This study examined the relevance of the disease-and-demographics model for explaining the employment outcomes of adults with multiple sclerosis (MS). Participating in a national survey of their employment concerns, 1,310 adults with MS provided data for the study (274 men, 21%; 1,020 women, 78%; 16 participants did not identify their gender). With an average age of 50 (SD = 12.14), most of the respondents were White (92%), well educated (97% were high school graduates, 40% were college graduates), and residing in urban and suburban areas (74%). Results from a backward stepwise multiple logistic regression analysis included the following variables as best predictors of employment status: educational attainment, severity of symptoms, persistence of symptoms, and presence of cognitive impairment/dysfunction (R2 = .23). The article discusses the relationship of the findings to psychosocial and career development models in rehabilitation and to training, educational, accommodation planning, and cognitive interventions.
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