Post-9/11 Mental Health Comorbidity Predicts Self-Reported Confusion or Memory Loss in World Trade Center Health Registry Enrollees

Details

• Personal Author:
  Alper HE ; Brite J ; Seil K ; Tuly RA
• Description:
  Numerous studies report elevated levels of chronic mental health conditions in those exposed to the World Trade Center attacks of 11 September 2001 (9/11), but few studies have examined the incidence of confusion or memory loss (CML) or its association with mental health in 9/11 attack survivors. We investigated the incidence of CML and its association with the number of post-9/11 mental health conditions (PTSD, depression, and anxiety) in 10,766 World Trade Center Health Registry (Registry) enrollees aged 35-64 at the time of the wave 4 survey (2015-2016) that completed all four-wave surveys and met the study inclusion criteria. We employed log-binomial regression to evaluate the associations between CML and the number of mental health conditions. A total of 20.2% of enrollees in the sample reported CML, and there was a dose-response relationship between CML and the number of mental health conditions (one condition: RR = 1.85, 95% CI (1.65, 2.09); two conditions: RR = 2.13, 95% CI (1.85, 2.45); three conditions: RR = 2.51, 95% CI (2.17, 2.91)). Survivors may be experiencing confusion or memory loss partly due to the mental health consequences of the 9/11 attacks. Clinicians treating patients with mental health conditions should be aware of potential cognitive impairment. [Description provided by NIOSH]
• Subjects:
  Aging Environmental Exposure Men Mental Health Nervous System Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Women

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• Keywords:
  9/11 Age Groups Author Keywords: World Trade Center Confusion Disaster Disaster Sites Exposure Levels Humans Memory Loss Mental Health Risk Factors Statistical Analysis Terrorism World Trade Center WTC

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• ISSN:
  1660-4601
• 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:
  17
• Issue:
  19
• NIOSHTIC Number:
  nn:20061323
• Citation:
  Int J Environ Res Public Health 2020 Oct; 17(19):7330
• Contact Point Address:
  Howard E. Alper, New York City Department of Health and Mental Hygiene, Long Island City, NY 11101
• Email:
  halper@health.nyc.gov
• Federal Fiscal Year:
  2021
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fbedc917819ad544fa20c7eaea5a67f486e926a764d1ae3683c7f41fe1b31c81d3ef9f64d1b19918224a62b3b105091222e0bae5161758509658f91a6dd3e437
• Download URL:
  https://stacks.cdc.gov/view/cdc/224885/cdc_224885_DS1.pdf
• File Type:
  [PDF - 426.00 KB ]