Co-occurring lower respiratory symptoms and posttraumatic stress disorder 5 to 6 years after the World Trade Center terrorist attack

Details

• Personal Author:
  Brackbill RM ; Cone, James E. ; Ekenga CC ; Farfel MR ; Hemanth P ; Nair HP ; Stellmen SD
• Description:
  OBJECTIVES: We have described the epidemiology of co-occurring lower respiratory symptoms (LRS) and probable posttraumatic stress disorder (PTSD) 5 to 6 years after exposure to the 9/11 disaster. METHODS: We analyzed residents, office workers, and passersby (n = 16,363) in the World Trade Center Health Registry. Using multivariable logistic regression, we examined patterns of reported respiratory symptoms, treatment sought for symptoms, diagnosed respiratory conditions, mental health comorbidities, quality of life, and unmet health care needs in relation to comorbidity. RESULTS: Among individuals with either LRS or PTSD, 24.6% had both conditions. The odds of comorbidity was significantly higher among those with more severe 9/11 exposures. Independent of 9/11 exposures, participants with LRS had 4 times the odds of those without it of meeting criteria for PTSD, and those with PTSD had 4 times the odds of those without it of meeting criteria for LRS. Participants with comorbidity had worse quality of life and more unmet mental health care needs than did all other outcome groups. CONCLUSIONS: Respiratory and mental illness are closely linked in individuals exposed to 9/11 and should be considered jointly in public health outreach and treatment programs. [Description provided by NIOSH]
• Subjects:
  Epidemiology Irritants Lung Mental Health Occupational Health Public Health Respiratory System Respiratory Tract Diseases Safety Stress, Psychological
• Keywords:
  Mental-health Mental-stress Public-health Pulmonary-function Pulmonary-system Pulmonary-system-disorders Respiration Respiratory-irritants
• ISSN:
  0090-0036
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  102
• Issue:
  10
• NIOSHTIC Number:
  nn:20046544
• Citation:
  Am J Public Health 2012 Oct; 102(10):1964-1973
• Contact Point Address:
  Steven D. Stellman, NYC DOHMH, 42-09 28th Street, 7th floor, Long Island City, NY 11101
• Email:
  sstellma@health.nyc.gov
• Federal Fiscal Year:
  2013
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  American Journal of Public Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bcf757facf7386b3ccd0568f69871d4afeeec22fba4c119266bf8a6a9cb32549d3ef19c36ad33575c6f2294f9345fa8ca5866854d458b025507ba8878ea2bb5e
• Download URL:
  https://stacks.cdc.gov/view/cdc/201563/cdc_201563_DS1.pdf
• File Type:
  [PDF - 523.85 KB ]