The effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury
Study design Cohort study. Objectives To evaluate the association between residential living location and health outcomes, environmental barriers, quality of life, and healthcare utilization patterns after traumatic spinal cord injury (tSCI). Setting Community setting, Atlantic Canada. Methods An am...
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| Veröffentlicht in: | Spinal cord 2023-07, Vol.61 (7), p.399-408 |
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| creator | Whelan, Alexander McVeigh, Sonja Barker, Paula Glennie, Andrew Wang, Di Chen, Melody Cheng, Christiana L. Humphreys, Suzanne O’Connell, Colleen Attabib, Najmedden Engelbrecht, Andre Christie, Sean |
| description | Study design
Cohort study.
Objectives
To evaluate the association between residential living location and health outcomes, environmental barriers, quality of life, and healthcare utilization patterns after traumatic spinal cord injury (tSCI).
Setting
Community setting, Atlantic Canada.
Methods
An ambispective study of data collected on a subset of individuals enrolled in the Rick Hansen Spinal Cord Injury Registry (RHSCIR) from 2012 to 2018. Outcomes were analyzed using two measures of rurality: postal codes at community follow-up (rural versus urban) and residential travel distance to the nearest RHSCIR facility (>100 km versus ≤100 km). Outcomes studied included the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), Short Form-36 Version 2 (SF36v2), Life Satisfaction Questionnaire (LISAT-11), Spinal Cord Independence Measure (SCIM), secondary health complications and healthcare utilization patterns. Outcomes were assessed 9 to 24 months post-discharge from initial hospitalization.
Results
104 participants were studied, 21 rural and 83 urban based on postal codes at community follow-up. 59 participants lived more than 100 km away from the nearest RHSCIR facility, while 45 participants lived within 100 km. Individuals from urban area codes reported a greater magnitude of perceived barriers on the policies and work/school subscales of the CHIEF-SF. No differences in function, quality of life, and healthcare utilization patterns according to the measures of rurality were observed. Individuals living >100 km from the nearest RHSCIR facility reported greater rates of sexual dysfunction.
Conclusions
Despite differences in environmental barriers, individuals from urban and rural locations in Eastern Canada reported similar health outcomes and quality of life after tSCI. |
| doi_str_mv | 10.1038/s41393-023-00898-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10173934</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2813557053</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-ba52d64619435763404c89219fa28dd447e676991e904cc8c0d6b7bd5817d7063</originalsourceid><addsrcrecordid>eNp9kk1v1DAQhiMEomXhD3BAlrhwIOCv2PEJoaoFpEpcytny2k7Xq8RebKco_CR-JbNNKR8HDtaMPM-89thv0zwn-A3BrH9bOGGKtZjCwr3q2-VBc0q4FG0nKH8IORO05cCcNE9K2WOMFVH94-aESSJUL-Rp8-Nq55EfBm8rSgPKczZjqAsy0SEXSjXRejTkNCFrskcpop03Y92hNFebJl9eIx9vQk5x8rGaEW1NzsFn2D9KrPBt61zDGL6bGkDjYGr1ORYUIAc4QfotgGrNZp6AsagcQgQ5m7IDaj_n5WnzaDBj8c_u4qb5cnF-dfaxvfz84dPZ-8vWcipquzUddYILojjrpGAcc9srStRgaO8c59ILKZQiXkHF9hY7sZVb1_VEOokF2zTvVt3DvJ28szAXPIo-5DCZvOhkgv67EsNOX6cbTTCR8NgcFF7dKeT0dfal6ikU68fRRJ_momlPWNdJ3DFAX_6D7tOcYfIjxSSlnEPcNHSlbE6lZD_c34ZgffSCXr2gwQv61gt6gaYXf85x3_Lr8wFgK1CgFK99_n32f2R_AutfxEU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2837224428</pqid></control><display><type>article</type><title>The effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury</title><source>SpringerLink Journals</source><creator>Whelan, Alexander ; McVeigh, Sonja ; Barker, Paula ; Glennie, Andrew ; Wang, Di ; Chen, Melody ; Cheng, Christiana L. ; Humphreys, Suzanne ; O’Connell, Colleen ; Attabib, Najmedden ; Engelbrecht, Andre ; Christie, Sean</creator><creatorcontrib>Whelan, Alexander ; McVeigh, Sonja ; Barker, Paula ; Glennie, Andrew ; Wang, Di ; Chen, Melody ; Cheng, Christiana L. ; Humphreys, Suzanne ; O’Connell, Colleen ; Attabib, Najmedden ; Engelbrecht, Andre ; Christie, Sean</creatorcontrib><description>Study design
Cohort study.
