Longevity After Injury Project
On Wednesday, July23rd , Dr. James Krause, Director of SCI Outcomes Research Group, Medical University of South Carolina, presented on “Secondary Health Conditions and SCI: What Have We Learned Over the Past Five Years". Please check our Grand Rounds webpage to view the video and Powerpoint slides.
Our Health Outcome Research for Underserved People with SCI Project has created a factsheet with information pertaining to African Americans with SCI. The factsheet illustrates the relationship between preventative behaviors and secondary health conditions. It also mentions risk behaviors and chronic diseases common among African Americans with SCI. Please visit the Health Outcome Research for Underserved People with SCI webpage underneath "Funded Projects" on the left side of this page.
September is National SCI Awareness Month. Below are a few research bytes from our findings.
On examining mobility aids used for ambulation, 65% were found to have used at least one aid. Severe pain intensity was reported by 11%, and 14% reported severe pain interference. Disabling fatigue was reported by 10% of the participants. Twenty-one percent (n=138) reported moderate-to-severe levels of depressive symptoms. On examining the relationships between mobility aids and depressive symptomatology, using people as a mobility aid was associated with increased odds of depressive symptomatology (2.6) and always using a wheelchair was associated with lower odds (0.3). However, these relationships were no longer significant after controlling for the mediating variables pain intensity, pain interference and fatigue. (DiPiro, Saunders, Brotherton, Kraft, & Krause; 2014)
Of participants (72% male, M age = 49.6 years, M = 16.1 years since SCI), 49.2% had never smoked, 28.2% were former smokers, and 22.6% were current smokers. Of current smokers, 39.2% attempted quitting in the past year and 77.2% had ever tried to quit. Only 29.9% of those who ever tried to quit sought professional help. Ambulatory persons, regardless of injury level, were 2.32 times more likely to be current smokers than nonambulatory persons with a high-level cervical injury. Lower socioeconomic status, binge drinking, and misuse of pain medication all predicted current smoking. (Saunders, Krause, Carpenter, & Saladin; 2013)
- At least 1 fall-related injuries (FRI) was reported by 20.3% of participants in the past year. Ambulatory participants who reported using a wheelchair as their primary mode of mobility were less likely to have an FRI than those who reported walking more than using a wheelchair. Those with perceived poor balance were 2.41 times more likely to have an FRI than those without poor balance. Those who reported less exercise than other persons with a comparable SCI severity were 2.77 times more likely to have an FRI than those reporting the same or more amount of exercise. Pain medication misuse also was associated with higher odds of an FRI. (Saunders, DiPiro, Krause, Brotherton, & Kraft; 2013)
September is Hispanic Heritage Month. Below are a few research bytes from our findings related to SCI outcomes among persons of Hispanic heritage.
- Overall, 20.3% was classified as in poverty. Poverty rates ranged from only 14.1% of non-Hispanic White participants to 41.3% for non-Hispanic Blacks. The rates for American Indians and Hispanics were 26.2% and 29.0%, respectively. Variables significantly related to poverty included: race, severity, etiology, residence, marital status, education, age and employment status (Table 2). Persons currently employed were rarely living in poverty (3.4%). (Krause, Dismuke, Acuna, Sligh-Conway, Walker, Washington, & Reed, 2014)
The information posted on the MUSC: Longevity after Injury Project website is intended for educational purposes and should not be construed as medical advice. --Further Details--