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

An Overview of 9/11 Experiences and Respiratory and Mental Health Conditions among World Trade Center Health Registry Enrollees
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DOI:
10.1007/s11524-008-9317-4
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发表时间:
2008-11-01
影响因子:
6.6
通讯作者:
Thorpe, Lorna
Thorpe, Lorna
中科院分区:
医学2区
文献类型:
--
作者:
Farfel, Mark;DiGrande, Laura;Thorpe, Lorna

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迄今为止,在特定人群中研究了2001年9月11日纽约市灾难对健康的影响,但没有研究估计其对不同暴露人群的影响。本报告概述了世界贸易中心健康登记处(WTCHR)的注册者,他们的暴露以及9/11后2-3年的呼吸和心理健康结果。将结果外推到有资格参加WTTR的估计人群,以确定影响的程度。在2003年9月至2004年11月期间,对建筑物居住者、9/11时在曼哈顿下城街头或过境的人、当地居民、救援和恢复工作人员/志愿者以及地区学校的儿童和工作人员进行了采访,并在WTTRUNK中登记。总共有71,437人参加了WTTRIM,占估计合格暴露人群(近410,000人)的17.4%; 30%是从名单中招募的,70%是自我确认的。许多人报告说,他们在世贸中心大楼倒塌的尘埃云中(51%),目睹了创伤性事件(70%)或受伤(13%)。在9/11之后,67%的成年登记者报告了新的或恶化的呼吸道症状,3%报告了新诊断的哮喘,16%的可能的创伤后应激障碍(PTSD)筛查阳性,8%的严重心理困扰(SPD)。新诊断的哮喘在废墟上工作的救援和恢复工作人员中最常见(4.1%)。PTSD在那些报告西班牙裔种族(30%),家庭收入
To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied in specific groups, but no studies have estimated its impact across the different exposed populations. This report provides an overview of the World Trade Center Health Registry (WTCHR) enrollees, their exposures, and their respiratory and mental health outcomes 2-3 years post-9/11. Results are extrapolated to the estimated universe of people eligible to enroll in the WTCHR to determine magnitude of impact. Building occupants, persons on the street or in transit in lower Manhattan on 9/11, local residents, rescue and recovery workers/volunteers, and area school children and staff were interviewed and enrolled in the WTCHR between September 2003 and November 2004. A total of 71,437 people enrolled in the WTCHR, for 17.4% coverage of the estimated eligible exposed population (nearly 410,000); 30% were recruited from lists, and 70% were self-identified. Many reported being in the dust cloud from the collapsing WTC Towers (51%), witnessing traumatic events (70%), or sustaining an injury (13%). After 9/11, 67% of adult enrollees reported new or worsening respiratory symptoms, 3% reported newly diagnosed asthma, 16% screened positive for probable posttraumatic stress disorder (PTSD), and 8% for serious psychological distress (SPD). Newly diagnosed asthma was most common among rescue and recovery workers who worked on the debris pile (4.1%). PTSD was higher among those who reported Hispanic ethnicity (30%), household income