Determinants of asthma morbidity in World Trade Center rescue and recovery workers

Details

• Personal Author:
  Busse P ; Crane M ; Crowley L ; de la Hoz RE ; Goodman ER ; Goswami R ; Jordan HT ; Katz CL ; Markowitz S ; Skloot G ; Wisnivesky JP ; Xu KY
• Description:
  Asthma is one the most common chronic conditions affecting World Trade Center (WTC) rescue and recovery workers in the aftermath of the terrorist attacks on September 11, 2001. Although exposure-response gradients between asthma risk and duration of work at the WTC site, exposure to the dust cloud, and work in the Ground Zero pit, compounded by inadequate protection, have been described, there is limited knowledge about how exposure and other factors affect long-term asthma outcomes among WTC rescue and recovery workers. In this study, we used data from a cohort of WTC workers with a physician diagnosis of asthma to study factors associated with worse asthma control, acute asthma-related outpatient and inpatient resource use, and poor quality of life. We collected data on asthma history, levels of WTC exposures (categorized based on established criteria), and comorbidities from a prospective cohort of 218 WTC workers with physician-diagnosed asthma who were enrolled in the WTC Health Program. Structured clinical interviews assessed for posttraumatic stress disorder (PTSD) and major depression. A validated questionnaire was used to measure gastroesophageal reflux disease (GERD) symptoms. Outcomes included asthma control, self-report resource use, and quality of life. We performed multiple regression analyses to identify factors associated with increased morbidity. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Chronic Disease Emergency Responders Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Chronic Diseases Emergency Responders Gastroesophageal Reflux Disease GERD Post-traumatic Stress Disorder PTSD Quality Of Life Rescue Workers World Trade Center WTC
• ISSN:
  1081-1206
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• 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:
  117
• Issue:
  5
• NIOSHTIC Number:
  nn:20049002
• Citation:
  Ann Allergy Asthma Immunol 2016 Nov; 117(5):568-570
• Contact Point Address:
  Juan P. Wisnivesky, MD, DrPH, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai New York, New York
• Email:
  juan.wisnivesky@mssm.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  Icahn School of Medicine at Mount Sinai, New York
• Peer Reviewed:
  False
• Start Date:
  20120901
• Source Full Name:
  Annals of Allergy, Asthma and Immunology
• End Date:
  20170831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dd4a459d75ae230952785a07e5dc9c33231d3b14058eee89931ad426269f892b37e0e472dd2833db8e8d80423953b8881b5568f631360986415671c446738d7e
• Download URL:
  https://stacks.cdc.gov/view/cdc/203605/cdc_203605_DS1.pdf
• File Type:
  [PDF - 135.64 KB ]