Understanding Health Outcomes: Physical Secondary Conditions in People With Spinal Cord Injury

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ObjectiveTo examine the association of predisposing characteristics and enabling characteristics with physical secondary conditions through health practices and health care use in people with spinal cord injury (SCI).DesignCross-sectional survey mailed to adults in portions of the northeastern and northwestern United States.ParticipantsTwo hundred seventy adults with SCI recruited through durable medical equipment supply companies.Main Outcome MeasuresSelf-reported health practices, health care use, and physical secondary conditions.ResultsIn the Andersen behavioral model, F increment tests supported findings that predisposing characteristics accounted for 12% of variance in secondary conditions, enabling characteristics accounted for 16%, and health practices and health care use accounted for another 13%. Path analysis revealed that health care use mediated self-efficacy and interpersonal support.ConclusionsPredisposing characteristics including self-efficacy, enabling characteristics, and health care use are associated with physical secondary conditions in complex ways. More research is needed on measures of health practices and their relation to secondary conditions.

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