Change in asthma is associated with change in PTSD in World Trade Center health registrants, 2011 to 2016.

Details

• Personal Author:
  Alper H ; Cone, James E. ; de la Hoz RE ; Farfel MR ; Friedman SM ; Osahan S
• Description:
  The WTC Health Registry (WTCHR) is a closed, longitudinal cohort of rescue/recovery workers and survivors exposed to the 11 September 2001 disaster. WTCHR enrollees diagnosed with asthma after 11 September 2001 continued to experience poor control despite treatment. Asthma is associated with mental problems, although their bidirectional movement has not been studied. This study tested whether a clinical change in mental problems was associated with a difference in asthma control, and whether a change in asthma control varied with a change in quality of life (QoL). Difference in the Asthma Control Test (ACT) on the WTCHR from 2011-12 to 2015-16 was compared with the change in the Post-traumatic Stress Disorder Checklist (PCL-17), the Patient Health Questionnaire depression scale, self-reported heartburn, and change of physical and mental QoL over this period. In adjusted multinomial multivariable logistic regression, improved PCL-17 was associated with a better ACT score, odds ratio (OR) = 1.42 (95% C.I. 1.01, 1.99), and a worsened PCL-17 score was associated with a worsened ACT score, OR = 1.77 (95% C.I. 1.26, 2.50). Decreased ACT was associated with poor physical QoL, OR = 1.97 (95% C.I. 1.48, 2.62). Change in mental health measures tracked with change in asthma control, which correlated with a change in QoL. Careful follow-up and treatment of all three are indicated to improve these inter-related issues. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Emergency Responders Environmental Exposure Mental Disorders Mental Health Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Stress, Psychological Surveys And Questionnaires

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• Keywords:
  Author Keywords: ACT; PTSD; World Trade Center Health Registry; Asthma; Disaster; Quality Of Life World Trade Center; WTC; Rescue Workers; First Responders; Emergency Responders; Asthma; Bronchial Asthma; Exposure Levels; Risk Factors; Mental Disorders; Mental Stress; Quality Of Work Life; QWL; Post-traumatic Stress Disorder; PTSD; Questionnaires; Statistical Analysis;
• 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:
  19
• Issue:
  13
• NIOSHTIC Number:
  nn:20065570
• Citation:
  Int J Environ Res Public Health 2022 Jul; 19(13):7795
• Contact Point Address:
  Stephen M. Friedman, World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York, NY 11101
• Email:
  sfriedm2@health.nyc.gov
• Federal Fiscal Year:
  2022
• 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-512:901704805e288e3a26abd6c702ec7c15d614bb1a87e8bb128b678c1694c209ac2288195492cac1b1bb86c2bc670712d89f1906dda6ceb1d0966a8e12f2785285
• Download URL:
  https://stacks.cdc.gov/view/cdc/248789/cdc_248789_DS1.pdf
• File Type:
  [PDF - 507.65 KB ]