Impact of secondary health conditions on social role participation for a long-term physical disability cohort

For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and partic...

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Bibliographic Details
Published in:Psychology, health & medicine health & medicine, 2019-11, Vol.24 (10), p.1159-1170
Main Authors: Hreha, Kimberly P., Smith, Amanda E., Wong, Jennifer L., Mroz, Tracy M., Fogelberg, Donald J., Molton, Ivan
Format: Article
Language:English
Subjects:
Aged
Cohort Studies
Cross-Sectional Studies
Depression - psychology
Disabled Persons - psychology
Female
Health status
Humans
Hypotheses
Injuries
long term physical disability
Mail surveys
Male
Medical diagnosis
Mental depression
Middle Aged
Muscular Disorders, Atrophic - psychology
Muscular dystrophy
Participation
participation in social roles
Pathophysiology
Physical disabilities
Poliomyelitis
Postpolio syndrome
Role
Roles
secondary health conditions
Social Participation
Social roles
Spinal cord
Spinal Cord Injuries
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Summary:For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and participation in social roles in people with spinal cord injury (SCI). We expand on this research by investigating the influence of SHCs on participation in social roles for people with one of four LTPDs, controlling for co-variates. We (1) evaluated the associations between SHCs and participation in social roles; and (2) determined whether SHCs on individuals' ability to participate in social roles varies by type of diagnosis in those aging with either SCI, muscular sclerosis, muscular dystrophy, or post-polio syndrome. Cross-sectional, secondary data analysis from a return-by-mail survey. N = 1,573. Data were analyzed with multiple linear regressions (hypothesis 1), and then three moderated regressions (hypothesis 2). After controlling for demographics, SHCs were associated with lower ability to participate in social roles and accounted for 48% of the variance (all p's
ISSN:1354-8506
1465-3966
DOI:10.1080/13548506.2019.1595684