title: Aging, gender, and spinal cord injury.
abstract: OBJECTIVE
  To identify differences in the aging experiences of men and women with spinal cord injury (SCI).
  
  
  METHODS
  This study is part of a longitudinal international study of aging and SCI.
  
  
  METHODS
  Five centers in England, Canada, and the United States. Three were spinal cord rehabilitation facilities (Stoke-Mandeville Hospital, Southport Hospital, Craig Hospital) and 2 were community agencies (Ontario and Manitoba divisions of the Canadian Paraplegic Association).
  
  
  METHODS
  A matched sample of 67 men and 67 women with SCI for at least 20 years. The 2 groups were matched on age, country of origin, and duration of disability. Participants had an average age of 57 years and an average disability duration of almost 33 years.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Two measures were taken by interview: demographic form and current status interview. Five others were self-administered and returned by mail: the Perceived Stress Scale, Craig Handicap Assessment and Reporting Technique, Index of Psychological Well-Being, Current Problem Questionnaire, and Life Satisfaction Index.
  
  
  RESULTS
  Although both sexes rated their quality of life about equally, women characterized their aging experience as "accelerated," while men characterized it as "complicated." Women reported more effects of pain, fatigue, and skin problems and more transportation problems. Men experienced more health problems, more diabetes, and more adaptive equipment changes. Older men and women with SCI spent their time differently, consistent with traditional gender roles.
  
  
  CONCLUSIONS
  These results underline the need for gender-specific consideration of aging experiences associated with SCI and further emphasize the need for primary and preventive care to promote health and well-being as people with SCI survive into old age.
authors.affiliation: Queen's University, Kingston, ON, Canada.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: McColl
authors.forename: Susan
authors.initials: S
authors.lastname: Charlifue
authors.forename: Clive
authors.initials: C
authors.lastname: Glass
authors.forename: Nancy
authors.initials: N
authors.lastname: Lawson
authors.forename: Gordana
authors.initials: G
authors.lastname: Savic
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D005260:Female; D006801:Humans; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D010465:Perception; D011581:Psychological Tests; D011788:Quality of Life; D012737:Sex Factors; D013119:Spinal Cord Injuries / Q000523:psychology*