Objectives
To evaluate the association between residential living location and health outcomes, environmental barriers, quality of life, and healthcare utilization patterns after traumatic spinal cord injury (tSCI).
Setting
Community setting, Atlantic Canada.
Methods
An ambispective study of data collected on a subset of individuals enrolled in the Rick Hansen Spinal Cord Injury Registry (RHSCIR) from 2012 to 2018. Outcomes were analyzed using two measures of rurality: postal codes at community follow-up (rural versus urban) and residential travel distance to the nearest RHSCIR facility (>100 km versus ≤100 km). Outcomes studied included the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), Short Form-36 Version 2 (SF36v2), Life Satisfaction Questionnaire (LISAT-11), Spinal Cord Independence Measure (SCIM), secondary health complications and healthcare utilization patterns. Outcomes were assessed 9 to 24 months post-discharge from initial hospitalization.
Results
104 participants were studied, 21 rural and 83 urban based on postal codes at community follow-up. 59 participants lived more than 100 km away from the nearest RHSCIR facility, while 45 participants lived within 100 km. Individuals from urban area codes reported a greater magnitude of perceived barriers on the policies and work/school subscales of the CHIEF-SF. No differences in function, quality of life, and healthcare utilization patterns according to the measures of rurality were observed. Individuals living >100 km from the nearest RHSCIR facility reported greater rates of sexual dysfunction.
Conclusions
Despite differences in environmental barriers, individuals from urban and rural locations in Eastern Canada reported similar health outcomes and quality of life after tSCI.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-023-00898-y</identifier><identifier>PMID: 37169867</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/409 ; 692/617/375/1824 ; 692/699/578 ; 692/700/228/491 ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Complications ; Environmental factors ; Health care ; Health services utilization ; Human Physiology ; Injury analysis ; Neurochemistry ; Neuropsychology ; Neurosciences ; Quality of life ; Residential location ; Rural areas ; Sexual behavior ; Spinal cord injuries ; Urban areas ; Utilization</subject><ispartof>Spinal cord, 2023-07, Vol.61 (7), p.399-408</ispartof><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to International Spinal Cord Society.</rights><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-ba52d64619435763404c89219fa28dd447e676991e904cc8c0d6b7bd5817d7063</cites><orcidid>0000-0002-4760-4093 ; 0000-0002-3540-6022</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41393-023-00898-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41393-023-00898-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37169867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whelan, Alexander</creatorcontrib><creatorcontrib>McVeigh, Sonja</creatorcontrib><creatorcontrib>Barker, Paula</creatorcontrib><creatorcontrib>Glennie, Andrew</creatorcontrib><creatorcontrib>Wang, Di</creatorcontrib><creatorcontrib>Chen, Melody</creatorcontrib><creatorcontrib>Cheng, Christiana L.</creatorcontrib><creatorcontrib>Humphreys, Suzanne</creatorcontrib><creatorcontrib>O’Connell, Colleen</creatorcontrib><creatorcontrib>Attabib, Najmedden</creatorcontrib><creatorcontrib>Engelbrecht, Andre</creatorcontrib><creatorcontrib>Christie, Sean</creatorcontrib><title>The effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design
Cohort study.
Objectives
To evaluate the association between residential living location and health outcomes, environmental barriers, quality of life, and healthcare utilization patterns after traumatic spinal cord injury (tSCI).
