Race/Ethnic Differences in Prevalence and Correlates of Posttraumatic Stress Disorder in World Trade Center Responders: Results from a Population-Based, Health Monitoring Cohort

Details

• Personal Author:
  Ciro D ; Crane M ; Dasaro CR ; Feder A ; Harrison DJ ; Luft BJ ; Moline JM ; Pietrzak RH ; Todd AC ; Udasin IG ; Whealin JM
• Description:
  Objective: This study evaluated race/ethnic differences in the prevalence and correlates of World Trade Center (WTC) related posttraumatic stress disorder (PTSD) in WTC responders. Method: Data were analyzed from a population-based, health monitoring cohort of 15,440 nontraditional (i.e., construction workers) and 13,403 police WTC responders. Results: Among nontraditional responders, the prevalence of WTC-related PTSD was highest in Latino/a (40.4%) versus Black (27.3%) and White (26.5%) responders; among police responders, Latino/a (10.4%) responders also had higher prevalence of PTSD relative to Black (9.8%) and White (8.7%) responders. However, multivariable analyses revealed that prior psychiatric diagnosis, greater severity of WTC-related exposures, post-9/11 stressful life events, (in police responders only) older age, and (in nontraditional responders only) lower income and education levels accounted for substantially higher prevalence of WTC-related PTSD across ethnic/racial groups. Additionally, among nontraditional responders, subgroups with added risk included responders who were: Latino/a or White had high post-911 stressful events; Latino/a or Black and had pre-9/11 psychiatric history; and Latinas. Among police responders, subgroups with added risk were Latino/a or Black police with a low annual income. Conclusions: Collectively, results of this study underscore the burden of differential vulnerability that can contribute to higher prevalence of PTSD in certain cultural subgroups following large magnitude traumatic events. [Description provided by NIOSH]
• Subjects:
  Aging Construction Industry Economics Education Emergencies Emergency Responders Law Enforcement Men Occupational Health Race Factors Safety September 11 Terrorist Attacks Women Workplace

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• Keywords:
  Age Groups Construction Workers Emergency Responders Emergency Response First Responders Humans Law Enforcement Officer LEO Police Officers Post-traumatic Stress Disorder Psychological Stress PTSD Racial Factors Rescue Workers Socioeconomics Statistical Analysis Stress Work Environment Workers World Trade Center WTC

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• ISSN:
  1942-9681
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  California ; Connecticut ; Hawaii ; New Jersey ; New York ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  199-208
• Volume:
  14
• Issue:
  2
• NIOSHTIC Number:
  nn:20063750
• Citation:
  Psychol Trauma 2022 Feb; 14(2):199-208
• Contact Point Address:
  Julia M. Whealin, Clinical Psychologist/Informatics Research Psychologist, Clinical Informatics Service, VA Pacific Islands Health Care System, 459 Patterson Drive, Honolulu, HI 96819, United States
• Email:
  julia.whealin@va.gov
• Federal Fiscal Year:
  2022
• Performing Organization:
  Icahn School of Medicine at Mount Sinai, New York
• Peer Reviewed:
  True
• Start Date:
  20120901
• Source Full Name:
  Psychological Trauma: Theory, Research, Practice, and Policy
• End Date:
  20180831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c3906266451230c43d853f56a4171729e7e9263dae11bd78bdc3ece04f45a75179981f17082c37eb71e6edf65cef0f50164c8000ce391016d482f3529b308300
• Download URL:
  https://stacks.cdc.gov/view/cdc/222306/cdc_222306_DS1.pdf
• File Type:
  [PDF - 278.21 KB ]