Analysis of factors influencing employment among community rehabilitation spinal cord injury patients and construction of a prediction model
10.3969/j.issn.1001-1242.2025.11.014
- VernacularTitle:社区康复脊髓损伤患者就业影响因素分析及预测模型构建
- Author:
Yafang ZHENG
1
;
Chuanteng FENG
;
Xu QIAO
Author Information
1. 四川大学-香港理工大学灾后重建与管理学院,四川省 成都市,610207;四川大学华西公共卫生学院/华西第四医院
- Publication Type:Journal Article
- Keywords:
spinal cord injury;
employment;
influencing factors;
prediction model
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(11):1701-1706,1712
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the factors influencing employment among spinal cord injury(SCI)patients in the com-munity and construct an employment prediction model to provide scientific evidence for policymakers,health-care professionals,and social service agencies,aiming to improve the employment status and quality of life of SCI patients.Method:Using a multi-stage stratified cluster random sampling method,we recruited 809 eligible SCI patients in community rehabilitation from 18 hospitals in Jiangsu Province and 10 hospitals in Sichuan Province.We used the Least Absolute Shrinkage and Selection Operator(LASSO)model to screen factors and constructed a logistic regression model to analyze the factors influencing employment rates among individuals with SCI patients in community rehabilitation.We then performed internal validation.Result:Age(OR=0.96,95%CI:0.94-0.97),mental health score(OR=1.27,95%CI:1.10-1.47),self-perceived health score(OR=1.45,95%CI:1.14-1.87),and the number of environmental barriers(OR=0.74,95%CI:0.68-0.80)significantly influenced employment among SCI patients in community rehabilitation.The predictive perfor-mance of the logistic regression model was good,with an area under the receiver operating characteristic curve(AUC)of 0.864,a sensitivity of 72.39%,and a specificity of 88.53%.The nomogram drawn can facilitate the employment probability assessment for SCI patients in the community.Conclusion:The employment rate of SCI patients in community rehabilitation is relatively low.Influencing fac-tors such as age,years of education,family income,mental health scores,self-perceived health scores,and the number of environmental barriers can effectively predict the employment probability of SCI patients in com-munity rehabilitation.
