Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.

<h4>Objective</h4>To investigate socioeconomic inequalities in a comprehensive set of health indicators among persons with spinal cord injury in a wealthy country, Switzerland.<h4>Methods</h4>Observational cross-sectional data from 1549 participants of the Swiss Spinal Cord I...

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Autores principales:	Christine Fekete, Johannes Siegrist, Jan D Reinhardt, Martin W G Brinkhof, SwiSCI Study Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a060896eed974bca8fcfb6d04858a58e
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spelling	oai:doaj.org-article:a060896eed974bca8fcfb6d04858a58e2021-11-18T08:30:24ZIs financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.1932-620310.1371/journal.pone.0090130https://doaj.org/article/a060896eed974bca8fcfb6d04858a58e2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24587239/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To investigate socioeconomic inequalities in a comprehensive set of health indicators among persons with spinal cord injury in a wealthy country, Switzerland.<h4>Methods</h4>Observational cross-sectional data from 1549 participants of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), aged over 16 years, and living in Switzerland were analyzed. Socioeconomic circumstances were operationalized by years of formal education, net equivalent household income and financial hardship. Health indicators including secondary conditions, comorbidities, pain, mental health, participation and quality of life were used as outcomes. Associations between socioeconomic circumstances and health indicators were evaluated using ordinal regressions.<h4>Results</h4>Financial hardship was consistently associated with more secondary conditions (OR 3.37, 95% CI 2.18-5.21), comorbidities (OR 2.88, 95% CI 1.83-4.53) and pain (OR 3.32, 95% CI 2.21-4.99), whereas mental health (OR 0.23, 95% CI 0.15-0.36), participation (OR 0.30, 95% CI 0.21-0.43) and quality of life (OR 0.22, 95% CI 0.15-0.33) were reduced. Persons with higher education reported better mental health (OR 1.04, 95% CI 1.00-1.07) and higher quality of life (OR 1.06, 95% CI 1.02-1.09); other health indicators were not associated with education. Household income was not related to any of the studied health indicators when models were controlled for financial hardship.<h4>Conclusions</h4>Suffering from financial hardship goes along with significant reductions in physical health, functioning and quality of life, even in a wealthy country with comprehensive social and health policies.Christine FeketeJohannes SiegristJan D ReinhardtMartin W G BrinkhofSwiSCI Study GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e90130 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Christine Fekete Johannes Siegrist Jan D Reinhardt Martin W G Brinkhof SwiSCI Study Group Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
description	<h4>Objective</h4>To investigate socioeconomic inequalities in a comprehensive set of health indicators among persons with spinal cord injury in a wealthy country, Switzerland.<h4>Methods</h4>Observational cross-sectional data from 1549 participants of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), aged over 16 years, and living in Switzerland were analyzed. Socioeconomic circumstances were operationalized by years of formal education, net equivalent household income and financial hardship. Health indicators including secondary conditions, comorbidities, pain, mental health, participation and quality of life were used as outcomes. Associations between socioeconomic circumstances and health indicators were evaluated using ordinal regressions.<h4>Results</h4>Financial hardship was consistently associated with more secondary conditions (OR 3.37, 95% CI 2.18-5.21), comorbidities (OR 2.88, 95% CI 1.83-4.53) and pain (OR 3.32, 95% CI 2.21-4.99), whereas mental health (OR 0.23, 95% CI 0.15-0.36), participation (OR 0.30, 95% CI 0.21-0.43) and quality of life (OR 0.22, 95% CI 0.15-0.33) were reduced. Persons with higher education reported better mental health (OR 1.04, 95% CI 1.00-1.07) and higher quality of life (OR 1.06, 95% CI 1.02-1.09); other health indicators were not associated with education. Household income was not related to any of the studied health indicators when models were controlled for financial hardship.<h4>Conclusions</h4>Suffering from financial hardship goes along with significant reductions in physical health, functioning and quality of life, even in a wealthy country with comprehensive social and health policies.
format	article
author	Christine Fekete Johannes Siegrist Jan D Reinhardt Martin W G Brinkhof SwiSCI Study Group
author_facet	Christine Fekete Johannes Siegrist Jan D Reinhardt Martin W G Brinkhof SwiSCI Study Group
author_sort	Christine Fekete
title	Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
title_short	Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
title_full	Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
title_fullStr	Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
title_full_unstemmed	Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.
title_sort	is financial hardship associated with reduced health in disability? the case of spinal cord injury in switzerland.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a060896eed974bca8fcfb6d04858a58e
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Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.

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