Physician-diagnosed respiratory conditions and mental health symptoms 7-9 years following the World Trade Center disaster.
Physician-diagnosed respiratory conditions and mental health symptoms 7-9 years following the World Trade Center disaster.
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世贸中心灾难发生 7-9 年后，医生诊断出呼吸系统疾病和心理健康症状。
DOI：
10.1002/ajim.20993
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发表时间：
2011
影响因子：
3.5
通讯作者：
Prezant,David
中科院分区：
文献类型：
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作者：
Webber,MayrisP;Glaser,MichelleS;Weakley,Jessica;Soo,Jackie;Ye,Fen;Zeig-Owens,Rachel;Weiden,MichaelD;Nolan,Anna;Aldrich,ThomasK;Kelly,Kerry;Prezant,David
本研究调查了世界贸易中心（WTC）救援/恢复工作后长达9年的消防员和紧急医疗服务人员中医生诊断的呼吸系统疾病和心理健康症状的患病率。方法分析纽约消防局（FDNY）医生和自报诊断的WTC暴露和肺功能五分位数（预测FEV1%）。我们使用筛选工具评估可能的创伤后应激障碍（PTSD）和可能的抑郁症。结果fdny医生最常诊断为哮喘（8.8%）和鼻窦炎（9.7%）。医生诊断的阻塞性气道疾病（OAD）患病率最高的是FEV1%预测的最低五分位数。9/11当天最早到达医院的参与者更有可能患有医生诊断的哮喘（OR = 1.4）。7%的人可能患有创伤后应激障碍。19.4%可能有抑郁症。结论：自我报告和医生诊断的呼吸系统疾病仍然很常见，特别是在最早到达世贸中心现场的人群中。OAD与肺功能最低相关。由于呼吸系统和精神健康状况仍然普遍存在，因此持续监测和治疗非常重要。点。中华医学杂志，2011,34(4):661 - 671。©2011 Wiley‐Liss, Inc。
BackgroundThis study examines the prevalence of physician‐diagnosed respiratory conditions and mental health symptoms in firefighters and emergency medical service workers up to 9 years after rescue/recovery efforts at the World Trade Center (WTC).MethodsWe analyzed Fire Department of New York (FDNY) physician and self‐reported diagnoses by WTC exposure and quintiles of pulmonary function (FEV1% predicted). We used screening instruments to assess probable post‐traumatic stress disorder (PTSD) and probable depression.ResultsFDNY physicians most commonly diagnosed asthma (8.8%) and sinusitis (9.7%). The highest prevalence of physician‐diagnosed obstructive airway disease (OAD) was in the lowest FEV1% predicted quintile. Participants who arrived earliest on 9/11 were more likely to have physician‐diagnosed asthma (OR = 1.4). Seven percent had probable PTSD. 19.4% had probable depression.ConclusionsSelf‐reported and physician‐diagnosed respiratory conditions remain common, especially among those who arrived earliest at the WTC site. OAD was associated with the lowest pulmonary function. Since respiratory and mental health conditions remain prevalent, ongoing monitoring and treatment is important. Am. J. Ind. Med. 54:661–671, 2011. © 2011 Wiley‐Liss, Inc.