Risk factors for and consequences of persistent lower respiratory symptoms among World Trade Center Health Registrants 10 years after the disaster

Details

• Personal Author:
  Alper H ; Brackbill RM ; Cone, James E. ; Farfel MR ; Friedman SM ; Jordan HT ; Li J ; Maslow C ; Stellman SD
• Description:
  Objectives: The prevalence of persistent lower respiratory symptoms (LRS) among rescue/recovery workers, local area workers, residents and passers-by in the World Trade Center Health Registry (WTCHR) was analysed to identify associated factors and to measure its effect on quality of life (QoL) 10 years after 9/11/2001. Methods: This cross-sectional study included 18,913 adults who completed 3 WTCHR surveys (2003-2004 (Wave 1 (W1)), 2006-2007 (Wave 2 (W2)) and 2011-2012 (Wave 3 (W3)). LRS were defined as self-reported cough, wheeze, dyspnoea or inhaler use in the 30 days before survey. The prevalence of three LRS outcomes: LRS at W1; LRS at W1 and W2; and LRS at W1, W2 and W3 ( persistent LRS) was compared with no LRS on WTC exposure and probable mental health conditions determined by standard screening tests. Diminished physical and mental health QoL measures were examined as potential LRS outcomes, using multivariable logistic and Poisson regression. Results: Of the 4 outcomes, persistent LRS was reported by 14.7%. Adjusted ORs for disaster exposure, probable post-traumatic stress disorder (PTSD) at W2, lacking college education and obesity were incrementally higher moving from LRS at W1, LRS at W1 and W2 to persistent LRS. Half of those with persistent LRS were comorbid for probable PTSD, depression or generalised anxiety disorder. Enrollees with persistent LRS were 3 times more likely to report poor physical health and approximately 50% more likely to report poor mental health than the no LRS group. Conclusions: LRS, accompanied by mental health conditions and decreased QoL, have persisted for at least 10 years after 9/11/2001. Affected adults require continuing surveillance and treatment. [Description provided by NIOSH]
• Subjects:
  Demography Emergencies Emergency Responders Health Care Facilities Workforce And Services Mental Health Morbidity Nervous System Occupational Health Respiratory Tract Diseases Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Surveys And Questionnaires

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• Keywords:
  Cross Sectional Studies Demographic-characteristics Emergency-responders Emergency-response Health-surveys Long Term Study Medical Monitoring Medical Treatment Mental Health Morbidity-rates Post-traumatic Stress Disorder PTSD Quality Of Life Regression Analysis Rescue-workers Respiratory-system-disorders Risk Factors Surveillance Surveillance Programs World Trade Center WTC

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• ISSN:
  1351-0711
• 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:
  73
• Issue:
  10
• NIOSHTIC Number:
  nn:20048378
• Citation:
  Occup Environ Med 2016 Oct; 73(10):676-684
• Contact Point Address:
  Dr. Stephen M. Friedman, New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, 125 Worth Street, New York, NY 10013, USA
• Email:
  sfriedm2@health.nyc.gov
• Federal Fiscal Year:
  2017
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:786be0b85a5c4853ea529d73159fe7663591e416dc5e98134b9fc744a2bfcf78a2c2e98805858f5e404e6931776025ddcb2ca11de985b46dbd30cf0b9ffe9d36
• Download URL:
  https://stacks.cdc.gov/view/cdc/203142/cdc_203142_DS1.pdf
• File Type:
  [PDF - 752.05 KB ]