Understanding Health Outcomes: Physical Secondary Conditions in People With Spinal Cord Injury

Rie Suzuki, Gloria L. Krahn, Michael J. McCarthy, Elizabeth J. Adams

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Objective: To examine the association of predisposing characteristics and enabling characteristics with physical secondary conditions through health practices and health care use in people with spinal cord injury (SCI). Design: Cross-sectional survey mailed to adults in portions of the northeastern and northwestern United States. Participants: Two hundred seventy adults with SCI recruited through durable medical equipment supply companies. Main Outcome Measures: Self-reported health practices, health care use, and physical secondary conditions. Results: In the Andersen behavioral model, F increment tests supported findings that predisposing characteristics accounted for 12% of variance in secondary conditions, enabling characteristics accounted for 16%, and health practices and health care use accounted for another 13%. Path analysis revealed that health care use mediated self-efficacy and interpersonal support. Conclusions: Predisposing characteristics including self-efficacy, enabling characteristics, and health care use are associated with physical secondary conditions in complex ways. More research is needed on measures of health practices and their relation to secondary conditions.

Original languageEnglish (US)
Pages (from-to)338-350
Number of pages13
JournalRehabilitation Psychology
Issue number3
StatePublished - Aug 2007
Externally publishedYes


  • environmental context
  • health care use
  • secondary conditions
  • self-efficacy
  • spinal cord injuries

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Psychology
  • Psychiatry and Mental health


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