People with Spinal Cord Injury in Republic of South Africa

Joseph, Conran; Scriba, E; Wilson, Vivienne; Mothabeng, Joyce; Theron, François

doi:10.1097/phm.0000000000000594

Cited by 16 publications

(29 citation statements)

References 9 publications

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“… 55 In South Africa, rehabilitation services are inaccessible to the majority of people as they are concentrated at tertiary institutions or provided by private service providers. 56 57 This could mean that those with an SCI in rural areas of South Africa are less likely to receive specialised rehabilitation, which may inevitably affect their independence. 56 The findings of a South African household survey confirmed that poor, uninsured, black Africans and rural groups still have inequitable access to healthcare.…”

Section: Discussionmentioning

confidence: 99%

“… 56 57 This could mean that those with an SCI in rural areas of South Africa are less likely to receive specialised rehabilitation, which may inevitably affect their independence. 56 The findings of a South African household survey confirmed that poor, uninsured, black Africans and rural groups still have inequitable access to healthcare. 58 These disparities are particularly evident when considering that the poorest quintile of South Africans receives less than 10% of the country’s health benefits despite requiring close to 40% of these services.…”

Section: Discussionmentioning

confidence: 99%

“… 59 Disability further impedes accessibility to healthcare. 56 60 The associations of the type of healthcare being used with QoL may be specific to the nuances of the South African healthcare system. Results from this study indicate that private healthcare, or at least a combination of public and private healthcare, was associated with increased QoL.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life among individuals with rugby-related spinal cord injuries in South Africa: a descriptive cross-sectional study

et al. 2018

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ObjectivesRugby-related spinal cord injuries (SCIs) are rare but life altering and traumatic events. Little is known about the long-term consequences and outcomes of players who have sustained these injuries. This study investigated current quality of life (QoL) and factors associated with QoL, among individuals with rugby-related SCI in South Africa, by using the International Classification of Functioning, Disability and Health (ICF) framework.DesignDescriptive cross-sectional study.SettingRugby-related SCI population of South Africa, as captured in the BokSmart/Chris Burger Petro Jackson Players’ Fund database.ParticipantsNinety (n=90) of the 102 eligible players on the database agreed to participate in the study.Main outcome measureThe relationship between QoL, as measured with the WHO Quality of Life questionnaire (WHOQOL-BREF) and specific independent variables (demographic information, level of independence and participation in various activities and life roles) was investigated. Variables that were significantly associated with QoL in bivariate analyses were included in multiple linear regression analyses.ResultsThe mean score and SD of the WHOQOL-BREF was 15.1±2.3 arbitrary units. Participation (an ICF framework construct) and income were significantly associated with overall QoL (p<0.001). Participation was the only variable significantly associated with all QoL subdomains (p<0.001). Additionally, number of health concerns, type of healthcare (public vs private) and level of education were significantly associated with various QoL domains (p<0.001).ConclusionsOn average, these individuals with rugby-related SCI presented with higher QoL scores than other comparable SCI studies. However, lower levels of participation and income, certain levels of education, increased health concerns and use of public healthcare were associated with lower levels of QoL. Sporting bodies have a responsibility to optimise player welfare, by acting on the modifiable factors associated with QoL.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Quality of life among individuals with rugby-related spinal cord injuries in South Africa: a descriptive cross-sectional study

et al. 2018

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“…In 2017, the incidence in Cape Town was reported to be 75.6 per million persons, with the main aetiology being assault, followed by motor vehicle accidents (MVAs). [4] Another study in Cape Town reported MVAs to be the major cause of SCI. [5] The primary aim of the healthcare team managing patients with SCI is to reduce mortality and morbidity, including complications, and to reduce the burden of care by improving patients' functionality and independence.…”

Section: Researchmentioning

confidence: 99%

Stem cell tourism and spinal cord injury in South Africa

2019

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“…However, the current available data indicates a high incidence of spinal cord injuries in Cape Town at 75.6 people per million, mainly due to violence (assault and motor vehicle accidents) [3]. The lack of epidemiological data is troubling considering that the main causes of spinal cord injuries (namely violence, HIV and TB) are in the top ten causes of mortality and morbidity in South Africa [4, 5]. Given that there is no cure for spinal cord injury, an understanding of the health status, long term care needs and secondary complications is essential to inform prevention care practice.…”

Section: Introductionmentioning

confidence: 99%

Prevention care for secondary health conditions among people living with spinal cord injuries: research protocol

2019

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Objective People living with spinal cord injuries are at a high risk to experience preventable secondary health conditions in their lifetime, which can lead to rehospitalisation and death. Given the fact that spinal cord injury is a long term disability requiring on-going care, there is need to strengthen prevention of secondary health conditions. This study aims to establish factors influencing prevention care for secondary health conditions among people living with spinal cord injuries in a metropolitan area in order to develop a prevention model of care. Results A record review of patients living with spinal cord injuries will be conducted to identify the prevalence of secondary health conditions and associated factors. Semi-structured interviews will be conducted on patients living with spinal cord injuries, their caregivers and therapists to explore the contextual factors (personal and environmental factors) influencing the prevention of secondary health conditions. Thematic analysis will be used to identify the themes. Nominal group technique will be used to develop the prevention model of care for secondary health conditions. This study will be conducted at a tertiary and specialised rehabilitation hospital in South Africa.

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People with Spinal Cord Injury in Republic of South Africa

Cited by 16 publications

References 9 publications

Quality of life among individuals with rugby-related spinal cord injuries in South Africa: a descriptive cross-sectional study

Quality of life among individuals with rugby-related spinal cord injuries in South Africa: a descriptive cross-sectional study

Stem cell tourism and spinal cord injury in South Africa

Prevention care for secondary health conditions among people living with spinal cord injuries: research protocol

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