Behavior Problems in Adolescence and Subsequent Mental Health in Early Adulthood: Results from the World Trade Center Health Registry Cohort

Details

• Personal Author:
  Farfel MR ; Gargano LM ; Li J ; Locke S
• Description:
  BACKGROUND: The present study examined the association between 9/11-related adolescent behavioral problems on mental health outcomes in early adulthood. METHODS: Data from enrollees of the World Trade Center Health Registry, who completed at least one adolescent (2006-2007 or 2011-2012) and adult survey (2011-2012 or 2015-2016), were analyzed. Adolescent behavioral difficulties were assessed using the adolescent-reported Strengths and Difficulties Questionnaire (SDQ). Adult mental health outcomes included binge drinking, smoking status history, 9/11-related post-traumatic stress disorder (PTSD), depression, and the self-reported number of physician mental health diagnoses. Multivariable regression was used to estimate associations of SDQ scores with mental health outcomes. RESULTS: Of the 297 enrollees, 16.8% (n = 50) had abnormal/borderline SDQ scores as an adolescent. Binge drinking was not associated with adolescent SDQ scores. Enrollees with abnormal/borderline SDQ scores as an adolescent were more likely to be a consistent smoker (odds ratio (OR): 5.6, 95% confidence interval (CI): 1.2-25.2), have probable PTSD (OR: 3.5, 95% CI: 1.3-9.8), depression (OR: 6.2, 95% CI: 2.7-13.9), and to have two or more self-reported physician-diagnosed mental health conditions as an adult (OR 5.6, 95% CI: 2.0-12.5). CONCLUSIONS: The findings of this study underscore the need to intervene early with children exposed to traumatic events so as to avert later adolescent and adult problem behaviors. [Description provided by NIOSH]
• Subjects:
  Adolescent Alcoholic Beverages Behavior Environmental Exposure Mental Health Nervous System Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Smokers Stress Disorders, Post-Traumatic Surveys And Questionnaires

  More +
• Keywords:
  Adolescents Alcohol Alcoholic Beverages Children Exposure Levels Humans Mental Health Psychological Effects Psychology Questionnaires Risk Factors Smoking Statistical Analysis Traumatic Incident Stress Traumatic Injuries World Trade Center WTC

  More +
• ISSN:
  0031-3998
• 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
• Pages in Document:
  205-209
• Volume:
  84
• Issue:
  2
• NIOSHTIC Number:
  nn:20052303
• Citation:
  Pediatr Res 2018 Aug; 84(2):205-209
• Contact Point Address:
  Lisa M. Gargano, Division of Epidemiology, New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, NY 10013
• Email:
  lgargano1@health.nyc.gov
• Federal Fiscal Year:
  2018
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Pediatric Research
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d7bbc5eeef7b0f24de22035ebda27fab5d775b8073d085efc30151686c8f79343e0ec23856e7dc4ce77f110a2b22a995cb8f6841f40dcdd14dfc19b4e756e0db
• Download URL:
  https://stacks.cdc.gov/view/cdc/211848/cdc_211848_DS1.pdf
• File Type:
  [PDF - 352.86 KB ]