Study design

Cross-sectional study.

Objectives

To determine the degree of impoverishment of people with spinal cord injury (SCI) and their families in Bangladesh caused by loss of work-related income following injury.

Setting

Spinal cord injury centre, Bangladesh.

Methods

A total of 410 wheelchair-dependent people with recent SCI about to be discharged from a hospital in Bangladesh were interviewed to determine the size of their families, their incomes from paid work prior to injury and the incomes of their family members. These data were used to calculate income per family unit and per family member prior to and immediately after injury.

Results

Ninety percent of the participants were men, 98% were from rural areas of Bangladesh and 58% were manual labours prior to injury. Median (interquartile range, IQR) family size was 5 (4–6) people. Prior to injury, 74% of participants were the main income earners for their families and 50% provided the only source of income for their families. Participants’ median (IQR) monthly income prior to injury was US$106 (US$60–US$180) per person and family members’ income was US$30 (US$19–US$48) per person. After injury, the median income (IQR) of each family member dropped to US$0 (US$0–US$18) placing 91% of families below the extreme poverty line of US$37.50 per person per month (equivalent to US$1.25 per day).

Conclusion

In Bangladesh, SCI have profound financial implications for individuals and their families and causes extreme poverty. This is because those most often injured are young and the main income earners for their families.

中文翻译：

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与工作有关的收入损失使孟加拉国的SCI患者及其家庭陷入贫困。

学习规划

横断面研究。

目标

确定孟加拉国因受伤后与工作有关的收入损失而造成的脊髓损伤（SCI）患者及其家庭的贫困程度。

环境

孟加拉国脊髓损伤中心。

方法

采访了即将在孟加拉国一家医院出院的总共410名轮椅依赖患者，其近期SCI即将接受调查，以确定他们的家庭规模，受伤前有偿工作的收入以及家庭成员的收入。这些数据用于计算受伤前和受伤后每个家庭单位和每个家庭成员的收入。

结果

参与者的90％为男性，98％来自孟加拉国的农村地区，58％为受伤前的体力劳动。家庭中位数（四分位数间距，IQR）为5（4–6）人。在受伤之前，有74％的参与者是其家庭的主要收入来源，而50％的参与者是其家庭的唯一收入来源。参与者受伤前的中位数（IQR）月收入为每人106美元（60至180美元），家庭成员的收入为每人30美元（19至48美元）。受伤后，每个家庭成员的中位数收入（IQR）降至0美元（0至18美元），使91％的家庭低于每人每月37.50美元（相当于每天1.25美元）的极端贫困线。

结论

在孟加拉国，SCI对个人及其家庭产生了深远的财务影响，并导致了极端贫困。这是因为最常受伤的人是年轻人，是家庭的主要收入来源。