title: Return to work and productive activities following a spinal cord injury: the role of income and insurance.
abstract: METHODS
  We analyzed longitudinal data on secondary outcomes from participants in a telerehabilitation study.
  
  
  OBJECTIVE
  To examine the factors affecting return to productive activities and employment and the time to these events following a spinal cord injury (SCI).
  
  
  METHODS
  A large southeastern rehabilitation hospital in the United States.
  
  
  METHODS
  We used hazard regression models to analyze data from newly injured people (n=111) participating in an educational intervention post discharge who were followed for up to 2 years. Outcomes were time to return to productive activities and employment.
  
  
  RESULTS
  Increasing age and being on Medicaid significantly decreased the likelihood of returning to productive activities (P<0.01), while being white (P<0.05) and having a higher median income (P<0.001) significantly increased this probability. The same factors, bar being on Medicaid, affected the return to employment. Whites returned to productive activities 2.5 times sooner than African Americans and employment twice as fast (P<0.001). Being in the 75th income percentile compared with the 25th shortened time to employment by 209 days.
  
  
  CONCLUSIONS
  Findings here suggest that income and race affect the time to return to productivity and employment, while being on Medicaid also has a role in general post injury productivity.
authors.affiliation: Department of Health Policy and Management, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA. vphil01@sph.emory.edu
authors.forename: V L
authors.initials: VL
authors.lastname: Phillips
authors.forename: A E
authors.initials: AE
authors.lastname: Hunsaker
authors.forename: C S
authors.initials: CS
authors.lastname: Florence
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D004522:Educational Status; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007182:Income; D015601:Injury Severity Score; D007348:Insurance, Health / Q000191:economics*; D008297:Male; D008875:Middle Aged; D062707:Return to Work; D013119:Spinal Cord Injuries / Q000191:economics / Q000534:rehabilitation; D014481:United States; D044465:White People / Q000706:statistics & numerical data