, suggesting that countries with a different composition of SCI population also differed in environmental contexts. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320303622#! |