Associations Between Asthma Trigger Reports, Mental Health Conditions, and Asthma Morbidity Among World Trade Center Rescue and Recovery Workers

Details

• Personal Author:
  Cone, James E. ; Federman A ; Feldman JM ; Goodman E ; Harrison D ; Katz C ; Markowitz S ; Morales-Raveendran E ; Weiss J ; West E ; Wisnivesky JP
• Description:
  Objective: There is limited information regarding asthma triggers in World Trade Center (WTC) rescue and recovery workers or how mental health conditions affect the perception of triggers. Methods: We included 372 WTC workers with asthma. The Asthma Trigger Inventory (ATI) assessed triggers along five domains: psychological, allergens, physical activity, infection, and pollution. We administered the Structured Clinical Interview to diagnose post-traumatic stress disorder (PTSD), major depression and panic disorder (PD). The Asthma Control Questionnaire (ACQ) and Mini Asthma Quality of Life Questionnaire (AQLQ) measured asthma control and quality of life, respectively. Linear regression models were fitted to examine the association of ATI total and subdomain scores with mental health conditions as well as the percent of ACQ and AQLQ variance explained by ATI subscales. Results: The most common triggers were air pollution (75%) and general allergens (68%). PTSD was significantly associated with psychological triggers (partial r2=0.05, p<0.01), physical activity (partial r2=0.03, p<0.01) and air pollution (partial r2=0.02, p=0.04) subscales while PD was significantly associated with air pollution (partial r2=0.03, p=0.03) and general allergens (partial r2=0.02, p=0.03). ATI subscales explained a large percentage of variance in asthma control (r2=0.37, p<0.01) and quality of life scores (r2=0.40, p<0.01). Psychological subscale scores explained the largest portion of the total variability in ACQ (partial r2= 0.11, p=0.72) and AQLQ (partial r2=0.14, p=0.64) scores. Conclusion: RRW with mental health conditions reported more asthma triggers and these triggers were associated with asthma morbidity. These data can help support interventions in RRW with asthma. [Description provided by NIOSH]
• Subjects:
  Air Pollution Asthma Communicable Diseases Emergency Responders Hypersensitivity Men Mental Health Morbidity Mortality Nervous System Occupational Health Respiratory System Respiratory Tract Diseases Safety September 11 Terrorist Attacks Surveys And Questionnaires Women

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• Keywords:
  Air Pollution Allergens Asthma Asthma Management Asthma Outcomes Author Keywords: Asthma Trigger Bronchial Asthma Emergency Responders Humans Infection Control Mental Health Models Morbidity Rates Mortality Rates Physical Exercise Pollution Post-traumatic Stress Disorder Psychological Psychological Effects PTSD Quality Of Life Questionnaires Rescue Workers World Trade Center WTC

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• ISSN:
  0277-0903
• 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:
  56
• Issue:
  8
• NIOSHTIC Number:
  nn:20052335
• Citation:
  J Asthma 2019 Aug; 56(8):833-840
• Contact Point Address:
  Esperanza Morales-Raveendran, M.A., Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1087, New York, NY 10029
• Email:
  esperanza.morales-raveendran@mountsinai.org
• Federal Fiscal Year:
  2019
• Performing Organization:
  Icahn School of Medicine at Mount Sinai, New York
• Peer Reviewed:
  True
• Start Date:
  20120901
• Source Full Name:
  Journal of Asthma
• End Date:
  20170831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:48d4798b6ecf7c2a19f4bc5087518b15514f0ddbb30e060e159f1ffb687ecc2f889dfc4923001d9e200950ef36a4eb8f6bbb16e50a57d87d95f1d525595dfba0
• Download URL:
  https://stacks.cdc.gov/view/cdc/211879/cdc_211879_DS1.pdf
• File Type:
  [PDF - 1.23 MB ]