The Relationship of Level of Education to Social Reintegration after Burn Injury: A LIBRE Study
| Autor: | Philip Fidler, Amy Acton, John T. Schulz, Allen Jette, Molly Marino, Lewis E. Kazis, Gabriel D. Shapiro, Jeffrey E Schneider, Colleen M. Ryan |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Burn injury Population Peer support Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Social integration Surveys and Questionnaires Humans Medicine 0501 psychology and cognitive sciences Social Integration Survivors Social Behavior education Aged education.field_of_study business.industry 05 social sciences Rehabilitation Age Factors Middle Aged 030220 oncology & carcinogenesis Cohort Emergency Medicine Life expectancy Educational Status Marital status Female Surgery Burns business 050104 developmental & child psychology Cohort study Demography |
| Zdroj: | J Burn Care Res |
| ISSN: | 1559-0488 1559-047X |
| DOI: | 10.1093/jbcr/irz074 |
| Popis: | Social and emotional recovery from burn injury is a complex process impacted by both clinical and social factors. Because level of education (LOE) has been correlated to overall health, health outcomes, and life expectancy, we questioned whether LOE might be associated with successful social recovery after burn injury. The Life Impact Burn Recovery Evaluation (LIBRE) data set served as a novel tool to explore this question. The LIBRE project is a collaborative effort designed to provide a clinical yardstick for social reintegration among burn survivors. After institutional review board approval, 601 burn survivor respondents, aged 18 or over with >5% TBSA burn were surveyed and a six-scale, 126-item LIBRE Profile was derived from their responses. LOE was collapsed into four categories ranging from less than high school equivalency certificate to graduate degree. Impact of burn injury on subsequent LOE was examined by splitting the sample into those burned at age 30 years or less and those burned at greater than 30 years of age. Regression models were run to estimate associations between education and scale scores with adjustment for age at injury, sex, marital status, work status, TBSA, and time since burn. Regression models were run on the entire cohort and then stratified by age at burn injury (≤30 vs >30). Among all subjects, we found an association between LOE and social recovery as measured by LIBRE scale scores. This association was contributed entirely from the cohort burned at age 30 or less: for those burned at greater than age 30, there was no association between LOE and social recovery. Of particular interest, the distribution of LOE among those burned at ≤ 30 was very similar to LOE distribution in both millennials and in the U.S. population at large. LOE appears to be associated with social recovery for those burned at younger ages but not for those burned at over age 30. More importantly, burn injury during schooling may have no impact on a survivor’s educational trajectory since distribution of LOE in our ≤30 cohort mirrors that of the general population. LOE and age at burn injury may provide a quick screen for survivors at risk of difficult social reintegration, allowing providers to target those at risk with additional peer support and counseling. |
| Databáze: | OpenAIRE |
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