This study aimed to investigate the association of race, ethnicity, and socio-economic status (SES) and community-level social particpation of children and adolescents with spinal cord injury (SCI). This study is a cross-sectional analysis of data from the Pediatrics Measures of Particpation (PMoP) Calibration Study. A sample of 381 children and adolescents with SCI completed the PMoP computerized adaptive test (CAT) to assess social particpation. The responses from 9 items from the “particpation compared to self” PMoP CAT from 372 participants, ages 8 to 21, were analyzed using a binary logistic regression. Severity and neurological level (NL) of injury were predictive of particpation in the most items (severity: items 32, 38, 39, and 59; NL: 32, 39, 40). Race and ethnicity was seen to be predictive in two items, 10 and 30, with only Caucasian, Hispanic participants (10: AOR= 0.330, 95% CI= 0.142-0.763; 30: AOR= 0.483, 95% CI= 0.262-0.913), and “other” participants (30: AOR=0.199, 95% CI= 0.075-0.533) showing lower odds of particpation compared to the reference, Caucasian, Non-Hispanic. SES, measured by parent’s highest education, was significantly predictive of only one item, 33, with at least some college showing increased odds of particpation than high school or less (AOR= 2.307, 95% CI= 1.037-5.133). These results suggest race and ethnicity and SES may play a role in community-based social particpation of children and adolescents with SCI. Additional research is necessary to better understand these factors and how they relate to different rates of social particpation in children and adolescents with SCI.
Siska, MPHc, Lindsey and Mulcahey, Mary Jane, "Predictive Factors of Social Participation among Children with Spinal Cord Injuries: An Analysis of the Pediatric Measure of Participation Calibrated Item Bank" (2018). Master of Public Health Capstone Presentations. Presentation 274.