Behavioral Health Effects of September 11th, 2001

描述（由申请人提供）：本项目的目标是获得健康保护研究的经验和专业知识，并通过评估2001年恐怖袭击对纽约市社区健康的影响，确定对恐怖分子和灾害相关行为健康障碍进行初级和二级预防的机会。申请人的目的是确定是否有一个在急诊科或门诊医疗利用率在脆弱人群中与压力相关的访问一致，并与社区的整体健康的不利影响。研究和培训计划包括（1）记录发达国家灾后时期医疗保健利用的过去模式（2）进行一系列人口统计学，临床，与门诊和急诊使用相关的诊断和社会经济变量，并创建一个地理信息系统，以比较观察到的与预期的人口基数率（3）测试后，利用流行病学监测相关统计工具，计算相关性和回归分析，影响时间是易感人群发生焦虑相关门急诊的独立危险因素;（4）检查2001年事件与对整体社区健康的有害影响之间的空间或时间关联的证据，这些影响由公共，医疗，社会和心理健康指标，如亲密伴侣暴力的发生率。该项目对从业人员应对灾后行为健康需求、公共卫生机构建立监测基线和规划激增能力需求以及应急管理政策制定者教育和动员社区具有影响。

DESCRIPTION (provided by applicant): The goal of this project is to gain experience and expertise in health protection research and identify opportunities for primary and secondary prevention of terrorist and disaster-related behavioral health disturbances by assessing the effects of the terrorist attacks of 2001 on the health of New York City's communities. The applicant aims to determine whether there was an increase in emergency department or outpatient medical utilization among vulnerable populations consistent with stress-related visits and associated with an adverse affect on the overall health of the community. The research and training program involves (1) documenting past patterns of medical care utilization in post disaster periods in developed nations (2) conducting an epidemiologic study of serial demographic, clinical, diagnostic and socio-economic variables associated with outpatient and emergency department use and creating a geographic information system to compare observed vs. expected population bases rates (3) testing the hypothesis that the post-impact period is an independent risk factor for the occurrence of anxiety-related outpatient and emergency visits among vulnerable populations by utilizing epidemiologic surveillance-related statistical tools and calculating correlations and regression analyses, and; (4) examining evidence of spatial or temporal associations between the events of 2001 and deleterious effects on overall community health as indexed by public, medical, social and mental health indicators such as the occurrence of intimate partner violence. The project has implications for practitioners in responding to post-disaster behavioral health needs, public health agencies in establishing baselines for surveillance and planning for surge capacity demands, and emergency management policy makers in educating and mobilizing their communities.