Race/Ethnic Differences in Prevalence and Correlates of Posttraumatic Stress Disorder in World Trade Center Responders: Results from a Population-Based, Health Monitoring Cohort

Details

• Alternative Title:
  Psychol Trauma
• Personal Author:
  Whealin, Julia M. ; Ciro, Dianne ; Dasaro, Christopher R ; Udasin, Iris G ; Crane, Michael ; Moline, Jacqueline M ; Harrison, Denise J ; Luft, Benjamin J. ; Todd, Andrew C ; Feder, Adriana ; Pietrzak, Robert H
• Description:
  Objective:
  
  This study evaluated race/ethnic differences in the prevalence and correlates of World Trade Center (WTC)-related posttraumatic stress disorder (PTSD) in WTC responders.
  
  Methods:
  
  Data were analyzed from a population-based, health monitoring cohort of 15,440 non-traditional (i.e., construction workers) and 13,403 police WTC responders.
  
  Results:
  
  Among non-traditional responders, the prevalence of WTC-related PTSD was highest in Latino/a (40.4%) vs. Black (27.3%) and White (26.5%) responders; among police responders, Latino/a (10.4%) responders also had higher prevalence of PTSD relative to Black (9.8%) and White (8.7%) responders. However, multivariable analyses revealed that prior psychiatric diagnosis, greater severity of WTC-related exposures, post-9/11 stressful life events, (in police responders only) older age, and (in non-traditional responders only) lower income and education levels accounted for substantially higher prevalence of WTC-related PTSD across ethnic/racial groups. Additionally, among non-traditional responders, subgroups with added risk included responders who were: Latino/a or White had high post-911 stressful events; Latino/a or Black and had pre-9/11 psychiatric history; and Latinas. Among police responders, subgroups with added risk were Latino/a or Black police with a low annual income.
  
  Conclusions:
  
  Collectively, results of this study underscore the burden of differential vulnerability that can contribute to higher prevalence of PTSD in certain cultural subgroups following large magnitude traumatic events.
  
  
• Subjects:
  Aged Cohort Studies Humans Police Prevalence September 11 Terrorist Attacks Stress Disorders, Post-Traumatic
• Source:
  Psychol Trauma. 14(2):199-208
• Pubmed ID:
  34647790
• Pubmed Central ID:
  PMC8795466
• Document Type:
  Journal Article
• Funding:
  U01 OH010407/OH/NIOSH CDC HHSUnited States/
• Volume:
  14
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2dbfa381de687c5af57338c5ab3ca53884a4b7cb86c68e0f450b47fcb616e036
• Download URL:
  https://stacks.cdc.gov/view/cdc/113971/cdc_113971_DS1.pdf
• File Type:
  [PDF - 572.37 KB ]