abstract: 'BACKGROUND: Joint studies of multiple sclerosis (MS) and spinal cord

  injury (SCI), both types of spinal cord dysfunction, have identified

  barriers and facilitators to employment and key outcomes including

  earnings and job benefits. However, there has been an absence of

  research on satisfaction with employment over one''s career. Such

  knowledge would help to establish the foundation for targeted vocational

  rehabilitation interventions. as well as differences in quality of

  employment outcomes, establishing the foundation for targeted vocational

  rehabilitation interventions.

  OBJECTIVE: Identify and quantify demographic, educational, vocational,

  and functional characteristics associated with career satisfaction, a

  quality employment outcome, among people with MS and SCI.

  METHODS: There were a total of 3,371 participants, 1,229 with MS and

  2,142 with SCI, all of whom were in the traditional working age range (<

  65 years old). Participants were identified from the Southeastern and

  Midwestern regions of the USA and data were collected, processed, and

  analyzed at a medical university in the Southeastern USA. Econometric

  modeling identified factors associated with career satisfaction, as

  defined by a five-item composite scale that was converted to Z-scores,

  integrating analysis using both diagnostic groups.

  RESULTS: Participants who were gainfully employed and those who had left

  the labor force (unemployed with no hopes to return to work), reported

  higher career satisfaction than those who were unemployed and hoping to

  return to work. Higher career satisfaction scores were associated with

  more formal education and having worked in management/professional,

  natural resources, or service occupations. Higher scores were also

  observed among those older, not single, and who had fewer functional

  deficits. No differences were identified as a function of diagnosis,

  race-ethnicity, sex, or time since injury/diagnosis.

  CONCLUSION: Career satisfaction was more strongly related to educational

  attainment, vocational history, and labor force participation, than to

  demographic and disability factors. Vocational counselors should target

  those still in the labor force for skills development, job retention,

  and reacquisition to promote career satisfaction.'
affiliation: 'Krause, JS (Corresponding Author), Med Univ South Carolina, Coll Hlth
  Profess, 151-B Rutledge Ave,MSC 962, Charleston, SC 29425 USA.

  Krause, James S.; Dismuke-Greer, Clara E.; Jarnecke, Melinda; DiPiro, Nicole D.,
  Med Univ South Carolina, Coll Hlth Profess, 151-B Rutledge Ave,MSC 962, Charleston,
  SC 29425 USA.'
author: Krause, James S. and Dismuke-Greer, Clara E. and Jarnecke, Melinda and DiPiro,
  Nicole D.
author-email: krause@musc.edu
author_list:
- family: Krause
  given: James S.
- family: Dismuke-Greer
  given: Clara E.
- family: Jarnecke
  given: Melinda
- family: DiPiro
  given: Nicole D.
da: '2023-09-28'
doi: 10.3233/JVR-221196
eissn: 1878-6316
files: []
issn: 1052-2263
journal: JOURNAL OF VOCATIONAL REHABILITATION
keywords: 'Multiple sclerosis; spinal cord injuries; job satisfaction; employment;

  rehabilitation; vocational'
keywords-plus: EMPLOYMENT STATUS; EARNINGS; ADULTS; PEOPLE
language: English
number: '1'
number-of-cited-references: '37'
orcid-numbers: DiPiro, Maria Nicole/0000-0003-1459-4690
pages: 33-40
papis_id: 13f1d1040d5b0aa502d097a7e98ba644
ref: Krause2022careersatisfaction
times-cited: '0'
title: Career satisfaction among working age individuals with multiple sclerosis or
  spinal cord injury
type: article
unique-id: WOS:000827342100003
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '57'
web-of-science-categories: Rehabilitation
year: '2022'