Comparing Life Satisfaction and Functioning 15 Years After September 11, 2001 Among Survivors with and Without Injuries: A Mixed-Method Study

Details

• Personal Author:
  Brackbill RM ; Frazier P ; Gargano LM ; Garrey SK ; Jacobson MH ; Mok HK ; Petrsoric LJ
• Description:
  Purpose: This study compares life satisfaction and limited activity days among 9/11 survivors with and without physical injuries using quantitative and qualitative approaches. Methods: The study population included World Trade Center Health Registry enrollees who reported being injured on 9/11 in 2003-2004 and a sample of non-injured enrollees who participated in a cross-sectional substudy. We used multivariable logistic regression to examine differences in life satisfaction and number of limited activity days in the last 30 days between those with and without injuries. The free-response section of the survey was analyzed qualitatively to compare themes of those with and without injuries. Results: The final sample consisted of 2821 adult enrollees. Compared to those who were not injured, those who were injured on 9/11 were more likely to report being unsatisfied with their life (adjusted odds ratio (AOR): 1.5, 95% confidence intervals (CI) 1.1-2.0) and have 14 or more limited activity days in the last 30 days (AOR: 1.4, 95% CI 1.0-1.9). Among those who were injured, being partially or completely prevented from working increased the odds of being unsatisfied with life and having 14 or more limited activity days. In qualitative analysis, the emotional trauma experienced from 9/11 was a major and common theme, regardless of injury status. Those with injuries were more likely to express anger/lack of recognition/appreciation, describe substance use/abuse, and have financial/health care access issues. Conclusions: More than 15 years after 9/11, those who were injured continue to be impacted, reporting lower life satisfaction and more functional impairment. [Description provided by NIOSH]
• Subjects:
  Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks Stress Disorders, Post-Traumatic
• Keywords:
  Activity Levels Author Keywords: World Trade Center Injuries Injury Life Satisfaction Long Term Study Mental Health Qualitative Qualitative Analysis Quality Of Life Quantitative Analysis Traumatic Incident Stress World Trade Center WTC

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• ISSN:
  0962-9343
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; New York ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  28
• Issue:
  10
• NIOSHTIC Number:
  nn:20055805
• Citation:
  Qual Life Res 2019 Oct; 28(10):2787-2797
• Contact Point Address:
  Lisa M. Gargano, Division of Epidemiology, NYC Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, USA
• Email:
  lgargano1@health.nyc.gov
• Federal Fiscal Year:
  2020
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Quality of Life Research
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9618400c5f15dca25a1c750e84402deda38229dd42f9a3a0ffac97219f4fc945bd3c6f8f48db751854523d99d773c66e4438eef4b787343f4731ed1bf6d08633
• Download URL:
  https://stacks.cdc.gov/view/cdc/213574/cdc_213574_DS1.pdf
• File Type:
  [PDF - 728.25 KB ]