@article{ref1,
title="Rural and urban living in persons with spinal cord injury and comparing environmental barriers, their health and quality of life outcomes",
journal="Journal of neurotrauma",
year="2017",
author="Glennie, R. Andrew and Batke, Juliet and Fallah, Nader and Cheng, Christiana L. and Rivers, Carly S. and Noonan, Vanessa K. and Dvorak, Marcel F. and Fisher, Charles G. and Kwon, Brian K. and Street, John",
volume="34",
number="20",
pages="2877-2882",
abstract="There is worldwide geographical variation in the epidemiology of traumatic spinal cord injury (tSCI). The aim of this study was to determine whether environment barriers, health status and quality of life outcomes differ between patients with tSCI living in rural or urban settings, and whether patients move from rural to urban settings after tSCI. A cohort review of the Rick Hansen SCI Registry (RHSCIR) was undertaken from 2004-2012 for 1 province. Rural/urban setting was determined using postal codes. Outcomes data at 1 year in the community included the Short Form-36 Version 2 (SF36v2™), Life Satisfaction Questionnaire, Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), Functional Independent Measure® Instrument, and SCI Health Questionnaire. Statistical methodologies used were t-test, Mann-Whitney U-test, and Fisher's exact or Chi-square test. 338 RHSCIR participants were included in the analysis, 65 lived in a rural setting and 273 in an urban setting. Of the original patients residing in a rural area at discharge, 10 moved to an urban area by 1 year. Those who moved from rural to urban reported a lower SF-36v2™ Mental Component Score (p=0.04) and a higher incidence of depression at 1 year (p=0.04). Urban patients also reported higher incidence of depression (p=0.02) and a lower CHIEF-SF total score (p=0.01) indicating fewer environmental barriers. No significant differences were found in other outcomes. <br><br>RESULTS suggest that although the patient outcomes are similar, some patients move from rural to urban settings after tSCI. Future efforts should target screening mental health problems early, especially in urban settings.<p /> <p>Language: en</p>",
language="en",
issn="0897-7151",
doi="10.1089/neu.2016.4931",
url="http://dx.doi.org/10.1089/neu.2016.4931"
}