Obtaining Employment After Spinal Cord Injury: Relationship With Pre- and Postinjury Education

The authors identify the association of educational milestones obtained before and after spinal cord injury (SCI) with postinjury employment (PIE). Survey data were collected from 1,362 adults younger than 65, with traumatic SCI of at least 1 year duration who were not currently attending school. The sole outcome was obtaining PIE-whether the individual had worked at any time since SCI onset. Approximately 54% of eligible participants worked post-SCI. Logistic regression was used to identify the odds of employment as a function of the educational milestones while controlling for other characteristics. With the exception of a high school certificate, completing educational milestones after injury was associated with substantially higher odds of employment than when they were completed prior to injury. The results underscore the need for postinjury education, even among individuals who have extensive training and education at the time of injury.