Health effects and occupational exposures among office workers near the World Trade Center disaster site
Health effects and occupational exposures among office workers near the World Trade Center disaster site
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DOI：
10.1097/00043764-200207000-00003
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发表时间：
2002-07-01
影响因子：
3.2
通讯作者：
Earnest, GS
中科院分区：
文献类型：
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作者：
Trout, D;Nimgade, A;Earnest, GS
2001年9月11日世界贸易中心(WTC)遇袭事件间接影响的工人和居民的健康影响和暴露于环境污染物的程度尚不清楚。这项研究的目的是评估WTC灾难发生三个月后，在靠近灾难现场的建筑中工作的员工对健康影响和职业暴露的担忧。对在纽约市(NYC)WTC工地附近工作的联邦雇员和德克萨斯州达拉斯的联邦雇员进行了横断面问卷调查。对纽约市工作场所进行了工业卫生评估。与达拉斯相比，纽约市的工人报告的体质和心理健康症状更频繁；社会支持水平与精神健康症状的患病率呈负相关。在纽约市的员工中，9·11事件后的咨询服务得到了更大程度的利用，而对其他类型医疗服务的利用在不同群体之间没有显著差异。没有发现可以解释所报告的体质症状的浓度的职业接触物质；然而，我们无法在世贸中心灾难发生后立即评估潜在的职业暴露。在接受调查的工人中，没有证据表明持续接触空气污染物的危险。报告的体质健康症状的具体原因尚未确定。卫生保健提供者、管理层和员工团体应该意识到，需要解决全国过渡委员会地区受WTC灾难间接影响的大量工人的心理健康问题和体质症状。
The extent of health effects and exposure to environmental contaminants among workers and residents indirectly affected by the September 11, 2001, attack on the World Trade Center (WTC) is unknown. The objective of this study was to evaluate concerns related to health effects and occupational exposures three months after the WTC disaster among a Population of employees working in a building close to the disaster site. A cross-sectional questionnaire survey was performed of Federal employees working near the WTC site in New York City (NYC) and a comparison group of Federal employees in Dallas, Texas. An industrial hygiene evaluation of the NYC workplace was conducted. Constitutional and mental health symptoms were reported more frequently among workers in NYC compared to those in Dallas; level of social support was inversely related to prevalence of mental health symptoms. Post-September 11(th) counseling services were utilized to a greater degree among workers in NYC, while utilization of other types of medical services did not differ significantly between the groups. No occupational exposures to substances at concentrations that would explain the reported constitutional symptoms were found; however, we were unable to assess Potential occupational exposures in the time immediately after the WTC disaster. There is no evidence of ongoing hazardous exposure to airborne contaminants among the workers surveyed. Specific causes of reported constitutional health symptoms have not been determined. Health care providers and management and employee groups should be aware of the need to address mental health issues as well as constitutional symptoms among the large number of workers in the NTC area who have been indirectly affected by the WTC disaster.