Risk of Stroke Among Survivors of the September 11, 2001, World Trade Center Disaster

Details

• Personal Author:
  Alper HE ; Brackbill RM ; Nguyen A-M ; Yu S
• Description:
  Objective: The aim of this study was to investigate the association between 9/11-related posttraumatic stress disorder (PTSD), dust cloud exposure, and subsequent development of stroke among 42,527 enrollees in the World Trade Center (WTC) Health Registry. Methods: Using four waves of longitudinal data from the WTC Health Registry surveys, we employed Cox proportional hazards regression models to assess the associations. Results: Incidence of stroke was higher among those with PTSD or intense dust cloud exposure than those without, and it was even higher for those who had experienced both. In fully adjusted models, participants with PTSD had an increased risk of developing stroke [adjusted hazards ratio (AHR) 1.69, 95% confidence interval (95% CI) 1.42 to 2.02], as did those with intense dust exposure (AHR 1.29, 95% CI 1.09 to 1.53). Conclusion: We found that individuals with 9/11-related PTSD and/or intense dust exposure may have an increased risk of developing stroke. [Description provided by NIOSH]
• Subjects:
  Dust Environmental Exposure Men Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Women
• Keywords:
  Author Keywords: 9/11 Dust Cohort Disaster Dust Exposure Dusts Exposure Levels Hazards Humans Models Post-traumatic Stress Disorder Posttraumatic Stress Disorder PTSD Risk Factors Statistical Analysis Stroke Survival Analysis World Trade Center WTC

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• ISSN:
  1076-2752
• 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:
  60
• Issue:
  8
• NIOSHTIC Number:
  nn:20052342
• Citation:
  J Occup Environ Med 2018 Aug; 60(8):e371-e376
• Contact Point Address:
  Shengchao Yu, PhD, MA,World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, 125 Worth Street, 10th Floor, New York City, NY 10013
• Email:
  syu@health.nyc.gov
• Federal Fiscal Year:
  2018
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d603c0fead3072e679efd60559976902b0ebad1d551a1c80fbe7dd6d050b4c27e4011d723b9410be2fffe4b0a80e5da11b2c6f1984ac66610c4f1c6be3c977eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/211885/cdc_211885_DS1.pdf
• File Type:
  [PDF - 159.89 KB ]