OBJECTIVE To evaluate how self-reported problems change over time among people with spinal cord injury (SCI). DESIGN Cross-sequential analysis SETTING: Medical university in the Southeastern United States. PARTICIPANTS Participants included 1,997 individuals with traumatic SCI of at least 1-year duration, who were identified from participation in the SCI Longitudinal Aging Study from 1993 to 2018. INTERVENTIONS none MAIN OUTCOME MEASURES: The outcomes analyzed were 6 problem factors defined as health, social isolation, emotional distress, environmental barriers, money, and lack of opportunities. A series of cross-sequential models, using PROC MIXED procedure, were developed to evaluate the initial and change of the 6 problem factors over the six times of measurements in 25 years. RESULTS Years post-injury was negatively associated with initial status of problems of social isolation, emotional distress, environmental barriers, and lack of opportunities, as participants with more years post-injury at baseline reported lower scores on each factor. Longitudinally, with increased years post-injury, higher scores were observed on the health problem factor. However, social isolation, emotional distress, environmental barriers, money and lack of opportunities decreased over time with increasing years post-injury. CONCLUSIONS Participants had more health problems with increasing years after SCI, but fewer problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities.

中文翻译：

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对自我报告问题的 25 年交叉序列分析：来自脊髓损伤纵向衰老研究的 5 个队列的结果

目的 评估脊髓损伤 (SCI) 患者自我报告的问题如何随时间变化。设计交叉序列分析设置：美国东南部的医科大学。参与者 参与者包括 1,997 名至少持续 1 年的创伤性 SCI 个体，他们是从 1993 年至 2018 年参加 SCI 纵向衰老研究中确定的。 干预措施 无 主要结果指标：分析的结果是 6 个问题因素，定义为健康、社会孤立、情绪困扰、环境障碍、金钱和缺乏机会。采用PROC MIXED程序开发了一系列交叉序列模型，对25年6次测量中6个问题因素的初始和变化进行评估。结果 受伤后的年数与社会孤立、情绪困扰、环境障碍和缺乏机会等问题的初始状态呈负相关，因为基线时受伤后年数较长的参与者在每个因素上的得分较低。纵向来看，随着受伤后年数的增加，健康问题因素的得分更高。然而，随着受伤后年数的增加，社会孤立、情绪困扰、环境障碍、金钱和缺乏机会随着时间的推移而减少。结论 参与者在 SCI 后的年数增加时有更多的健康问题，但社会孤立、情绪困扰、环境障碍、金钱和缺乏机会的问题较少。因为基线时受伤后更多年的参与者在每个因素上的得分较低。纵向来看，随着受伤后年数的增加，健康问题因素的得分更高。然而，随着受伤后年数的增加，社会孤立、情绪困扰、环境障碍、金钱和缺乏机会随着时间的推移而减少。结论 参与者在 SCI 后的年数增加时有更多的健康问题，但社会孤立、情绪困扰、环境障碍、金钱和缺乏机会的问题较少。因为基线时受伤后更多年的参与者在每个因素上的得分较低。纵向来看，随着受伤后年数的增加，健康问题因素的得分更高。然而，随着受伤后年数的增加，社会孤立、情绪困扰、环境障碍、金钱和缺乏机会随着时间的推移而减少。结论 参与者在 SCI 后的年数增加时有更多的健康问题，但社会孤立、情绪困扰、环境障碍、金钱和缺乏机会的问题较少。随着受伤后年数的增加，金钱和机会的缺乏随着时间的推移而减少。结论 参与者在 SCI 后的年数增加时有更多的健康问题，但社会孤立、情绪困扰、环境障碍、金钱和缺乏机会的问题较少。随着受伤后年数的增加，金钱和机会的缺乏随着时间的推移而减少。结论 参与者在 SCI 后的年数增加时有更多的健康问题，但社会孤立、情绪困扰、环境障碍、金钱和缺乏机会的问题较少。