Neighborhood Characteristics and Psychiatric Disorders in the Aftermath of Mass Trauma: A Representative Study of New York City Public School 4th–12th Graders After 9/11

Details

• Personal Author:
  Amsel L ; Bavley R ; Bresnahan M ; Cheslack-Postava K ; Fan B ; Fiano E ; Geronazzo-Alman L ; Hoven CW ; Kummerfeld E ; Ma S ; Musa GJ ; Saxe G ; Wicks J
• Description:
  Studies of the relationship between neighborhood characteristics and childhood/adolescent psychopathology in large samples examined one outcome only, and/or general (e.g., 'psychological distress') or aggregate (e.g., 'any anxiety disorder') measures of psychopathology. Thus, in the only representative sample of New York City public school 4th-12th graders (N = 8202) surveyed after the attacks of 9/11/2001, this study examined whether (1) indices of neighborhood Socioeconomic Status, Quality, and Safety and (2) neighborhood disadvantage (defined as multidimensional combinations of SES, Quality and Safety indicators) are associated with eight psychiatric disorders: posttraumatic stress disorder, separation anxiety disorder (SAD), agoraphobia, generalized anxiety disorder (GAD), panic disorder, major depression, conduct disorder, and alcohol use disorder (AUD). (1) The odds ratios (OR) of psychiatric disorders were between 0.55 (AUD) and 1.55 (agoraphobia), in low and intermediate-low SES neighborhoods, respectively, between 0.50 (AUD) and 2.54 (agoraphobia) in low Quality neighborhoods, and between 0.52 (agoraphobia) and 0.65 (SAD) in low Safety neighborhoods. (2) In neighborhoods characterized by high disadvantage, the OR were between 0.42 (AUD) and 1.36 (SAD). This study suggests that neighborhood factors are important social determinants of childhood/adolescent psychopathology, even in the aftermath of mass trauma. At the community level, interventions on modifiable neighborhood characteristics and targeted resources allocation to high-risk contexts could have a cost-effective broad impact on children's mental health. At the individual-level, increased knowledge of the living environment during psychiatric assessment and treatment could improve mental health outcomes; for example, specific questions about neighborhood factors could be incorporated in DSM-5's Cultural Formulation Interview. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Demography Environmental Exposure Epidemiology Mental Health Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks

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• Keywords:
  Adolescents Age Groups Author Keywords: Adolescents Children Demographic Characteristics Disaster Sites Emotional Stress Exposure Levels Humans Neighborhoods Physiological Effects Post-traumatic Stress Disorder Psychiatric Disorders Psychological Effects Psychology PTSD Risk Factors Socioeconomics Trauma World Trade Center WTC

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• ISSN:
  0022-3956
• 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:
  138
• NIOSHTIC Number:
  nn:20063045
• Citation:
  J Psychiatr Res 2021 Jun; 138:584-590
• Contact Point Address:
  Lupo Geronazzo-Alman, New York State Psychiatric Institute - Columbia University Irving Medical Center, Room 5221, 1051 Riverside Drive, New York, 10032, NY, USA
• Email:
  lupo.geronazzo@nyspi.columbia.edu
• Federal Fiscal Year:
  2021
• Performing Organization:
  New York State Psychiatric Institute, New York
• Peer Reviewed:
  True
• Start Date:
  20150701
• Source Full Name:
  Journal of Psychiatric Research
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c3e768a71b6b8d6f40c8e9d3bab4be48167266036e6cfc862d54f654f0a55a75056a4b6f0992232ab5e4a520dccf6121489af02237fc9a8a5310c810aa3cb2c5
• Download URL:
  https://stacks.cdc.gov/view/cdc/226174/cdc_226174_DS1.pdf
• File Type:
  [PDF - 1.30 MB ]