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Co-occurring lower respiratory symptoms and posttraumatic stress disorder 5 to 6 years after the World Trade Center terrorist attack

Author

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  • Nair, H.P.
  • Ekenga, C.C.
  • Cone, J.E.
  • Brackbill, R.M.
  • Farfel, M.R.
  • Stellman, S.D.

Abstract

Objectives. We have described the epidemiology of co-occurring lower respiratory symptoms (LRS) and probable posttraumatic stress disorder (PTSD) 5 to 6 years after exposure to the 9/11 disaster. Methods. We analyzed residents, office workers, and passersby (n = 16 363) in the World Trade Center Health Registry. Using multivariable logistic regression, we examined patterns of reported respiratory symptoms, treatment sought for symptoms, diagnosed respiratory conditions, mental health comorbidities, quality of life, and unmet health care needs in relation to comorbidity. Results. Among individuals with either LRS or PTSD, 24.6% had both conditions. The odds of comorbidity was significantly higher among those with more severe 9/11 exposures. Independent of 9/11 exposures, participants with LRS had 4 times the odds of those without it of meeting criteria for PTSD, and those with PTSD had 4 times the odds of those without it of meeting criteria for LRS. Participants with comorbidity had worse quality of life and more unmet mental health care needs than did all other outcome groups. Conclusions. Respiratory and mental illness are closely linked in individuals exposed to 9/11 and should be considered jointly in public health outreach and treatment programs.

Suggested Citation

  • Nair, H.P. & Ekenga, C.C. & Cone, J.E. & Brackbill, R.M. & Farfel, M.R. & Stellman, S.D., 2012. "Co-occurring lower respiratory symptoms and posttraumatic stress disorder 5 to 6 years after the World Trade Center terrorist attack," American Journal of Public Health, American Public Health Association, vol. 102(10), pages 1964-1973.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300690_7
    DOI: 10.2105/AJPH.2012.300690
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    Cited by:

    1. Sean H. Locke & Lisa M. Gargano & Howard E. Alper & Jennifer Brite, 2022. "Long-Term Lower Respiratory Symptoms among World Trade Center Health Registry Enrollees Following Hurricane Sandy," IJERPH, MDPI, vol. 19(21), pages 1-7, October.
    2. O'Donohue, Katelyn & Berger, Emily & McLean, Louise & Carroll, Matthew, 2021. "Psychological outcomes for young adults after disastrous events: A mixed-methods scoping review," Social Science & Medicine, Elsevier, vol. 276(C).
    3. Meghan K. Hamwey & Lisa M. Gargano & Liza G. Friedman & Lydia F. Leon & Lysa J. Petrsoric & Robert M. Brackbill, 2020. "Post-Traumatic Stress Disorder among Survivors of the September 11, 2001 World Trade Center Attacks: A Review of the Literature," IJERPH, MDPI, vol. 17(12), pages 1-22, June.
    4. Bian Liu & Lukman H Tarigan & Evelyn J Bromet & Hyun Kim, 2014. "World Trade Center Disaster Exposure-Related Probable Posttraumatic Stress Disorder among Responders and Civilians: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-10, July.
    5. Albeliz Santiago-Colón & Robert Daniels & Dori Reissman & Kristi Anderson & Geoffrey Calvert & Alexis Caplan & Tania Carreón & Alan Katruska & Travis Kubale & Ruiling Liu & Rhonda Nembhard & W. Allen , 2020. "World Trade Center Health Program: First Decade of Research," IJERPH, MDPI, vol. 17(19), pages 1-25, October.
    6. Shengchao Yu & Kacie Seil & Junaid Maqsood, 2019. "Impact of Health on Early Retirement and Post-Retirement Income Loss among Survivors of the 11 September 2001 World Trade Center Disaster," IJERPH, MDPI, vol. 16(7), pages 1-12, April.

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