The Impact of Job Loss on Posttraumatic Stress Disorder Among Asian Americans: 11-12 Years After the World Trade Center Attack.
The Impact of Job Loss on Posttraumatic Stress Disorder Among Asian Americans: 11-12 Years After the World Trade Center Attack.
复制标题
失业对亚裔美国人创伤后应激障碍的影响：世贸中心袭击后 11-12 年。
DOI：
10.1037/trm0000216
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发表时间：
2020
期刊：
影响因子：
3.2
通讯作者：
Kung,Winnie
中科院分区：
文献类型：
--
作者：
Huang,Debbie;Wang,Xiaoran;Kung,Winnie
灾难后的焦虑与创伤后应激障碍（PTSD）的延迟发作和持续存在有关。在世贸中心袭击事件发生后，一大批直接受到灾难影响的亚裔美国人在之后的十年里失去了工作。然而，到目前为止，还没有研究探讨这一群体中失业与长期PTSD之间的关系。这项研究检查了亚洲（n= 1，712）和白人美国人（n= 25，011）参与者中10-11年可能的PTSD（PTSD检查表评分≥ 44）的患病率，这些参与者完成了三波调查研究（2003-2004，2006-2008，2011-2012）。Logistic回归被用来模拟失业，因为灾难和可能的PTSD之间的关系，分别为2个种族组，同时控制社会人口统计学，灾难暴露，灾后创伤/应激事件暴露，下呼吸道症状，PTSD历史，自9/11以来，和心理健康服务的使用。可能的PTSD的长期患病率在亚裔美国人中为15.1%，在白人美国人中为14.4%，没有显著差异。对于这两组人来说，自9/11以来失业是可能的PTSD的重要风险因素（亚裔美国人：调整后的比值比= 1.80; 95%置信区间[1.19，2.71];白人美国人：调整后的比值比= 1.73; 95%置信区间[1.56，1.93]）。虽然失业是一个重要的风险因素，但由于文化和语言的限制，亚裔美国人的就业机会受到更多限制。目前的调查结果突出了改善就业作为灾后援助的一部分的重要性。（PsycInfo数据库记录（c）2022阿帕，保留所有权利）
Adversities following disasters are associated with the delayed onset and persistence of posttraumatic stress disorder (PTSD). In the wake of the World Trade Center attack, a sizable group of Asian Americans being directly exposed to the disaster had endured job loss during the decade afterward. Yet, no studies to date have examined the relationship between job loss and long-term PTSD in this group. This study examined the 10–11-year prevalence of probable PTSD (PTSD Checklist score of≥ 44) among Asian (n= 1,712) and Caucasian American (n= 25,011) participants of the World Trade Center Health Registry who had completed three waves of survey studies (2003–2004, 2006–2008, 2011–2012). Logistic regression was used to model the relationship between job loss since the disaster and probable PTSD for the 2 racial groups separately while controlling for sociodemographics, disaster exposure, postdisaster traumatic/stressful events exposure, lower respiratory symptoms, PTSD history since 9/11, and mental health service use. The long-term prevalence of probable PTSD was 15.1% for Asian Americans and 14.4% for Caucasian Americans, with no significant difference. For both groups, having job loss since 9/11 was a significant risk factor for probable PTSD (Asian Americans: adjusted odds ratio= 1.80; 95% confidence interval [1.19, 2.71]; Caucasian Americans: adjusted odds ratio= 1.73; 95% confidence interval [1.56, 1.93]). Although job loss was an important risk factor, employment opportunities were more restricted for Asian Americans given the cultural and language limitations. Current findings highlight the importance of improving employment as part of postdisaster assistance.(PsycInfo Database Record (c) 2022 APA, all rights reserved)