abstract: 'Study design: Cross-sectional survey. Objectives: To establish labour market participation figures of persons with spinal cord injury (SCI) living in Switzerland and to investigate determinants and consequences of having paid work. Setting: Community. Methods: A survey among members of the Swiss Paraplegic Association was performed in 2008. Inclusion criteria were: SCI of traumatic or non-traumatic origin, minimum age of 18 years, and living in the community for at least 1 year. A total of 559 persons with SCI returned the questionnaire (response rate 27\%), of which 495 (24\%) fulfilled the eligibility criteria. Bivariate and logistic regression analyses were performed based on theoretical considerations and relevant determinants found in the literature. Results: Of the respondents of working age, 63.8\% were involved in gainful employment. No significant difference between persons with para-and tetraplegia was observed. Logistic regression showed that employment was associated with age, time since onset of SCI, having worked at 2 years after initial rehabilitation, having received vocational counselling, having less pain, more years of education and more perceived importance of work. Working persons achieved a significantly higher total income. The most important reasons to work were not financial, but rather of social nature. Barriers to work were primarily health-related. Conclusions: We found a relatively high employment rate among the studied persons with SCI living in Switzerland. However, because of the low response, it is difficult to generalise this finding. Spinal Cord (2012) 50, 521-526; doi: 10.1038/sc.2011.181; published online 17 January 2012' affiliation: 'Marti, A (Corresponding Author), Univ Lucerne, Dept Hlth Sci \& Hlth Policy, Swiss Parapleg Res SPF, Guido A Zach Str 4, CH-6207 Nottwil, Switzerland. Marti, A.; Reinhardt, J. D.; Graf, S.; Escorpizo, R., SPF, Nottwil, Switzerland. Post, M. W. M., Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Utrecht, Netherlands. Post, M. W. M., Univ Med Ctr Utrecht, Ctr Excellence Rehabil Med, Utrecht, Netherlands.' author: Marti, A. and Reinhardt, J. D. and Graf, S. and Escorpizo, R. and Post, M. W. M. author-email: albert.marti@paranet.ch author_list: - family: Marti given: A. - family: Reinhardt given: J. D. - family: Graf given: S. - family: Escorpizo given: R. - family: Post given: M. W. M. da: '2023-09-28' doi: 10.1038/sc.2011.181 files: [] issn: 1362-4393 journal: SPINAL CORD keywords: 'spinal cord injury; employment; return to work; determinants of working; consequences of working' keywords-plus: EMPLOYMENT; RETURN language: English month: JUL number: '7' number-of-cited-references: '23' orcid-numbers: Escorpizo, Reuben/0000-0002-3199-4744 pages: 521-526 papis_id: bdef81dcce77daecc9140d7ec0b4b9d6 ref: Marti2012worknot researcherid-numbers: 'Escorpizo, Reuben/AAH-4934-2019 Post, Marcel/AAS-2502-2021 ' times-cited: '35' title: 'To work or not to work: labour market participation of people with spinal cord injury living in Switzerland' type: Article unique-id: WOS:000306282700009 usage-count-last-180-days: '0' usage-count-since-2013: '7' volume: '50' web-of-science-categories: Clinical Neurology; Rehabilitation year: '2012'