OBJECTIVE To describe the employment situation of people with spinal cord injury (SCI) in 22 countries participating in the International Spinal Cord Injury Community Survey (InSCI), compare observed and predicted employment rates, estimate gaps in employment rates among people with SCI compared to the general population, and study differences in employment between males and females. DESIGN Cross-sectional survey SETTING: Community PARTICIPANTS: Included were people of employable age (18-64 years old), with traumatic or non-traumatic SCI (including cauda equina syndrome); at least 18 years of age at the time of the survey; living in the community and able to respond to one of the available language versions of the questionnaire. INTERVENTIONS Not applicable MAIN OUTCOME MEASURE(S): Observed employment rate defined as performing paid work for at least one hour a week, predicted employment rate adjusted for sample composition from mixed logistic regression analysis. RESULTS A total of 9,760 participants were included (range 165-1,174 per country). Considerable differences in sample composition were found. The observed worldwide employment rate was 38%. A wide variation across countries from 10.3% up to 61.4% was found. Some countries showed substantially higher or lower employment rates than predicted based on the composition of their sample. Gaps between the observed employment rates among participants with SCI and the general population ranged from 14.8% to 54.8%. Employment rates were on average slightly higher among males compared to females, but with large variation across countries. Employment gaps, however, were smaller among females for most countries. CONCLUSIONS This first worldwide survey among people with SCI shows an average employment rate of 38%. Differences between observed and predicted employment rates across countries point at country-specific factors that warrant further investigation. Gaps with employment rates in the general population were considerable and call for actions for more inclusive labor market policies in most of the countries investigated.

中文翻译：

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全球 22 个国家脊髓损伤患者的就业情况：来自国际脊髓损伤 (InSCI) 社区调查的结果

目的 描述参与国际脊髓损伤社区调查 (InSCI) 的 22 个国家的脊髓损伤 (SCI) 患者的就业情况，比较观察到的和预测的就业率，估计 SCI 患者与一般人群，并研究男性和女性在就业方面的差异。设计 横断面调查设置： 社区参与者： 包括有就业年龄（18-64 岁）、患有创伤性或非创伤性 SCI（包括马尾综合征）的人；在调查时年满 18 岁；生活在社区中，并且能够回答问卷的一种可用语言版本。干预 不适用 主要结果测量：观察到的就业率定义为每周至少从事一小时的有偿工作，预测就业率根据混合逻辑回归分析的样本组成进行了调整。结果 总共包括 9,760 名参与者（每个国家的范围为 165-1,174）。发现样品组成存在相当大的差异。观察到的全球就业率为 38%。发现各国之间的差异很大，从 10.3% 到 61.4%。一些国家的就业率远高于或低于根据其样本构成预测的就业率。SCI 参与者与一般人群观察到的就业率之间的差距从 14.8% 到 54.8% 不等。与女性相比，男性的平均就业率略高，但各国之间差异很大。然而，就业差距 大多数国家的女性人数较少。结论 这项针对 SCI 患者的全球首次调查显示，平均就业率为 38%。各国观察到的和预测的就业率之间的差异表明需要进一步调查的国家特定因素。与一般人口就业率的差距相当大，需要在大多数被调查国家采取行动，制定更具包容性的劳动力市场政策。