The Impact of Job Loss on Posttraumatic Stress Disorder Among Asian Americans: 11–12 Years After the World Trade Center Attack

Details

• Personal Author:
  Huang D ; Kung WW ; Wang X
• Description:
  Adversities following disasters are associated with the delayed onset and persistence of posttraumatic stress disorder (PTSD). In the wake of the World Trade Center attack, a sizable group of Asian Americans being directly exposed to the disaster had endured job loss during the decade afterward. Yet, no studies to date have examined the relationship between job loss and long-term PTSD in this group. This study examined the 10-11-year prevalence of probable PTSD (PTSD Checklist score of >= 44) among Asian (n = 1,712) and Caucasian American (n = 25,011) participants of the World Trade Center Health Registry who had completed three waves of survey studies (2003-2004, 2006-2008, 2011-2012). Logistic regression was used to model the relationship between job loss since the disaster and probable PTSD for the 2 racial groups separately while controlling for sociodemographics, disaster exposure, postdisaster traumatic/stressful events exposure, lower respiratory symptoms, PTSD history since 9/11, and mental health service use. The long-term prevalence of probable PTSD was 15.1% for Asian Americans and 14.4% for Caucasian Americans, with no significant difference. For both groups, having job loss since 9/11 was a significant risk factor for probable PTSD (Asian Americans: adjusted odds ratio = 1.80; 95% confidence interval [1.19, 2.71]; Caucasian Americans: adjusted odds ratio = 1.73; 95% confidence interval [1.56, 1.93]). Although job loss was an important risk factor, employment opportunities were more restricted for Asian Americans given the cultural and language limitations. Current findings highlight the importance of improving employment as part of postdisaster assistance. [Description provided by NIOSH]
• Subjects:
  Healthcare Disparities Mental Health Nervous System Occupational Health Race Factors Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Asian American Disaster Sites Health Disparities Health Disparity Job Loss Mental Health Post-traumatic Stress Disorder Posttraumatic Stress Disorder PTSD Racial Factors Sociological Factors Stress Unemployment World Trade Center WTC

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• ISSN:
  1534-7656
• 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
• Pages in Document:
  117-126
• Volume:
  26
• Issue:
  1
• NIOSHTIC Number:
  nn:20060925
• Citation:
  Traumatology 2020 Mar; 26(1):117-126
• Contact Point Address:
  Debbie Huang, Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032
• Email:
  dh2652@cumc.columbia.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  Fordham University, New York
• Peer Reviewed:
  True
• Start Date:
  20140701
• Source Full Name:
  Traumatology
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7d1251b286ec94200ba6a998270ef2990a2a4e8ffa06a748e512f500c6a8bdc8851ef70aecae8f36d4b22c8b09ef89baa912ac0ceabc148f7cc317414579fdb1
• Download URL:
  https://stacks.cdc.gov/view/cdc/224681/cdc_224681_DS1.pdf
• File Type:
  [PDF - 166.27 KB ]