Setting
Community setting, Atlantic Canada.
Methods
An ambispective study of data collected on a subset of individuals enrolled in the Rick Hansen Spinal Cord Injury Registry (RHSCIR) from 2012 to 2018. Outcomes were analyzed using two measures of rurality: postal codes at community follow-up (rural versus urban) and residential travel distance to the nearest RHSCIR facility (>100 km versus ≤100 km). Outcomes studied included the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), Short Form-36 Version 2 (SF36v2), Life Satisfaction Questionnaire (LISAT-11), Spinal Cord Independence Measure (SCIM), secondary health complications and healthcare utilization patterns. Outcomes were assessed 9 to 24 months post-discharge from initial hospitalization.
Results
104 participants were studied, 21 rural and 83 urban based on postal codes at community follow-up. 59 participants lived more than 100 km away from the nearest RHSCIR facility, while 45 participants lived within 100 km. Individuals from urban area codes reported a greater magnitude of perceived barriers on the policies and work/school subscales of the CHIEF-SF. No differences in function, quality of life, and healthcare utilization patterns according to the measures of rurality were observed. Individuals living >100 km from the nearest RHSCIR facility reported greater rates of sexual dysfunction.
Conclusions
Despite differences in environmental barriers, individuals from urban and rural locations in Eastern Canada reported similar health outcomes and quality of life after tSCI.</description><subject>692/308/409</subject><subject>692/617/375/1824</subject><subject>692/699/578</subject><subject>692/700/228/491</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Complications</subject><subject>Environmental factors</subject><subject>Health care</subject><subject>Health services utilization</subject><subject>Human Physiology</subject><subject>Injury analysis</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Quality of life</subject><subject>Residential location</subject><subject>Rural areas</subject><subject>Sexual behavior</subject><subject>Spinal cord injuries</subject><subject>Urban areas</subject><subject>Utilization</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kk1v1DAQhiMEomXhD3BAlrhwIOCv2PEJoaoFpEpcytny2k7Xq8RebKco_CR-JbNNKR8HDtaMPM-89thv0zwn-A3BrH9bOGGKtZjCwr3q2-VBc0q4FG0nKH8IORO05cCcNE9K2WOMFVH94-aESSJUL-Rp8-Nq55EfBm8rSgPKczZjqAsy0SEXSjXRejTkNCFrskcpop03Y92hNFebJl9eIx9vQk5x8rGaEW1NzsFn2D9KrPBt61zDGL6bGkDjYGr1ORYUIAc4QfotgGrNZp6AsagcQgQ5m7IDaj_n5WnzaDBj8c_u4qb5cnF-dfaxvfz84dPZ-8vWcipquzUddYILojjrpGAcc9srStRgaO8c59ILKZQiXkHF9hY7sZVb1_VEOokF2zTvVt3DvJ28szAXPIo-5DCZvOhkgv67EsNOX6cbTTCR8NgcFF7dKeT0dfal6ikU68fRRJ_momlPWNdJ3DFAX_6D7tOcYfIjxSSlnEPcNHSlbE6lZD_c34ZgffSCXr2gwQv61gt6gaYXf85x3_Lr8wFgK1CgFK99_n32f2R_AutfxEU</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Whelan, Alexander</creator><creator>McVeigh, Sonja</creator><creator>Barker, Paula</creator><creator>Glennie, 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effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury</title><author>Whelan, Alexander ; McVeigh, Sonja ; Barker, Paula ; Glennie, Andrew ; Wang, Di ; Chen, Melody ; Cheng, Christiana L. ; Humphreys, Suzanne ; O’Connell, Colleen ; Attabib, Najmedden ; Engelbrecht, Andre ; Christie, Sean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-ba52d64619435763404c89219fa28dd447e676991e904cc8c0d6b7bd5817d7063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>692/308/409</topic><topic>692/617/375/1824</topic><topic>692/699/578</topic><topic>692/700/228/491</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Complications</topic><topic>Environmental factors</topic><topic>Health care</topic><topic>Health services utilization</topic><topic>Human Physiology</topic><topic>Injury analysis</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Quality of life</topic><topic>Residential location</topic><topic>Rural areas</topic><topic>Sexual behavior</topic><topic>Spinal cord injuries</topic><topic>Urban areas</topic><topic>Utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whelan, Alexander</creatorcontrib><creatorcontrib>McVeigh, Sonja</creatorcontrib><creatorcontrib>Barker, Paula</creatorcontrib><creatorcontrib>Glennie, Andrew</creatorcontrib><creatorcontrib>Wang, Di</creatorcontrib><creatorcontrib>Chen, Melody</creatorcontrib><creatorcontrib>Cheng, Christiana L.