Rhoda, AJoseph, CThurston, CNizeyimana, E2023-06-012023-06-012023Joseph, C., Thurston, C., Nizeyimana, E., Scriba, E., Conradsson, D.M. and Rhoda, A., 2023. Prevalence of secondary health conditions and mental status in persons with long-term spinal cord injury in South Africa: Comparison between public and private healthcare sectors. South African Medical Journal, 113(5), pp.1220-1227.https://doi.org/10.7196/SAMJ.2023.v113i5.16791http://hdl.handle.net/10566/8987Background: Spinal cord injuries typically result in a range of negative health outcomes and health states, which impacts overall functioning, health and well-being. It remains important to establish the prevalence (burden) of health outcomes to help with the development of optimal treatment strategies. Objectives: To determine the prevalence and treatment rates of secondary health conditions (SHCs) and mental health states in persons with long-term spinal cord injury (SCI) receiving public compared with private healthcare services in South Africa. METHODS: A cross-sectional survey included 200 community-dwelling persons with long-term SCI, 60% with paraplegia, 53% with complete injuries and 156 from the public and 44 from private healthcare sectors. The following modules of the International Spinal Cord Injury (InSCI) community survey were used: (i) demographic and injury characteristics; (ii) SHCs and treatment rates; and (iii) vitality and emotional well-being. All statistical analyses were stratified according to healthcare sectorenCross-Sectional StudiesHealth Care SectorHumansPainPrevalenceArticle