Posttraumatic stress symptoms and smoking among World Trade Center disaster responders: a longitudinal investigation

Details

• Personal Author:
  Bromet E ; Crane M ; Farris SG ; Feder A ; Gonzalez A ; Kaplan J ; Kotov R ; Luft BJ ; Moline J ; Pietrzak RH ; Reissman, Dori B. ; Schechter CB ; Southwick SM ; Udasin I ; Vujanovic A ; Zvolensky MJ
• Description:
  Purpose: The current longitudinal study examined posttraumatic stress disorder (PTSD) symptom severity in relation to smoking abstinence and reduction over time among responders to the World Trade Center (WTC) disaster. Method: Participants were 763 police and 1881 non-traditional (e.g., construction workers) WTC responders who reported being smokers at an initial examination obtained between July 2002 and July 2011 at the WTC Health Program (WTC-HP). WTC responders were reassessed, on average, 2.5 years later. Results: For police WTC responders, higher levels of WTC-related PTSD symptoms at the initial visit were associated with a decreased likelihood of smoking abstinence (OR=0.98, p=.002) and with decreased smoking reduction (beta =-.06, p=.012) at the follow-up visit. WTC-related PTSD symptom severity was not related to likelihood of smoking abstinence or change in number of cigarettes smoked among non-traditional responders. Post hoc analyses suggested that for police, hyperarousal PTSD symptoms were predictive of decreased abstinence likelihood at the follow-up visit (OR=0.56, p=.006). Discussion: The present findings suggest that PTSD symptoms may be differentially related to smoking behavior among police and non-traditional WTC responders in a naturalistic, longitudinal investigation. Future work may benefit from exploring further which aspects of PTSD (as compared to each other and to common variance) explain smoking maintenance. [Description provided by NIOSH]
• Subjects:
  Behavior Construction Industry Emergency Responders Firefighters Health Care Facilities Workforce And Services Health Promotion Law Enforcement Mental Health Occupational Health Safety Smokers Stress, Psychological Tobacco Products

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• Keywords:
  Behavior-patterns Cigarette-smoking Construction-workers Emergency-responders Fire-fighters Health-programs Job-stress Long-term-study Medical-monitoring Mental-stress Police-officers Psychological-responses Psychological-stress Rescue-workers Smoking Surveillance-programs

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• ISSN:
  0010-440X
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; District of Columbia ; New Jersey ; New York ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director ; WTCHP - World Trade Center Health Program
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  46-54
• Volume:
  63
• NIOSHTIC Number:
  nn:20047184
• Citation:
  Compr Psychiatry 2015 Nov; 63:46-54
• Contact Point Address:
  Michael J. Zvolensky, The University of Houston, 126 Heyne Building, Suite 104, Houston, TX 77204-5502, United States
• Email:
  mjzvolen@central.uh.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  True
• Source Full Name:
  Comprehensive Psychiatry
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a868ce35a29756c12389dc95cfb88fa8ed5f732cf2682d3c2da68d5d79b2bb61deedeeefebb189b96828c8886dc4a924e728e24fdda3bc530899df1bc8915a7a
• Download URL:
  https://stacks.cdc.gov/view/cdc/202347/cdc_202347_DS1.pdf
• File Type:
  [PDF - 437.50 KB ]