Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury
Objective: To identify job characteristics related to perceived underemployment among people with spinal cord injury (SCI), while controlling for demographic, injury, and educational factors. Design: Cross-sectional, logistic regression with predicted probabilities of underemployment. Setting: Medic...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109522000623 |
| _version_ | 1828173294819344384 |
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| author | James S. Krause, PhD Clara E. Dismuke-Greer, PhD Karla Reed, MA |
| author_facet | James S. Krause, PhD Clara E. Dismuke-Greer, PhD Karla Reed, MA |
| author_sort | James S. Krause, PhD |
| collection | DOAJ |
| description | Objective: To identify job characteristics related to perceived underemployment among people with spinal cord injury (SCI), while controlling for demographic, injury, and educational factors. Design: Cross-sectional, logistic regression with predicted probabilities of underemployment. Setting: Medical University in the Southeastern United States. Participants: 952 were adults with traumatic SCI, all of whom were a minimum of 1-year post-injury and employed at the time of the study. They averaged 46.7 years of age, the majority were male (70.5%), and over half (52%) were ambulatory (N=952). Interventions: Not applicable. Main Outcome Measure(s): Perceived underemployment was defined and measured by a dichotomous variable (yes/no). Results: Demographic, injury, and educational factors explained only 4.8% of the variance in underemployment, whereas the full model explained 21.8%. Underemployment was significantly lower for women (odds ratio [OR]=0.66, 95% confidence interval [CI; .44, .98]), those who were either married or in a nonmarried couple (OR=0.63, 95% CI [.42, .93]), those with health benefits (OR=0.58, 95% CI [.37, .91]) and higher for those with lower earnings and occupations in the category of sales, professional/managerial. Postsecondary educational milestones, having received a promotion or recognition, and working full time were not identified as significant predictors in the multivariate model, although each was significantly related to a lower likelihood of underemployment when using a restricted model that controls only for demographics, SCI, and educational status (rather than all variables simultaneously). Age, years since injury, and injury severity were not significant. Conclusion: Underemployment is a concern among people with SCI and is more prevalent in low-paying jobs, without benefits, and opportunities for recognition and promotion. Vocational counseling strategies need to promote quality employment, including jobs with recognition and benefits. |
| first_indexed | 2024-04-12T03:54:53Z |
| format | Article |
| id | doaj.art-2d1b12176b164a4fa53fed6b3f98c65e |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-04-12T03:54:53Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-2d1b12176b164a4fa53fed6b3f98c65e2022-12-22T03:48:53ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952022-12-0144100230Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord InjuryJames S. Krause, PhD0Clara E. Dismuke-Greer, PhD1Karla Reed, MA2College of Health Professions, Medical University of South Carolina, Charleston, SC; Corresponding author James S. Krause, PhD, College of Health Professions, Medical University of South Carolina, 151-B Rutledge Ave, MSC 962, Charleston, SC 29425.Health Economics Resource Center, VA Palo Alto, Menlo Park, CASpartanburg Methodist College, Spartanburg, SCObjective: To identify job characteristics related to perceived underemployment among people with spinal cord injury (SCI), while controlling for demographic, injury, and educational factors. Design: Cross-sectional, logistic regression with predicted probabilities of underemployment. Setting: Medical University in the Southeastern United States. Participants: 952 were adults with traumatic SCI, all of whom were a minimum of 1-year post-injury and employed at the time of the study. They averaged 46.7 years of age, the majority were male (70.5%), and over half (52%) were ambulatory (N=952). Interventions: Not applicable. Main Outcome Measure(s): Perceived underemployment was defined and measured by a dichotomous variable (yes/no). Results: Demographic, injury, and educational factors explained only 4.8% of the variance in underemployment, whereas the full model explained 21.8%. Underemployment was significantly lower for women (odds ratio [OR]=0.66, 95% confidence interval [CI; .44, .98]), those who were either married or in a nonmarried couple (OR=0.63, 95% CI [.42, .93]), those with health benefits (OR=0.58, 95% CI [.37, .91]) and higher for those with lower earnings and occupations in the category of sales, professional/managerial. Postsecondary educational milestones, having received a promotion or recognition, and working full time were not identified as significant predictors in the multivariate model, although each was significantly related to a lower likelihood of underemployment when using a restricted model that controls only for demographics, SCI, and educational status (rather than all variables simultaneously). Age, years since injury, and injury severity were not significant. Conclusion: Underemployment is a concern among people with SCI and is more prevalent in low-paying jobs, without benefits, and opportunities for recognition and promotion. Vocational counseling strategies need to promote quality employment, including jobs with recognition and benefits.http://www.sciencedirect.com/science/article/pii/S2590109522000623Educational statusEmploymentRehabilitationSpinal cord injuries |
| spellingShingle | James S. Krause, PhD Clara E. Dismuke-Greer, PhD Karla Reed, MA Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury Archives of Rehabilitation Research and Clinical Translation Educational status Employment Rehabilitation Spinal cord injuries |
| title | Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury |
| title_full | Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury |
| title_fullStr | Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury |
| title_full_unstemmed | Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury |
| title_short | Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury |
| title_sort | characteristics associated with perceived underemployment among participants with spinal cord injury |
| topic | Educational status Employment Rehabilitation Spinal cord injuries |
| url | http://www.sciencedirect.com/science/article/pii/S2590109522000623 |
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