Exposure to Multiple Disasters: The Long-Term Effect of Hurricane Sandy (October 29, 2012) on NYC Survivors of the September 11, 2001 World Trade Center Attack

Details

• Personal Author:
  Alper H ; Brackbill RM ; Gargano LM ; Li J ; Millien L
• Description:
  This study evaluated the impact of pre-Hurricane Sandy (Sandy) post-traumatic stress disorder (PTSD) trajectories on the relationship between Sandy exposures and post-Sandy 9/11-related PTSD among World Trade Center Health Registry (Registry) enrollees. The study population included 3,199 adult Registry enrollees who completed three surveys prior to Sandy in 2003-4, 2006-7, and 2011-12; a post-Hurricane Sandy survey (2013); and a follow-up survey in 2015-16. PTSD was assessed using the PTSD Checklist (PCL). Latent class growth analysis was used to identify groups of enrollees who shared a similar trajectory of change in PCL score in the time period prior to Sandy. We compared enrollees in each trajectory group to assess the impact of Sandy-related PTSD, Sandy exposures, and optimism on 9/11-related PTSD status post-Sandy (2015-16) using bivariate analyses and multivariable log-binomial regression. Sandy-related PTSD was the strongest predictor of subsequent 9/11-related PTSD. Lower optimism and higher Sandy exposure significantly predicted 9/11-related PTSD only in some trajectory groups. Hurricane Sandy may have exacerbated previously resolved symptoms of 9/11-related PTSD. This indicates a need after a disaster to assess and address mental health sequelae from previous traumatic exposures. [Description provided by NIOSH]
• Subjects:
  Cyclonic Storms Environmental Exposure Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Post-traumatic Stress Disorder Disaster Sites Exposure Levels Hurricanes Hurricane Sandy Optimism Post-traumatic Stress Disorder PTSD Risk Factors Trajectories World Trade Center WTC

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• ISSN:
  0165-1781
• 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:
  273
• NIOSHTIC Number:
  nn:20055047
• Citation:
  Psychiatry Res 2019 Mar; 273:719-724
• Contact Point Address:
  Lisa M. Gargano, World Trade Center Health Registry, Division of Epidemiology, New York City Department of Health and Mental Hygiene, New York, NY 10013
• Email:
  lgargano1@health.nyc.gov
• Federal Fiscal Year:
  2019
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Psychiatry Research
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:85241390d91f1e4ba174bc8e3157063dd64ef231f125a1501bcda95cc639dabd5fd3c41a774e55b24352c13bdd811484e590d1e25b6727fe50e1d86158ee132f
• Download URL:
  https://stacks.cdc.gov/view/cdc/217436/cdc_217436_DS1.pdf
• File Type:
  [PDF - 712.59 KB ]