</creatorcontrib><creatorcontrib>Humphreys, Suzanne</creatorcontrib><creatorcontrib>O’Connell, Colleen</creatorcontrib><creatorcontrib>Attabib, Najmedden</creatorcontrib><creatorcontrib>Engelbrecht, Andre</creatorcontrib><creatorcontrib>Christie, Sean</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whelan, Alexander</au><au>McVeigh, Sonja</au><au>Barker, Paula</au><au>Glennie, Andrew</au><au>Wang, Di</au><au>Chen, Melody</au><au>Cheng, Christiana L.</au><au>Humphreys, Suzanne</au><au>O’Connell, Colleen</au><au>Attabib, Najmedden</au><au>Engelbrecht, Andre</au><au>Christie, Sean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>61</volume><issue>7</issue><spage>399</spage><epage>408</epage><pages>399-408</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><abstract>Study design
Cohort study.
Objectives
To evaluate the association between residential living location and health outcomes, environmental barriers, quality of life, and healthcare utilization patterns after traumatic spinal cord injury (tSCI).
Setting
Community setting, Atlantic Canada.
Methods
An ambispective study of data collected on a subset of individuals enrolled in the Rick Hansen Spinal Cord Injury Registry (RHSCIR) from 2012 to 2018. Outcomes were analyzed using two measures of rurality: postal codes at community follow-up (rural versus urban) and residential travel distance to the nearest RHSCIR facility (>100 km versus ≤100 km). Outcomes studied included the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), Short Form-36 Version 2 (SF36v2), Life Satisfaction Questionnaire (LISAT-11), Spinal Cord Independence Measure (SCIM), secondary health complications and healthcare utilization patterns. Outcomes were assessed 9 to 24 months post-discharge from initial hospitalization.
Results
104 participants were studied, 21 rural and 83 urban based on postal codes at community follow-up. 59 participants lived more than 100 km away from the nearest RHSCIR facility, while 45 participants lived within 100 km. Individuals from urban area codes reported a greater magnitude of perceived barriers on the policies and work/school subscales of the CHIEF-SF. No differences in function, quality of life, and healthcare utilization patterns according to the measures of rurality were observed. Individuals living >100 km from the nearest RHSCIR facility reported greater rates of sexual dysfunction.
Conclusions
Despite differences in environmental barriers, individuals from urban and rural locations in Eastern Canada reported similar health outcomes and quality of life after tSCI.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37169867</pmid><doi>10.1038/s41393-023-00898-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4760-4093</orcidid><orcidid>https://orcid.org/0000-0002-3540-6022</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1362-4393 |
| ispartof | Spinal cord, 2023-07, Vol.61 (7), p.399-408 |
| issn | 1362-4393 1476-5624 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10173934 |
| source | SpringerLink Journals |
| subjects | 692/308/409 692/617/375/1824 692/699/578 692/700/228/491 Anatomy Biomedical and Life Sciences Biomedicine Complications Environmental factors Health care Health services utilization Human Physiology Injury analysis Neurochemistry Neuropsychology Neurosciences Quality of life Residential location Rural areas Sexual behavior Spinal cord injuries Urban areas Utilization |
| title | The effect of rurality and distance from care on health outcomes, environmental barriers, and healthcare utilization patterns in persons with traumatic spinal cord injury |
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