While research on spinal cord injury (SCI) is abundant, few studies fo
cus on women. This population-based study investigates differences in
the prevalence of secondary conditions between 128 women and 522 men.
Case managers retrospectively interviewed 650 persons regarding medica
l and psychological conditions secondary to SCI, as well as other life
issues. Overall, males and females show more similarities than differ
ences in the ways in which they manage life with SCI. Differences were
found, though, regarding etiology of initial injury, insurance covera
ge, caregiver use, transportation use, medication use, and in other me
dical and behavioral areas. Females are significantly involved in more
automobile crashes than males, while males are involved in more falls
than females. Females are more reliant on Medicaid, while males repor
t more Medicare and Worker's Compensation coverage. Females are more l
ikely to have a paid attendant as a caregiver while males are more lik
ely to have their spouse or parents assist. Males report more independ
ence in their use of transportation than females. Males and females al
so report significant differences in the use of medication. Females ar
e more likely to use medication any time it is a treatment option. Mal
es are more active, use tobacco more and have more arm fractures posti
njury than females.