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Association of Secondary Health Conditions With Future Chronic Health Conditions Among Persons With Traumatic Spinal Cord Injury.
| Content Provider | Europe PMC |
|---|---|
| Author | Cao, Yue DiPiro, Nicole Krause, James S. |
| Copyright Year | 2020 |
| Abstract | Background: Secondary health conditions (SHC) are physical and mental health conditions that are causally related to disabilities. Studies have found that SHC increase risk of negative health outcomes among people with traumatic spinal cord injury (TSCI). However, little has been done to assess the association of SHC with the risk of chronic health conditions (CHC) after TSCI. Objectives: To identify the prevalence of CHC in adults with TSCI, changes in CHC at follow-up, and the associations of baseline SHC with future CHC. Methods: Participants included 501 adults with TSCI of at least 1-year duration, identified through a population-based surveillance system. Baseline and follow-up self-report assessments were completed. We measured seven SHC: fatigue, spasticity, pain, pressure ulcers, subsequent injury, fracture, and anxiety disorder, and measured seven CHC: diabetes, heart attack, coronary artery disease, stroke, cancer, hypertension, and high blood cholesterol. Control variables included gender, race/ethnicity, age at injury, years post injury, injury severity, smoking status, binge drinking, and taking prescription medication. We implemented a Poisson regression model for the multivariate analyses. Results: The total number of CHC, the percentage of participants having at least one CHC, and prevalence of three individual CHC (diabetes, cancer, and high cholesterol) increased from baseline to follow-up. After controlling for demographic, injury characteristics, and behavioral factors, pain interference and anxiety disorder at baseline were associated with the total number of CHC at follow-up. Conclusion: CHC are common among adults with TSCI and increase significantly over time. Pain and anxiety disorders appear to be risk factors for future CHC. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7831284&blobtype=pdf |
| Page Count | 7 |
| ISSN | 10820744 |
| Volume Number | 26 |
| DOI | 10.46292/sci20-00020 |
| PubMed Central reference number | PMC7831284 |
| Issue Number | 4 |
| PubMed reference number | 33536734 |
| Journal | Topics in Spinal Cord Injury Rehabilitation [Top Spinal Cord Inj Rehabil] |
| e-ISSN | 19455763 |
| Language | English |
| Publisher | American Spinal Injury Association |
| Publisher Date | 2020-01-01 |
| Access Restriction | Open |
| Rights License | © 2020 American Spinal Injury Association |
| Subject Keyword | chronic health conditions population-based cohort secondary health conditions spinal cord injury |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Medicine Neurology (clinical) Physical Therapy, Sports Therapy and Rehabilitation |
