The Second International Spinal Cord Injury (InSCI) Community Survey in Thailand: Overview of Bio-Psycho-Social Perspectives of Individuals with Spinal Cord Injury

Objectives: To describe the health status, socioeconomic characteristics, and spinal cord injury (SCI) profiles of individuals with SCI living in the community in Thailand Study design: Descriptive cross-sectional study Setting: Fourteen hospitals across Thailand Participant: Thai individuals with SCI living in the community who had previously received rehabilitation at participating hospitals and who met the inclusion criteria were invited to participate in the second International Spinal Cord Injury (InSCI) community survey in Thailand. Methods: Participants completed the Thai-translated version of the second InSCI questionnaire. After data cleaning, bio-psychosocial aspects were analyzed descriptively. Results: A total of 693 respondents were included. Most participants were male (74.9%), paraplegic (65.4%), and had incomplete lesions (65.4%), with traumatic causes (79.2%). The median age at the time of the survey was 49 years (IQR: 38-62), and the median duration of SCI was 8 years (IQR: 5-14). Nearly half were married or cohabiting (46.9%), 64.1% needed assistance, and 55.7% lived in urban areas. Over half (51.4%) had completed secondary education, while 64.5% reported a household income below 17,200 baht per month. Most respondents were covered by the Thai universal health coverage scheme (68.4%), and 51.1% were satisfied with their general health. The three most prevalent secondary health conditions were spasticity (77.5%), pain (71.1%), and bowel problems (70.4%). The percentage of receiving treatment was lowest for sexual problems (12.8%).