scholarly journals Hospitalizations among World Trade Center Health Registry Enrollees Who Were under 18 Years of Age on 9/11, 2001–2016

2021 ◽  
Vol 18 (14) ◽  
pp. 7527
Author(s):  
Lisa M. Gargano ◽  
Sean H. Locke ◽  
Howard E. Alper ◽  
Jennifer Brite
Keyword(s):  
Mental Health ◽  
New York ◽  
Physical Health ◽  
World Trade ◽  
World Trade Center ◽  
Dust Cloud ◽  
Health Condition ◽  
Ptsd Symptoms ◽  
Trade Center ◽  
Health Registry

Much of the literature on hospitalizations post-September 11, 2001 (9/11) focuses on adults but little is known about post-9/11 hospitalizations among children. Data for World Trade Center Health Registry enrollees who were under 18-years old on 9/11 were linked to New York State hospitalization data to identify hospitalizations from enrollment (2003–2004) to December 31, 2016. Logistic regression was used to analyze factors associated with hospitalization. Of the 3151 enrollees under age 18 on 9/11, 243 (7.7%) had at least one 9/11-related physical health hospitalization and 279 (8.9%) had at least one 9/11-related mental health hospitalization. Individuals of non-White race, those living in New York City Housing Authority housing, those exposed to the dust cloud on 9/11, and those with probable 9/11-related PTSD symptoms were more likely to be hospitalized for a 9/11-related physical health condition. Older age and having probable 9/11-related PTSD symptoms at baseline were associated with being hospitalized for a 9/11-related mental health condition. Dust cloud exposure on 9/11 and PTSD symptoms were associated with hospitalizations among those exposed to 9/11 as children. Racial minorities and children living in public housing were at greater risk of hospitalization. Continued monitoring of this population and understanding the interplay of socioeconomic factors and disaster exposure will be important to understanding the long-term effects of 9/11.

scholarly journals Hurricane Sandy Evacuation Among World Trade Center Health Registry Enrollees in New York City

2016 ◽  
Vol 10 (3) ◽  
pp. 411-419 ◽  
Author(s):  
Shakara Brown ◽  
Lisa M. Gargano ◽  
Hilary Parton ◽  
Kimberly Caramanica ◽  
Mark R. Farfel ◽  
...  
Keyword(s):  
New York ◽  
Physical Health ◽  
World Trade ◽  
World Trade Center ◽  
Hurricane Sandy ◽  
Adverse Outcomes ◽  
Community Cohesion ◽  
Poor Physical Health ◽  
Trade Center ◽  
Health Registry

AbstractObjectiveTimely evacuation is vital for reducing adverse outcomes during disasters. This study examined factors associated with evacuation and evacuation timing during Hurricane Sandy among World Trade Center Health Registry (Registry) enrollees.MethodsThe study sample included 1162 adults who resided in New York City’s evacuation zone A during Hurricane Sandy who completed the Registry’s Hurricane Sandy substudy in 2013. Factors assessed included zone awareness, prior evacuation experience, community cohesion, emergency preparedness, and poor physical health. Prevalence estimates and multiple logistic regression models of evacuation at any time and evacuation before Hurricane Sandy were created.ResultsAmong respondents who evacuated for Hurricane Sandy (51%), 24% had evacuated before the storm. In adjusted analyses, those more likely to evacuate knew they resided in an evacuation zone, had evacuated during Hurricane Irene, or reported pre-Sandy community cohesion. Evacuation was less likely among those who reported being prepared for an emergency. For evacuation timing, evacuation before Hurricane Sandy was less likely among those with pets and those who reported 14 or more poor physical health days.ConclusionsHigher evacuation rates were observed for respondents seemingly more informed and who lived in neighborhoods with greater social capital. Improved disaster messaging that amplifies these factors may increase adherence with evacuation warnings. (Disaster Med Public Health Preparedness. 2016;10:411–419)

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

2020 ◽  
Vol 17 (19) ◽  
pp. 7330
Author(s):  
Howard E. Alper ◽  
Rifat A. Tuly ◽  
Kacie Seil ◽  
Jennifer Brite
Keyword(s):  
Mental Health ◽  
World Trade ◽  
World Trade Center ◽  
Memory Loss ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Binomial Regression ◽  
Trade Center ◽  
Health Registry ◽  
World Trade Center Attacks

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.

