Post-9/11 Drug- and Alcohol- Related Hospitalizations Among World Trade Center Health Registry Enrollees, 2003–2010

Details

• Personal Author:
  Brackbill RM ; Hirst A ; Li J ; Miller-Archie SA ; Welch AE
• Description:
  Objective: To describe patterns of drug- and alcohol-related hospitalizations among persons exposed to the 2001 World Trade Center (WTC) terrorist attacks and to assess whether 9/11-related exposures or post-9/11 posttraumatic stress disorder (PTSD) were associated with increased odds of hospitalization. Methods: Data for adult enrollees in the WTC Health Registry, a prospective cohort study, were linked to New York State (NYS) administrative hospitalization data to identify alcohol- and drug-related hospitalizations from enrollment to December 31, 2010. Logistic regression was used to analyze the associations between substance use-related hospitalization, 9/11-related exposure and PTSD. Results: Of 41,176 NYS resident enrollees, we identified 626 (1.5%) who had at least one alcohol- or drug related hospitalization; 53.4% (n=591) of these hospitalizations were for alcohol only diagnoses and 46.6% (n=515) were drug-related. Witnessing >3 traumatic events on 9/11 was significantly associated with having a drug-related hospitalization (AOR 1.4, 95% CI=[1.1, 1.9]). PTSD was significantly associated with both having a drug-related hospitalization as well as an alcohol only-related hospitalization. (AOR 2.6, 95% CI=[2.0, 3.3], AOR 1.8, 95% CI=[1.4, 2.3], respectively). Conclusions: Witnessing traumatic events and having PTSD were independently associated with substance use related hospitalizations. Targeting people who witnessed traumatic events on 9/11 and/or who have PTSD for substance use- treatment could reduce alcohol and drug-related hospitalizations connected to 9/11. [Description provided by NIOSH]
• Subjects:
  Alcoholic Beverages Cohort Studies Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks Stress Disorders, Post-Traumatic
• Keywords:
  Alcohol Alcohol Hospitalization Author Keywords: World Trade Center Cohort Studies Drug Hospitalization Drugs Longitudinal Study Mental Health Post-traumatic Stress Disorder PTSD Traumatic Incident Stress World Trade Center WTC

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• ISSN:
  0376-8716
• 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:
  55-60
• Volume:
  187
• NIOSHTIC Number:
  nn:20052307
• Citation:
  Drug Alcohol Depend 2018 Jun; 187:55-60
• Contact Point Address:
  Sara A. Miller-Archie, Division of Epidemiology, New York City Department of Health and Mental Hygiene, 42-09 28th St, Long Island City, NY 11101
• Email:
  smille12@health.nyc.gov
• Federal Fiscal Year:
  2018
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Drug and Alcohol Dependence
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:cea0054ecbc6909c0026c666506bd818293b0253085d0533e1a93279a3a52ff4de6b45e7f85d37f5de3552bb7dd296d49ebc4da55673b2cf61fc2db556af34e2
• Download URL:
  https://stacks.cdc.gov/view/cdc/211852/cdc_211852_DS1.pdf
• File Type:
  [PDF - 248.36 KB ]