Category: Spinal Cord Injury; Lifestyle Medicine
Objective : This study investigates: 1) the frequency of changing residences after spinal cord injury (SCI) and 2) differences in the demographic, health status, and neighborhood characteristics between movers and non-movers.
Design : Secondary analysis of existing longitudinal survey collected for the national Spinal Cord Injury Model Systems (SCIMS) database between the years 2006 and 2018. The survey data was linked to Census-tract level data from the 2005, 2010, and 2015 American Community Survey (ACS), 5-year estimates to create measures of neighborhood SES.
Setting : General community.
Participants (or Animals, Specimens, Cadavers) : Participants included people with chronic SCI living in the community, ages 17 or older, with two follow-up interviews completed between 2006 and 2018, and valid geographic identifiers (N=5,538).
Interventions : Not applicable.
Main Outcome Measure(s) : Residential relocation or moving was defined as changes in Census tracts between two waves of data collection.
Results : The probability of moving was 29%. Moving was more likely among females, racial and ethnic minorities, young adults, unmarried individuals, and people with more severe injuries. There was no difference between movers and non-movers in the SES of the originating neighborhood. However, movers were more likely to reside in low SES neighborhoods after relocating when compared to non-movers (OR = 1.34, p =0.007, 95% CI: 1.08-1.66).
Conclusions : Geographic mobility after spinal cord injury is more likely among people from disadvantaged backgrounds. Furthermore, people with SCI who move are more likely to relocate to disadvantaged areas, potentially increasing the risk for poor outcomes over time.
Amanda Botticello– Senior Research Scientist, Kessler Foundation, West Orange, New Jersey
Lauren Murphy– Senior Research Assistant, Kessler Foundation, West Orange, New Jersey
Yu-Ying Chen– Professor, University of Alabama at Birmingham, Birmingham, Alabama
Stephanie Kolakowsky-Hayner– Associate Professor, Icahn School of Medicine at Mount Sinai, New York, New York
Allen Heinemann– Professor, Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois
Jennifer Bogner– Professor, Ohio State University, Carroll, Ohio
Michael Boninger– Professor and Vice Chair for Research, University of Pittsburgh, Pittsburgh, Pennsylvania
Mary Joan Roach– Associate Prof. , MetroHealth System/CWRU School of Medicine, Cleveland, Ohio