scholarly journals PTSD and Depressive Symptoms as Potential Mediators of the Association between World Trade Center Exposure and Subjective Cognitive Concerns in Rescue/Recovery Workers

2020 ◽  
Vol 17 (16) ◽  
pp. 5683 ◽  
Author(s):  
Ankura Singh ◽  
Rachel Zeig-Owens ◽  
Laura Rabin ◽  
Theresa Schwartz ◽  
Mayris P. Webber ◽  
...  
Keyword(s):  
New York ◽  
Depressive Symptoms ◽  
Cognitive Decline ◽  
World Trade ◽  
World Trade Center ◽  
Fire Department ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Mediation Analyses ◽  
Trade Center

We observed that World Trade Center (WTC) exposure, post-traumatic stress disorder (PTSD) symptoms and depressive symptoms were associated with subjective cognitive concerns in Fire Department of the City of New York (FDNY) rescue/recovery workers. This follow-up study examined whether PTSD symptoms and/or depressive symptoms mediate the observed association between WTC exposure and subjective cognitive concerns. We included WTC-exposed FDNY workers who completed the Cognitive Function Instrument (CFI), measuring self-perceived cognitive decline (N = 9516). PTSD symptoms and depressive symptoms were assessed using the PCL-S and CES-D, respectively. Multivariable linear regression estimated the association between WTC exposure and CFI score, adjusting for confounders. Mediation analyses followed the methods of Vanderweele (2014). Participants’ average age at CFI assessment was 56.6 ± 7.6 years. Higher-intensity WTC exposure was associated with worse CFI score, an effect that was entirely mediated by PTSD symptoms (%mediated: 110.9%; 95%CI: 83.1–138.9). When substituting depressive symptoms for PTSD symptoms, the WTC exposure–CFI association was largely mediated (%mediated: 82.1%; 95%CI: 60.6–103.7). Our findings that PTSD symptoms and depressive symptoms mediate the association between WTC exposure and subjective cognitive concerns indicate that in the absence of these symptoms, WTC exposure in rescue/recovery workers would not be associated with subjective cognition. Interventions targeting PTSD and depression may have additional value in mitigating cognitive decline in WTC-exposed populations.

scholarly journals An Overview of 9/11 Experiences and Respiratory and Mental Health Conditions among World Trade Center Health Registry Enrollees

2008 ◽  
Vol 85 (6) ◽  
pp. 880-909 ◽  
Author(s):  
Mark Farfel ◽  
Laura DiGrande ◽  
Robert Brackbill ◽  
Angela Prann ◽  
James Cone ◽  
...  
Keyword(s):  
Mental Health ◽  
World Trade ◽  
World Trade Center ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Trade Center ◽  
Health Registry

scholarly journals Persistent Hearing Loss among World Trade Center Health Registry Residents, Passersby and Area Workers, 2006–2007

2019 ◽  
Vol 16 (20) ◽  
pp. 3864
Author(s):  
James E. Cone ◽  
Cheryl R. Stein ◽  
David J. Lee ◽  
Gregory A. Flamme ◽  
Jennifer Brite
Keyword(s):  
Hearing Loss ◽  
World Trade ◽  
World Trade Center ◽  
Dust Cloud ◽  
Potential Association ◽  
Disaster Survivors ◽  
Trade Center ◽  
Health Registry ◽  
Hearing Problems

Background: Prior studies have found that rescue and recovery workers exposed to the 9/11 World Trade Center (WTC) disaster have evidence of increased persistent hearing and other ear-related problems. The potential association between WTC disaster exposures and post-9/11 persistent self-reported hearing problems or loss among non-rescue and recovery survivors has not been well studied. Methods: We used responses to the World Trade Center Health Registry (Registry) enrollment survey (2003–2004) and first follow-up survey (2006–2007) to model the association between exposure to the dust cloud and persistent hearing loss (n = 22,741). Results: The prevalence of post-9/11 persistent hearing loss among survivors was 2.2%. The adjusted odds ratio (aOR) of hearing loss for those who were in the dust cloud and unable to hear was 3.0 (95% CI: 2.2, 4.0). Survivors with persistent sinus problems, headaches, PTSD and chronic disease histories had an increased prevalence of reported hearing problems compared to those without symptoms or chronic problems. Conclusions: In a longitudinal study, we observed an association between WTC-related exposures and post-9/11 self-reported hearing loss among disaster survivors.

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